{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:17:38Z","timestamp":1790734658630,"version":"4.1.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transcatheter aortic valve replacement (TAVR) is an established treatment for patients with severe aortic stenosis (AS). It remains unclear whether disparities exist in rural or socially vulnerable populations undergoing TAVR. This study assessed whether outcomes differ based on geographic location or vulnerability of patients undergoing TAVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing TAVR at a single institution from August 2012 to June 2023 were studied (n = 1565). Zip codes determined Social Vulnerability Index (SVI) and measured distance to our facility. Outcomes defined by the Valve Academic Research Consortium 3 (VARC-3) included stroke, transient ischemic attack (TIA)\/delirium, pacemaker implantation, new atrial fibrillation\/atrial flutter, and myocardial infarction (MI). Average time between preoperative coronary angiogram (CATH)\/computed tomography angiography (CTA) and TAVR was calculated. Kaplan-Meier curves estimated survival probability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average time between CATH and TAVR in patients living furthest away was \u223c9 days more than patients living closest to the implant site. The average number of days between CATH and TAVR for low and high SVI were 71 and 78 days, respectively. The average number of days between CTA and TAVR for low and high SVI were 40 and 39 days, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Further distances traveled were associated with longer wait times between preoperative workup and TAVR. Patients with longer waits between CATH and TAVR had no differences in medium-term survival probability but had decreased long-term survival probability compared to patients with rapid pre-procedural evaluation. Although geographic and socioeconomic vulnerability can disadvantage patients, our study demonstrates that patients undergoing TAVR can have timely care and similar outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348241300364","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T06:28:09Z","timestamp":1731479289000},"page":"1276-1284","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Transcatheter Aortic Valve Replacement in Patients With Geographic and Socioeconomic Vulnerabilities"],"prefix":"10.1177","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7733-6248","authenticated-orcid":false,"given":"Jacob M.","family":"Tupa","sequence":"first","affiliation":[{"name":"School of Medicine and Health Sciences, University of North Dakota, Fargo and Grand Forks, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hunter T.","family":"Row","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, University of North Dakota, Fargo and Grand Forks, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greta C.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, University of North Dakota, Fargo and Grand Forks, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley L.","family":"Matter","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, University of North Dakota, Fargo and Grand Forks, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena J.","family":"Danielson","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, University of North Dakota, Fargo and Grand Forks, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abe E.","family":"Sahmoun","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, University of North Dakota, Fargo and Grand Forks, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas A.","family":"Haldis","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, University of North Dakota, Fargo and Grand Forks, ND, USA"},{"name":"Sanford Health, Fargo, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelius M.","family":"Dyke","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, University of North Dakota, Fargo and Grand Forks, ND, USA"},{"name":"Sanford Health, Fargo, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000047200.36165.b8"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.119.040788"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2015.04.001"},{"issue":"15","key":"e_1_3_3_5_2","first-page":"1","article-title":"Chronic disease patients' experiences with accessing health care in rural and remote areas: A systematic review and qualitative meta-synthesis","volume":"13","author":"Brundisini F","year":"2013","unstructured":"Brundisini F, Giacomini M, DeJean D, Vanstone M, Winsor S, Smith A. Chronic disease patients' experiences with accessing health care in rural and remote areas: A systematic review and qualitative meta-synthesis. Ont Health Technol Assess Ser. 2013;13(15):1-33. Published 2013 Sep 1.","journal-title":"Ont Health Technol Assess Ser"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2008.12.1131"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.1725"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.121.024414"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.054516"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-023-01604-7"},{"key":"e_1_3_3_11_2","volume-title":"CDC\/ATSDR Social Vulnerability Index","author":"Centers for Disease Control and Prevention\/Agency for Toxic Substances and Disease Registry\/Geospatial Research, Analysis, and Services Program","year":"2020","unstructured":"Centers for Disease Control and Prevention\/Agency for Toxic Substances and Disease Registry\/Geospatial Research, Analysis, and Services Program. CDC\/ATSDR Social Vulnerability Index 2020. Available at: https:\/\/www.atsdr.cdc.gov\/placeandhealth\/svi\/data_documentation_download.html"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.02.038"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241300364","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348241300364","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241300364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:03Z","timestamp":1777379823000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348241300364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,12]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/00031348241300364"],"URL":"https:\/\/doi.org\/10.1177\/00031348241300364","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,12]]}}}