Bradley S. Quon|Kevin J. Psoter|Nicole Mayer-Hamblett|Moira L. Aitken|Christopher I. Li|Christopher H. Goss
Disparities in Access to Lung Transplantation for Patients with Cystic Fibrosis by Socioeconomic Status
Pulmonary and Critical Care Associates|University of Washington|University of British Columbia|University of Washington|University of Washington|Seattle Children's Hospital|Pulmonary and Critical Care Associates|University of Washington|Fred Hutch Cancer Center|Pulmonary and Critical Care Associates|Seattle Children's Hospital
rationale although previous studies suggest access care patients cystic fibrosis cf vary appreciably socioeconomic status ses disparities respect access lung transplantation patients cf largely unknownobjectives determine whether access lung transplantation patients cf differs according sesmethods observational study involving 2167 adult patients cf cf foundation patient registry underwent first lung transplant evaluation 2001 2009the primary outcome acceptance lung transplant initial evaluationthe main ses indicator medicaid statusalternate ses indicators included race educational attainment zip codelevel median household income driving time residence closest lung transplant centermeasurements main results odds medicaid recipients accepted lung transplant 156fold higher 95 confidence interval ci 127192than patients without medicaid multivariate adjustment demographic characteristics disease severity potential contraindications lung transplant use lung allocation scorethis association independent ses indicators including race educational attainment zip codelevel median household income driving time closest transplant center odds ratio 137 95 ci 110172patients completing high school 237 95 ci 149379and residing lowest vshighest zip code median household income category 139 95 ci 101193also experienced higher odds accepted lung transplant multivariate analysisconclusions nationally representative study adult patients cf multiple indicators low ses associated higher odds accepted lung transplant