Evaluating Racial Disparities in Access to Common Pediatric/Congenital Transcatheter Interventions
Authors' conclusion
Minority race-ethnicity was associated with older age at referral and more severe disease, implying disparities in referral and/or access and higher likelihood of treatment at low-volume centers.
Study context
- Population
- Patients ≤18 years undergoing device closure of atrial septal defect (ASD) or PDA, balloon pulmonary valvuloplasty or balloon aortic valvuloplasty at IMPACT registry centres, 6/1/2016–12/31/2022
- Participants
- 20,632 patients
- Exposure
- Black and Hispanic vs other race-ethnicity
- Outcome
- Association of race-ethnicity with age at procedure and procedure-specific markers of disease severity
Methodological detailsIMPACT registry
- IMPACT registry
Main finding
As reported in the abstract
- Race-ethnicity associated with older age for ASD and balloon pulmonary valvuloplasty (BPV)
- P < 0.05
- Race-ethnicity associated with more severe disease for BPV and balloon aortic valvuloplasty (BAV)
- P < 0.05
Observational data: associations, not effects.
Further findings
Treatment centre volume
- Proportion of Black and Hispanic patients higher in low- than high-volume centres
- P < 0.05 for all procedures
Procedure mix
- ASD
- 34%
- Patent ductus arteriosus
- 48%
- BPV
- 14%
- BAV
- 5%
Original publication
Evaluating Racial Disparities in Access to Common Pediatric/Congenital Transcatheter Interventions. JACC Adv. Published 23 September 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →