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As Market Forces Drive TAVI Access, Rural Patients Left Behind


April 29, 2021
Since the approval of TAVI for the treatment of symptomatic severe aortic stenosis more than a decade ago, the overwhelming number of new TAVI programs have been launched in metropolitan areas, according to a new study presented today. Moreover, more than half of these programs were launched in cities where TAVI was already available at another nearby center.
The findings, said lead investigator Ashwin Nathan, MD (Hospital of the University of Pennsylvania, Philadelphia), highlight the disparities in access to new advances in cardiovascular medicine.
“The increased number of TAVR programs over the last 10 years has not necessarily translated to increased access,” said Nathan. “TAVR sites are predominantly located in metropolitan areas, and the majority of TAVR sites, when they open, open in areas with a preexisting program. This increase numerically does not necessarily translate into increased geographic access.” ....

United States , Megan Coylewright , Ashwin Nathan , Ajay Giri , David Cox , Centers For Medicare Medicaid Services , Md Cardiovascular Associates Brookwood Baptist Hospital , Md Erlanger Health System , Society For Cardiovascular Angiography , Md Hospital Of The University Pennsylvania , Cardiovascular Angiography , Medicaid Services , Outside Big , Brookwood Baptist Hospital , Erlanger Health System , ஒன்றுபட்டது மாநிலங்களில் , அஷ்வின் நாதன் , ஜெய் கிரி , டேவிட் காக்ஸ் , மையங்கள் க்கு மருத்துவ மருத்துவ உதவி சேவைகள் , சமூகம் க்கு இருதய ஆஞ்சியோகிராபி , ம்ட் மருத்துவமனை ஆஃப் தி பல்கலைக்கழகம் பென்சில்வேனியா , இருதய ஆஞ்சியோகிராபி , மருத்துவ உதவி சேவைகள் , ப்ரூக்வுட் ஞானஸ்நானம் மருத்துவமனை , ஏர்லங்கேர் ஆரோக்கியம் அமைப்பு ,