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Influence of Sex, Race and Ethnicity, and Deprivation on Survival and Completion of the Fontan Pathway for Children With Functionally Single Ventricle Heart Disease

Knowles, Rachel L; Ridout, Deborah; Huang, Qi; Franklin, Rodney C; Seale, Anna N; Bellsham-Revell, Hannah; Espuny-Pujol, Ferran; (2024) Influence of Sex, Race and Ethnicity, and Deprivation on Survival and Completion of the Fontan Pathway for Children With Functionally Single Ventricle Heart Disease. Circulation , 150 (3) pp. 246-249. 10.1161/circulationaha.124.069779. Green open access

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Abstract

The influence of key social determinants of health (sex, race and ethnicity, and local area deprivation) on childhood mortality and timing of completion of palliative stage 3 Fontan-type surgery were investigated for a nationally representative cohort of children with functionally single ventricle hearts (f-SV). The UK National Health Service provides universal free health care; therefore, ability to pay should not directly influence service access. Nevertheless, sociocultural factors and lifestyle factors may lead to outcome disparities.

Type: Article
Title: Influence of Sex, Race and Ethnicity, and Deprivation on Survival and Completion of the Fontan Pathway for Children With Functionally Single Ventricle Heart Disease
Open access status: An open access version is available from UCL Discovery
DOI: 10.1161/circulationaha.124.069779
Publisher version: http://dx.doi.org/10.1161/circulationaha.124.06977...
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Child; Fontan procedure; heart diseases; social determinants of health
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Mathematics
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Mathematics > Clinical Operational Research Unit
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10194735
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