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经导管主动脉瓣置换术(TAVR)中的种族差异综述:可及性、转诊与植入

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

作者信息

Bob-Manuel Tamunoinemi, Sharma Arindam, Nanda Amit, Ardeshna Devarshi, Skelton William Paul, Khouzam Rami N

机构信息

Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.

College of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.

出版信息

Ann Transl Med. 2018 Jan;6(1):10. doi: 10.21037/atm.2017.10.17.

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.

摘要

经导管主动脉瓣置换术(TAVR)植入结果中的种族差异源于多种因素,包括社会经济差异、医疗保健提供中的固有偏见、转介给专科医生的人数较少以及一些少数族裔群体中的语言障碍。在这篇综述文章中,我们讨论了关于TAVR种族差异的当前数据,探讨了美国不同人口统计学中主动脉瓣狭窄的患病率,并提出了解决这些问题的实际方案。

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