Heart failure & cardiomyopathies

Race and Socioeconomic Status Impact Diagnosis and Clinical Outcomes in Transthyretin Cardiac Amyloidosis

JACC CardioOncolPublished Retrospective cohort study

Main finding · HF hospitalization or deathResult — go to the resultHazard ratio 2.77 95% CI 1.45–5.32

Authors' conclusion

Black patients with low SES may be at greater risk for underdiagnosis and adverse outcomes compared with White patients.

Study context

Population
Patients with transthyretin amyloid cardiomyopathy (ATTR-CM) receiving care at Johns Hopkins Hospital, 2006–2022225 (80%) men
Participants
282 patients
Exposure
Black vs White patients; area deprivation index categories
  • Blackn = 129
Outcome
HF hospitalization and/or death
Methodological detailssingle-centre
  • Single-centre

Main finding

HF hospitalization or death · 5 years

Hazard ratio

2.77

95% CI 1.45–5.32

P = 0.002

Blackvs White
HR 2.77 (95% CI 1.45–5.32); P = 0.002

As reported in the abstract

Black patients more likely to have heart failure (HF) hospitalization or death over 5 years vs White
log-rank P < 0.001

Observational data: associations, not effects.

Further findings

Highest ADI (most deprived) category

  • Highest area deprivation index (ADI) (most deprived) category: P = 0.004

Original publication

Race and Socioeconomic Status Impact Diagnosis and Clinical Outcomes in Transthyretin Cardiac Amyloidosis. JACC CardioOncol. Published 18 June 2024. doi:10.1016/j.jaccao.2024.05.001

Composed by AI from the published abstract and checked against it. How Briefs are made →

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