Association between race/ethnicity, illness severity, and mortality in children undergoing cardiac surgery

Tjoeng, Yuen Lie; Jenkins, Kathy J.; Deen, Jason F.; Chan, Titus

doi:10.1016/j.jtcvs.2020.06.015

Cited by 33 publications

(20 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If the intersection results in suboptimal delivery of and access to care, this can lead to higher mortality, morbidity, length of stay, and cost. 36 , 39 , 40 , 41 , 42 , 47 , 48 , 49 Understanding interactions between socioeconomic factors, race and ethnicity, SDOH, and institutional factors that mitigate or potentiate adverse outcomes among patients with congenital HD are critical to informing future policy decisions. 36 Currently, it remains unclear whether hospital‐level factors make a greater contribution to the variation in outcome among disadvantaged socioeconomic groups, or whether patient factors and SDOH play the greatest role.…”

Section: Institutional‐level Approachmentioning

confidence: 99%

“… 60 Furthermore, institutional programs that target nutrition and growth may be interventions that further reduce disparate outcomes in cardiac surgical mortality. 48 Finally, enrollment and participation in neurodevelopmental programs, as well as school‐based neurodevelopmental outreach, such as the First‐Five California initiative, 61 may also help identify at‐risk children and facilitate access to resources.…”

Section: Institutional‐level Approachmentioning

confidence: 99%

See 1 more Smart Citation

Addressing Social Determinants of Health and Mitigating Health Disparities Across the Lifespan in Congenital Heart Disease: A Scientific Statement From the American Heart Association

Lopez¹,

Baker‐Smith²,

Flores³

et al. 2022

JAHA

View full text Add to dashboard Cite

Despite the overall improvement in life expectancy of patients living with congenital heart disease (congenital HD), disparities in morbidity and mortality remain throughout the lifespan. Longstanding systemic inequities, disparities in the social determinants of health, and the inability to obtain quality lifelong care contribute to poorer outcomes. To work toward health equity in populations with congenital HD, we must recognize the existence and strategize the elimination of inequities in overall congenital HD morbidity and mortality, disparate health care access, and overall quality of health services in the context of varying social determinants of health, systemic inequities, and structural racism. This requires critically examining multilevel contributions that continue to facilitate health inequities in the natural history and consequences of congenital HD. In this scientific statement, we focus on population, systemic, institutional, and individual‐level contributions to health inequities from prenatal to adult congenital HD care. We review opportunities and strategies for improvement in lifelong congenital HD care based on current public health and scientific evidence, surgical data, experiences from other patient populations, and recognition of implicit bias and microaggressions. Furthermore, we review directions and goals for both quantitative and qualitative research approaches to understanding and mitigating health inequities in congenital HD care. Finally, we assess ways to improve the diversity of the congenital HD workforce as well as ethical guidance on addressing social determinants of health in the context of clinical care and research.

show abstract

Section: Institutional‐level Approachmentioning

confidence: 99%

Section: Institutional‐level Approachmentioning

confidence: 99%

Addressing Social Determinants of Health and Mitigating Health Disparities Across the Lifespan in Congenital Heart Disease: A Scientific Statement From the American Heart Association

Lopez¹,

Baker‐Smith²,

Flores³

et al. 2022

JAHA

View full text Add to dashboard Cite

show abstract

“…We read with great interest the valuable study by Tjoeng and colleagues 1 reporting that compared with white children, African-American children had a greater mortality risk after cardiac surgery. This study is well designed.…”

Section: Statistical Considerations For the Disappeared Significance In Regression Models To The Editormentioning

confidence: 99%

Statistical considerations for the disappeared significance in regression models

Zhang

Zhu

2022

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

“…Although racial disparity is evident across many CHD outcomes, the association of race with postsurgical mortality specifically is equivocal. Using mediation analysis, Tjoeng et al [31] recently reported that illness severity accounted for the disparity in African-American postsurgical mortality. Peterson et al…”

Section: Mortalitymentioning

confidence: 99%

The impact of socioeconomic status and race on the outcomes of congenital heart disease

Nashed¹

2021

Current Opinion in Cardiology

View full text Add to dashboard Cite

Purpose of reviewStudying the outcomes of congenital heart disease and their associations allows paediatric cardiologists and intensivists to improve the care and health equity of their patients. This review presents the most recent literature discussing the socioeconomic and racial disparities that pervade the outcomes of patients with congenital heart disease in every facet of treatment. The outcomes of congenital heart disease discussed are prenatal detection, maintenance of care, quality of life, neurodevelopment and mortality. Recent findingsHistorically, it has been documented that patients with congenital heart disease who are of racial and ethnic minorities disproportionately experience poor outcomes. Recently, the association between racial minorities and mortality has been traced to underlying socioeconomic disparities emphasizing that race and ethnicity are not independent determinants of health.

show abstract

Association between race/ethnicity, illness severity, and mortality in children undergoing cardiac surgery

Cited by 33 publications

References 30 publications

Addressing Social Determinants of Health and Mitigating Health Disparities Across the Lifespan in Congenital Heart Disease: A Scientific Statement From the American Heart Association

Addressing Social Determinants of Health and Mitigating Health Disparities Across the Lifespan in Congenital Heart Disease: A Scientific Statement From the American Heart Association

Statistical considerations for the disappeared significance in regression models

The impact of socioeconomic status and race on the outcomes of congenital heart disease

Contact Info

Product

Resources

About