{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T19:29:45Z","timestamp":1783366185697,"version":"3.54.6"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"21","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,11,4]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">An electrophysiology study (EPS) with ablation is often the preferred approach to management of supraventricular tachycardia (SVT) and\/or preexcitation (Wolff\u2010Parkinson\u2010White syndrome) in children and adolescents. There are inequities in arrhythmia management in adults, but less is known in children. We aimed to determine whether socioeconomic inequities affect referral for EPS in children with SVT or Wolff\u2010Parkinson\u2010White syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">This retrospective observational study used the Pediatric Health Information System (49 children\u2019s hospitals\u2019 administrative data) from 2016 to 2022. We included children with SVT\/Wolff\u2010Parkinson\u2010White syndrome at centers performing EPS and excluded those with congenital heart disease. The zip code\u2010based Childhood Opportunity Index (COI; range 1\u2013100) and race and ethnicity were predictors. Multivariable analysis included COI, age, race and ethnicity, census region, and preexcitation. The outcome was a procedure code for EPS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Among 37\u2009674 children with preexcitation (10\u2009165) or SVT without preexcitation (27\u2009509), 9840 (26.1%) underwent EPS. The median COI was 58 (interquartile range [IQR], 31\u201381). The sample was predominantly White non\u2010Hispanic (58%), followed by Hispanic (16%) and Black non\u2010Hispanic (12%). Children who underwent EPS had a higher COI than those who did not (median, 59 [IQR, 34\u201382] versus 57 [IQR, 30\u201381];\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001). Black non\u2010Hispanic patients had lower EPS rates than White non\u2010Hispanic (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001) and Asian (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001) patients. Hispanic patients had lower EPS rates than White non\u2010Hispanic (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.001) patients. In multivariable analysis, lower COI, race and ethnicity, region, and preexcitation predicted EPS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">In this multicenter study of pediatric patients, we found disparities in use of EPS for SVT\/Wolff\u2010Parkinson\u2010White syndrome. In adjusted analysis, Black non\u2010Hispanic and Hispanic children and those with a lower COI were less likely to undergo EPS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.044274","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T13:17:11Z","timestamp":1762175831000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Socioeconomic Status, Race, and Ethnicity in Management of Pediatric Supraventricular Tachycardia"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7068-547X","authenticated-orcid":false,"given":"Karina","family":"Javalkar","sequence":"first","affiliation":[{"name":"Boston Children\u2019s Hospital","place":["Boston, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8055-768X","authenticated-orcid":false,"given":"Lynn A.","family":"Sleeper","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital","place":["Boston, USA"]},{"name":"Harvard Medical School","place":["Boston, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7794-9017","authenticated-orcid":false,"given":"Jane","family":"Newburger","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital","place":["Boston, USA"]},{"name":"Harvard Medical School","place":["Boston, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2864-1830","authenticated-orcid":false,"given":"Audrey","family":"Dionne","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital","place":["Boston, USA"]},{"name":"Harvard Medical School","place":["Boston, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/pir.2016-0119"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2002.121823"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306466"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1995.tb02541.x"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2021.02.018"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2010.00414.x"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4622"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/JAMANETWORKOPEN.2021.0247"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-022-01383-x"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hroo.2022.07.008"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.03.031"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-022-02924-x"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.124.069127"},{"key":"e_1_3_1_15_2","unstructured":"diversitydatakids.org . 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