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1/ We examined sex- and race-associated differences in trends in utilization of TAVR/SAVR among Medicare beneficiaries in the US from 2012-2017. #ACC20 @hmkyale @ajaykirtane @MartyMleon @igeorge1975 @mori_md
cslide-us.ctimeetingtech.com/acc2020_eposte…
2/ We found that utilization rates of both SAVR and TAVR were much lower in women and blacks compared with men and whites during the study period.
3/ While outcomes for SAVR remained stable, in-hospital outcomes and 1-year mortality related to TAVR improved for all subgroups.
4/ While 1-year mortality rates were comparable between white and black patients undergoing TAVR, black patients undergoing SAVR had consistently worse 1-year mortality rates compared with whites. Women and blacks were more likely to be discharged to skilled nursing facilities.
5/ We conclude that efforts to minimize treatment disparities should focus on mitigating barriers to both TAVR and SAVR.
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