• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

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.

DOI:10.21037/atm.2017.10.17
PMID:29404356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5787726/
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。

相似文献

1
A review of racial disparities in transcatheter aortic valve replacement (TAVR): accessibility, referrals and implantation.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
Ann Transl Med. 2018 Jan;6(1):10. doi: 10.21037/atm.2017.10.17.
2
Racial Disparities in the Utilization and Outcomes of TAVR: TVT Registry Report.种族差异在 TAVR 的利用和结局中的表现:TVT 注册研究报告。
JACC Cardiovasc Interv. 2019 May 27;12(10):936-948. doi: 10.1016/j.jcin.2019.03.007.
3
Transcatheter Aortic Valve Replacement in Low-Risk Patients With Symptomatic Severe Aortic Stenosis.经导管主动脉瓣置换术治疗有症状的低危重度主动脉瓣狭窄患者。
J Am Coll Cardiol. 2018 Oct 30;72(18):2095-2105. doi: 10.1016/j.jacc.2018.08.1033. Epub 2018 Aug 28.
4
Exploring the Difference in Post-procedural Stroke Rates Between Patients with Aortic Stenosis Who Undergo Transcatheter Aortic Valve Replacement Versus Surgical Aortic Valve Replacement.探索接受经导管主动脉瓣置换术与外科主动脉瓣置换术的主动脉瓣狭窄患者术后中风发生率的差异。
Cureus. 2018 Apr 17;10(4):e2494. doi: 10.7759/cureus.2494.
5
Incremental cost and length of stay associated with postprocedure delirium in transcatheter and surgical aortic valve replacement patients in the United States.美国经导管和外科主动脉瓣置换患者术后谵妄的增量成本及住院时间
Catheter Cardiovasc Interv. 2019 May 1;93(6):1132-1136. doi: 10.1002/ccd.28014. Epub 2018 Dec 14.
6
Sex-related differences in outcomes after transcatheter or surgical aortic valve replacement in patients with severe aortic stenosis: Insights from the PARTNER Trial (Placement of Aortic Transcatheter Valve).在重度主动脉瓣狭窄患者行经导管主动脉瓣置换术或外科主动脉瓣置换术后的结局中存在与性别相关的差异:来自 PARTNER 试验(主动脉瓣经导管置换术)的见解。
J Am Coll Cardiol. 2014 Apr 22;63(15):1522-8. doi: 10.1016/j.jacc.2014.01.036. Epub 2014 Feb 19.
7
Outcomes of intermediate-risk patients treated with transcatheter and surgical aortic valve replacement in the Veterans Affairs Healthcare System: A single center 20-year experience.退伍军人事务医疗系统中接受经导管和外科主动脉瓣置换术治疗的中度风险患者的结局:单中心20年经验
Catheter Cardiovasc Interv. 2018 Aug 1;92(2):390-398. doi: 10.1002/ccd.27478. Epub 2018 Jan 9.
8
Prevalence and Outcomes of Mitral Stenosis in Patients Undergoing Transcatheter Aortic Valve Replacement: Findings From the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapies Registry.经导管主动脉瓣置换术患者二尖瓣狭窄的患病率和结局:来自胸外科医师学会/美国心脏病学会经导管瓣膜治疗登记处的研究结果。
JACC Cardiovasc Interv. 2018 Apr 9;11(7):693-702. doi: 10.1016/j.jcin.2018.01.245.
9
In-hospital outcomes of transcatheter versus surgical aortic valve replacement in non-teaching hospitals.非教学医院经导管主动脉瓣置换术与外科主动脉瓣置换术的院内转归。
Catheter Cardiovasc Interv. 2019 Apr 1;93(5):954-962. doi: 10.1002/ccd.27968. Epub 2018 Nov 8.
10
Bleeding complications after surgical aortic valve replacement compared with transcatheter aortic valve replacement: insights from the PARTNER I Trial (Placement of Aortic Transcatheter Valve).经导管主动脉瓣置换术与外科主动脉瓣置换术后出血并发症比较:来自 PARTNER I 试验(经导管主动脉瓣置入术)的见解。
J Am Coll Cardiol. 2014 Mar 25;63(11):1100-9. doi: 10.1016/j.jacc.2013.10.058. Epub 2013 Nov 27.

