A review of racial disparities in transcatheter aortic valve replacement (TAVR): accessibility, referrals and implantation

Abstract

Racial disparities in transcatheter aortic valve replacement (TAVR) implantation results from several factors, including socioeconomic disparities, inherent biases in healthcare provision, fewer referrals to specialists and language barriers in some minority populations. In this review article, we discuss the current data on the racial disparities in TAVR, explore the prevalence of aortic stenosis in different demographics in the United States and we proffer practical solutions to these problems.

Trends in complete heart block after transcatheter aortic valve replacement: A population based analysis

“…Minha et al found that black patients are more likely to refuse AVR as compared to whites . Lower socioeconomic status and lack of health insurance limit the number of PPM implantations among black population . It is worth noting however that due to limitations of our database, it is unknown whether black patients who developed CHB after TAVR were more likely to recover as compared to their white counterparts.…”

“…32 Lower socioeconomic status and lack of health insurance limit the number of PPM implantations among black population. 29 It is worth noting however that due to limitations of our database, it is unknown whether black patients who developed CHB after TAVR were more likely to recover as compared to their white counterparts. Further studies are needed to determine the driv- In addition to increased risk of mortality, the development of CHB had significant impact on hospital LOS and hospitalization cost.…”

“…In our study cohort, black patients with CHB were less likely to receive a PPM as compared to whites. Multiple studies have revealed that black patients were less likely to undergo cardiac procedures as compared to caucasians . Several factors drive these disparities including cultural differences and lack of understanding of the procedure.…”

“…Multiple studies have revealed that black patients were less likely to undergo cardiac procedures as compared to caucasians. [29][30][31] Several factors drive these disparities including cultural differences and lack of understanding of the procedure. Minha et al found that black patients are more likely to refuse AVR as compared to whites.…”

Racial/Ethnic Disparities in Patients Undergoing Transcatheter Aortic Valve Replacement: Insights from the Healthcare Cost and Utilization Project's National Inpatient Sample

“…Transcatheter aortic valve replacement (TAVR) has recently become the mainstay of treatment for many patients with severe aortic stenosis (AS) that otherwise are considered at an inordinate risk to undergo surgical replacement [1]. Nonetheless, following the historical trend of other novel advances in the cardiovascular field, TAVR clinical studies have been mainly focused on Caucasian populations with limited representation of minority groups [2,3]. Previous studies have shown that along with African Americans (AA), Hispanics are a target of significant cardiovascular disparities and burdened with a higher prevalence of cardiovascular disease than their Caucasian counterparts [4].…”