Socioeconomic deprivation is not associated with reduced survival of lung transplant recipients

Beliaev, Andrei M.; Alison, Peter; Reddy, Denise; O’Carroll, Mark; McWilliams, Tanya

doi:10.1016/j.jss.2018.04.023

Cited by 6 publications

(6 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ease of access and high quality of health care for the socioeconomically deprived New Zealand population has been previously demonstrated in heart, lung, renal transplant recipients, and patients with acute type A aortic dissection. [16][17][18]20 In contrast to our findings, several papers have shown SED to be associated with reduced survival after HSCT for hematological malignancies. In multivariate analysis, Hong et al demonstrated a 26% reduction in 5-year overall survival of autologous HCST recipients from the lower socioeconomic status (SES) group compared to the higher SES group (hazard ratio (HR) = .74; 95% CI: .58-.95; p = .019).…”

Section: Discussioncontrasting

confidence: 99%

The association of socioeconomic deprivation with access and survival after hematopoietic stem cell transplantation in New Zealand

Beliaev

Lewis

Doocey

et al. 2022

Asia-Pac J Clncl Oncology

View full text Add to dashboard Cite

Background Socioeconomic deprivation (SED) is a risk factor for reduced survival of hematopoietic stem cell transplant (HSCT) recipients. This study aimed to evaluate access and long‐term survival of HSCT recipients. Methods This was a hospital HSCT Registry‐based retrospective cohort study. Patients who underwent HSCT from January 2010 to June 2020 were identified. HSCT recipients younger than 16 years of age, patients who reported their residential address as a post office box or the Department of Corrections, and those who left the country after HSCT were excluded from the study. HSCT recipients with the 2018 New Zealand deprivation index (NZDep2018) deciles 8, 9, and 10 were assigned to the higher SED group and those with NZDep2018 deciles from 1 to 7 were allocated to the lower SED group. The total number of New Zealanders in the higher and lower SED strata was obtained from the 2018 Census. Results Eight hundred fifty‐one HSCT recipients met the eligibility criteria. HSCT recipients from the higher and lower SED strata of the New Zealand population had similar access to HSCT (odds ratio = .9; 95% confidence interval (CI): .77–1.04; p = .155). Mortality in the higher and lower SED groups of HSCT recipients was 9.6/100 person‐years (95% CI: 7.7–12/100 person‐years) and 8.1/100 person‐years (95% CI: 6.9–9.4/100 person‐years), respectively. The mortality ratio was 1.2 (95% CI: .9–1.6), p = .098. Both groups had similar survival. Conclusion New Zealand residents from the higher and lower SED strata have similar access to HSCT. SED is not associated with reduced survival in adult HSCT recipients.

show abstract

Section: Discussioncontrasting

confidence: 99%

The association of socioeconomic deprivation with access and survival after hematopoietic stem cell transplantation in New Zealand

Beliaev

Lewis

Doocey

et al. 2022

Asia-Pac J Clncl Oncology

View full text Add to dashboard Cite

show abstract

“…The New Zealand public health care system is funded by the Government and all NZ citizens and permanent residents are eligible for free hospital care service and subsidized primary health care. This model has been shown to reduce socioeconomic inequity in outcomes after lung and heart transplantation in New Zealand 19–20 . However, no studies are investigating the relationship between SED and access to RTx and outcomes after RTx in New Zealand.…”

Section: Introductionmentioning

confidence: 99%

“…This model has been shown to reduce socioeconomic inequity in outcomes after lung and heart transplantation in New Zealand. [19][20] However, no studies are investigating the relationship between SED and access to RTx and outcomes after RTx in New Zealand. We hypothesized that SED may be associated with limited access and worse outcomes after RTx in our country.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic inequality: accessibility and outcomes after renal transplantation in New Zealand

Beliaev

Henry

Dittmer

et al. 2021

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background: Socioeconomic deprivation (SED) is a risk factor for worse outcomes after renal transplantation (RTx). This study aimed to evaluate access to RTx in different SED strata of the New Zealand population. We also assessed patient survival, acute cellular allograft rejection (AR) and allograft loss. Methods: This was an Australian and New Zealand Dialysis and Transplantation and Organ Donation Registries-based retrospective cohort study. Patients who underwent RTx in New Zealand from 2008 to 2018 were identified. Patients younger than 16 years of age and those who left the country after RTx were excluded. Results: In the higher SED stratum of New Zealanders, the rate of RTx was 53% greater than in the lower SED stratum (odds ratio = 1.53; 95% confidence interval: 1.33-1.76; p < 0.00005). Results: One hundred and thirteen (23%) patients from the lower SED group and 51 (14.8%) patients from the higher SED group underwent living unrelated RTx, p = 0.0033. In 233 (67.5%) patients from the higher SED group and 265 (53.9%) patients from the lower SED group, transplanted kidneys were from deceased donors RTx, p = 0.0001. The incidence of allograft loss and patient survival were similar in these groups. Conclusion: Our data demonstrated a lower overall survival in the more socioeconomically deprived patients than in the lower SED group however this was not statistically significant after adjustment for covariates. A larger study is required to determine whether SED is associated with reduced survival.

show abstract

“…A study from New Zealand spanning 23 years showed that acute rejection, chronic allograft dysfunction, and mortality were no different between patients of higher and lower means. 125 Disparities among access to transplantation based on economic factors was demonstrated. 126…”

Section: Lung Transplantationmentioning

confidence: 99%

Noteworthy Literature Published in 2018 for Thoracic Organ Transplantation

Tawil

Adams

Nicoara

et al. 2019

Semin Cardiothorac Vasc Anesth

View full text Add to dashboard Cite

Publications of note from 2018 are reviewed for the cardiothoracic transplant anesthesiologist. Strategies to expand the availability of donor organs were highlighted, including improved donor management, accumulating experience with increased-risk donors, ex vivo perfusion techniques, and donation after cardiac death. A number of reports examined posttransplant outcomes, including outcomes other than mortality, with new data-driven risk models. Use of extracorporeal support in cardiothoracic transplantation was a prominent theme. Major changes in adult heart allocation criteria were implemented, aiming to improve objectivity and transparency in the listing process. Frailty and prehabilitation emerged as targets of comprehensive perioperative risk mitigation programs.

show abstract

Socioeconomic deprivation is not associated with reduced survival of lung transplant recipients

Cited by 6 publications

References 24 publications

The association of socioeconomic deprivation with access and survival after hematopoietic stem cell transplantation in New Zealand

The association of socioeconomic deprivation with access and survival after hematopoietic stem cell transplantation in New Zealand

Socioeconomic inequality: accessibility and outcomes after renal transplantation in New Zealand

Noteworthy Literature Published in 2018 for Thoracic Organ Transplantation

Contact Info

Product

Resources

About