引用本文的文献

1
Concurrent aortic stenosis and hypertension: mortality trends in US older adults from 1999-2020.主动脉狭窄与高血压并存:1999 - 2020年美国老年人的死亡率趋势
Future Cardiol. 2025 Jul 21:1-10. doi: 10.1080/14796678.2025.2530906.
2
An Update on Recent Drug Delivery Systems Targeting Brain Diseases via the Transnasal Pathway.经鼻腔途径靶向脑部疾病的新型药物传递系统研究进展
Pharm Res. 2024 Nov;41(11):2121-2141. doi: 10.1007/s11095-024-03790-3. Epub 2024 Oct 30.
3
Racial Disparities in Access to High-Volume Mitral Valve Transcatheter Edge-to-Edge Repair Centers.获得高容量二尖瓣经导管缘对缘修复中心的种族差异。
J Soc Cardiovasc Angiogr Interv. 2022 Jul 13;1(5):100398. doi: 10.1016/j.jscai.2022.100398. eCollection 2022 Sep-Oct.
4
Narrowing disparities in PCI outcomes in women; From risk assessment, to referral pathways and outcomes.女性经皮冠状动脉介入治疗(PCI)结果方面差距的缩小;从风险评估到转诊途径及结果。
Am Heart J Plus. 2022 Nov 5;24:100225. doi: 10.1016/j.ahjo.2022.100225. eCollection 2022 Dec.
5
Impact of gender, ethnicity and social deprivation on access to surgical or transcatheter aortic valve replacement in aortic stenosis: a retrospective database study in England.性别、种族和社会贫困对主动脉瓣狭窄患者接受外科或经导管主动脉瓣置换术的影响:英国回顾性数据库研究。
Open Heart. 2023 Sep;10(2). doi: 10.1136/openhrt-2023-002373.
6
Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed Solutions.经导管主动脉瓣置换术(TAVR)和经导管二尖瓣修复术(TMVr)中女性作为手术操作者和患者的代表性不足:数据、影响及建议解决方案
Eur Cardiol. 2022 Dec 19;17:e27. doi: 10.15420/ecr.2022.33. eCollection 2022 Feb.
7
The racial disparity among post transcatheter aortic valve replacement outcomes: A meta-analysis.经导管主动脉瓣置换术后结果的种族差异:一项荟萃分析。
Int J Cardiol Heart Vasc. 2023 Jan 11;44:101170. doi: 10.1016/j.ijcha.2023.101170. eCollection 2023 Feb.
8
Racism and Cardiology: A Global Call to Action.种族主义与心脏病学:全球行动呼吁。
CJC Open. 2021 Sep 24;3(12 Suppl):S165-S173. doi: 10.1016/j.cjco.2021.09.014. eCollection 2021 Dec.
9
Evaluation of YouTube as a reliable source for patient education on aortic valve stenosis.评估YouTube作为主动脉瓣狭窄患者教育可靠来源的情况。
Cardiovasc Diagn Ther. 2019 Aug;9(4):371-378. doi: 10.21037/cdt.2019.08.05.
10
Racial/Ethnic Disparities in Patients Undergoing Transcatheter Aortic Valve Replacement: Insights from the Healthcare Cost and Utilization Project's National Inpatient Sample.经导管主动脉瓣置换术患者的种族/民族差异:来自医疗保健成本与利用项目国家住院样本的见解
Cardiovasc Revasc Med. 2019 Jul;20(7):546-552. doi: 10.1016/j.carrev.2019.04.005. Epub 2019 Apr 9.

