Temporal trends and racial disparities in atrial fibrillation ablation: A 5‐year study
Abstract Background Racial disparities exist in access to cardiovascular interventions, including atrial fibrillation (AF) ablation. This study evaluates trends and disparities among racial and ethnic groups in the United States over a five‐year period. Methods We conducted a cross‐sectional analysi...
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| Format: | Article |
| Language: | English |
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Wiley
2025-06-01
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| Series: | Journal of Arrhythmia |
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| Online Access: | https://doi.org/10.1002/joa3.70104 |
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| author | Daniel Antwi‐Amoabeng Bryce D. Beutler Vijay Neelam T. David Gbadebo |
| author_facet | Daniel Antwi‐Amoabeng Bryce D. Beutler Vijay Neelam T. David Gbadebo |
| author_sort | Daniel Antwi‐Amoabeng |
| collection | DOAJ |
| description | Abstract Background Racial disparities exist in access to cardiovascular interventions, including atrial fibrillation (AF) ablation. This study evaluates trends and disparities among racial and ethnic groups in the United States over a five‐year period. Methods We conducted a cross‐sectional analysis using the National Inpatient Sample (NIS) database from 2016 to 2020. Hospitalized AF patients undergoing ablation were identified using ICD‐10 codes. Trends in ablation were assessed across racial groups, and multivariable logistic regression models were used to evaluate the predictors of cardiac ablation utilization. Time‐to‐ablation disparities were further analyzed using Cox proportional hazards regression. Results White patients had the highest ablation rates (1.08%) followed by Native Americans (1.03%), while Black patients had the lowest ablation rates (0.9%). A significant 52.6% increase in ablation utilization was observed over the study period (p < .001), yet racial disparities remained unchanged. Black (adjusted odds ratio (aOR) 0.61, 95% CI: 0.56–0.64) and Hispanic (aOR 0.83, 95% CI: 0.77–0.88) patients had significantly lower odds of undergoing AF ablation compared to White patients. Black patients with higher comorbid disease burden, severe obesity, and protein‐calorie malnutrition were less likely to have AF ablation and experienced significant wait times (additional 1.3 days) before receiving ablation in time‐to‐procedure analysis. Conclusions While the overall rate of AF ablation has increased over time, persistent racial disparities in procedure utilization remain. Hospital location and bed size, socioeconomic factors, and comorbid medical conditions contribute to these disparities, underscoring the need for targeted interventions to close the gap in AF care. |
| format | Article |
| id | doaj-art-2b3f7f6533844c459557fd4213717652 |
| institution | Kabale University |
| issn | 1880-4276 1883-2148 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj-art-2b3f7f6533844c459557fd42137176522025-08-20T03:28:01ZengWileyJournal of Arrhythmia1880-42761883-21482025-06-01413n/an/a10.1002/joa3.70104Temporal trends and racial disparities in atrial fibrillation ablation: A 5‐year studyDaniel Antwi‐Amoabeng0Bryce D. Beutler1Vijay Neelam2T. David Gbadebo3CHRISTUS Ochsner St. Patrick Hospital Lake Charles Louisiana USADepartment of Radiology University of California, San Francisco San Francisco California USACHRISTUS Ochsner St. Patrick Hospital Lake Charles Louisiana USAEmory Decatur Hospital Cardiology Section Decatur Georgia USAAbstract Background Racial disparities exist in access to cardiovascular interventions, including atrial fibrillation (AF) ablation. This study evaluates trends and disparities among racial and ethnic groups in the United States over a five‐year period. Methods We conducted a cross‐sectional analysis using the National Inpatient Sample (NIS) database from 2016 to 2020. Hospitalized AF patients undergoing ablation were identified using ICD‐10 codes. Trends in ablation were assessed across racial groups, and multivariable logistic regression models were used to evaluate the predictors of cardiac ablation utilization. Time‐to‐ablation disparities were further analyzed using Cox proportional hazards regression. Results White patients had the highest ablation rates (1.08%) followed by Native Americans (1.03%), while Black patients had the lowest ablation rates (0.9%). A significant 52.6% increase in ablation utilization was observed over the study period (p < .001), yet racial disparities remained unchanged. Black (adjusted odds ratio (aOR) 0.61, 95% CI: 0.56–0.64) and Hispanic (aOR 0.83, 95% CI: 0.77–0.88) patients had significantly lower odds of undergoing AF ablation compared to White patients. Black patients with higher comorbid disease burden, severe obesity, and protein‐calorie malnutrition were less likely to have AF ablation and experienced significant wait times (additional 1.3 days) before receiving ablation in time‐to‐procedure analysis. Conclusions While the overall rate of AF ablation has increased over time, persistent racial disparities in procedure utilization remain. Hospital location and bed size, socioeconomic factors, and comorbid medical conditions contribute to these disparities, underscoring the need for targeted interventions to close the gap in AF care.https://doi.org/10.1002/joa3.70104atrial fibrillationcardiac ablationethnic/racial groupshealthcare disparitiesNational Inpatient Sample |
| spellingShingle | Daniel Antwi‐Amoabeng Bryce D. Beutler Vijay Neelam T. David Gbadebo Temporal trends and racial disparities in atrial fibrillation ablation: A 5‐year study Journal of Arrhythmia atrial fibrillation cardiac ablation ethnic/racial groups healthcare disparities National Inpatient Sample |
| title | Temporal trends and racial disparities in atrial fibrillation ablation: A 5‐year study |
| title_full | Temporal trends and racial disparities in atrial fibrillation ablation: A 5‐year study |
| title_fullStr | Temporal trends and racial disparities in atrial fibrillation ablation: A 5‐year study |
| title_full_unstemmed | Temporal trends and racial disparities in atrial fibrillation ablation: A 5‐year study |
| title_short | Temporal trends and racial disparities in atrial fibrillation ablation: A 5‐year study |
| title_sort | temporal trends and racial disparities in atrial fibrillation ablation a 5 year study |
| topic | atrial fibrillation cardiac ablation ethnic/racial groups healthcare disparities National Inpatient Sample |
| url | https://doi.org/10.1002/joa3.70104 |
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