心脏移植术后的种族和民族差异：对导致差异的因素及缩小结果差距的未来方向的系统评价
Racial and ethnic disparities in outcomes after heart transplantation: A systematic review of contributing factors and future directions to close the outcomes gap.
作者信息
Morris Alanna A, Kransdorf Evan P, Coleman Bernice L, Colvin Monica
机构信息
Division of Cardiology, Emory University, Atlanta, Georgia.
Division of Cardiovascular Diseases, Cedars-Sinai Heart Institute, Beverly Hills, California.
出版信息
J Heart Lung Transplant. 2016 Aug;35(8):953-61. doi: 10.1016/j.healun.2016.01.1231. Epub 2016 Feb 12.
Abstract
The demographics of patients undergoing heart transplantation in the United States have shifted over the last 10 years, with an increasing number of racial and ethnic minorities undergoing heart transplant. Multiple studies have shown that survival of African American patients after heart transplantation is lower compared with other ethnic groups. We review the data supporting the presence of this outcome disparity and examine the multiple mechanisms that contribute. With an increasingly diverse population in the United States, knowledge of these disparities, their mechanisms, and ways to improve outcomes is essential.
摘要
在过去10年里，美国接受心脏移植患者的人口统计学特征发生了变化，接受心脏移植的少数族裔人数不断增加。多项研究表明，与其他种族群体相比，非裔美国患者心脏移植后的生存率较低。我们回顾了支持这一结果差异存在的数据，并研究了导致这种差异的多种机制。在美国人口日益多样化的情况下，了解这些差异、其机制以及改善治疗结果的方法至关重要。
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