About The Study: In this study of 12,000 Medicare beneficiaries with heart failure at risk for requiring a left ventricular assist device (LVAD), Black patients were less likely than white patients to receive an LVAD and female patients were less likely than male patients to receive LVAD therapy. One-year survival among groups was similar after adjusting for individual poverty and community-level social determinants of health. Inequity in LVAD access may have resulted from differences in clinician decision-making because of systemic racism and discrimination, implicit bias or patient preference.
Authors: Thomas M. Cascino, M.D., M.Sc., of the University of Michigan in Ann Arbor, is the corresponding author.
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(doi:10.1001/jamanetworkopen.2022.23080)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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