Perspective
Volume 74, Issue 18, November 2019
JOURNAL：J Am Coll Cardiol.
Article Link
Aortic Valve Stenosis Treatment Disparities in the Underserved JACC Council Perspectives
W Batchelor, S Anwaruddin, L Ross et al.
KEYWORDS
aortic stenosis; health care disparities; outcomes; prevalence; TAVR
Underserved minorities make up a disproportionately small subset of
patients in the United States undergoing transcatheter and surgical
aortic valve replacement for aortic stenosis. The reasons for these
treatment gaps include differences in disease prevalence and patient,
health care system, and disease-related factors. This has major
implications not only for minority patients, but also for other groups
who face similar challenges in accessing state-of-the-art care for
structural heart disease. The authors propose the following key
strategies to address these treatment disparities: 1) implementation of
measure-based quality improvement programs; 2) effective culturally
competent communication and team-based care; 3) improving patient health
care access, education, and effective diagnosis; and 4) changing the
research paradigm that creates an innovation pipeline for patients. Only
a concerted effort from all stakeholders will achieve equitable and
broad application of this and other novel structural heart disease
treatment modalities in the future.
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