本文引用的文献

1
Comparative outcomes of transcatheter aortic valve replacement in African American and Caucasian patients with severe aortic stenosis.非裔美国人和白人严重主动脉瓣狭窄患者经导管主动脉瓣置换术的比较结果。
Catheter Cardiovasc Interv. 2018 Apr 1;91(5):932-937. doi: 10.1002/ccd.27257. Epub 2017 Sep 23.
2
Cost and contribution margin of transcatheter versus surgical aortic valve replacement.经导管主动脉瓣置换术与外科主动脉瓣置换术的成本与边际贡献。
J Thorac Cardiovasc Surg. 2017 Dec;154(6):1872-1880.e1. doi: 10.1016/j.jtcvs.2017.06.020. Epub 2017 Jun 21.
3
TAVR, 15 Years Down: Shooting for the Moon, Reaching the Stars.经导管主动脉瓣置换术15年回顾:志存高远,成就非凡
J Am Coll Cardiol. 2017 Jul 4;70(1):56-59. doi: 10.1016/j.jacc.2017.05.008.
4
New generation devices for transfemoral transcatheter aortic valve replacement are superior compared with last generation devices with respect to VARC-2 outcome.与上一代设备相比,新一代经股动脉经导管主动脉瓣置换设备在VARC-2结局方面更具优势。
Cardiovasc Interv Ther. 2018 Jul;33(3):247-255. doi: 10.1007/s12928-017-0477-6. Epub 2017 Jun 22.
5
Trends and Outcomes of Off-label Use of Transcatheter Aortic Valve Replacement: Insights From the NCDR STS/ACC TVT Registry.经导管主动脉瓣置换术的超适应证使用趋势和结果:来自 NCDR STS/ACC TVT 登记处的见解。
JAMA Cardiol. 2017 Aug 1;2(8):846-854. doi: 10.1001/jamacardio.2017.1685.
6
Transcatheter Aortic Valve Implantation Within Degenerated Aortic Surgical Bioprostheses: PARTNER 2 Valve-in-Valve Registry.经导管主动脉瓣植入术在退行性主动脉外科生物瓣中的应用:PARTNER 2 瓣中瓣注册研究。
J Am Coll Cardiol. 2017 May 9;69(18):2253-2262. doi: 10.1016/j.jacc.2017.02.057.
7
Socioeconomic and Racial Disparities: a Case-Control Study of Patients Receiving Transcatheter Aortic Valve Replacement for Severe Aortic Stenosis.社会经济和种族差异:接受经导管主动脉瓣置换术治疗严重主动脉瓣狭窄患者的病例对照研究。
J Racial Ethn Health Disparities. 2017 Dec;4(6):1189-1194. doi: 10.1007/s40615-016-0325-x. Epub 2016 Dec 30.
8
Transcatheter Aortic Valve Replacement for the Treatment of Pure Native Aortic Valve Regurgitation: A Systematic Review.经导管主动脉瓣置换术治疗单纯性原发性主动脉瓣反流:系统评价。
JACC Cardiovasc Interv. 2016 Nov 28;9(22):2308-2317. doi: 10.1016/j.jcin.2016.08.049. Epub 2016 Oct 26.
9
2016 Annual Report of The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry.2016 年胸外科医师学会/美国心脏病学会经导管瓣膜治疗注册中心年度报告。
J Am Coll Cardiol. 2017 Mar 14;69(10):1215-1230. doi: 10.1016/j.jacc.2016.11.033. Epub 2016 Dec 9.
10
Transcatheter Aortic Valve Replacement is Associated with Comparable Clinical Outcomes to Open Aortic Valve Surgery but with a Reduced Length of In-Patient Hospital Stay: A Systematic Review and Meta-Analysis of Randomised Trials.经导管主动脉瓣置换术与开放性主动脉瓣手术的临床结局相当,但住院时间缩短:一项随机试验的系统评价和荟萃分析。
Heart Lung Circ. 2017 Mar;26(3):285-295. doi: 10.1016/j.hlc.2016.07.011. Epub 2016 Aug 29.