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Addressing Healthcare Disparities in Pediatric Thoracic Transplantation: A Blueprint for Change
Jake Kleinmahon1, Valerie Chepp2,3, Samantha J Anthony4,5
1Northwell Health, Cohen Children's Heart Center, New Hyde Park, New York, USA.
Pediatric Transplantation
|March 11, 2026
Summary
Pediatric thoracic transplant outcomes show persistent inequities due to healthcare biases and social determinants. This review proposes actionable strategies to address these disparities and improve results for all young transplant patients.
Area of Science:
- Pediatric surgery
- Transplant medicine
- Health equity
Background:
- Pediatric thoracic transplantation outcomes have improved.
- Significant healthcare inequities persist in pediatric thoracic transplantation.
- Disparities stem from biases against racial, ethnic, religious, and LGBTQ+ groups, alongside geographic and socioeconomic factors.
Purpose of the Study:
- To review the origins and manifestations of healthcare disparities in pediatric thoracic transplantation.
- To propose a comprehensive blueprint for addressing these inequities.
Main Methods:
- Literature review of existing research on healthcare disparities in pediatric thoracic transplantation.
- Analysis of identified causes of inequity.
Main Results:
- Healthcare disparities in pediatric thoracic transplantation are multifactorial, influenced by systemic biases and social determinants of health.
- Existing literature highlights the impact of these disparities on pediatric transplant recipients.
- A comprehensive approach to address the root causes of inequity is currently lacking.
Conclusions:
- Actionable strategies are needed to address identified causes of inequity in pediatric thoracic transplantation.
- Implementing these strategies can ultimately improve outcomes for all pediatric thoracic transplant patients.
- Addressing disparities is crucial for advancing health equity in pediatric transplantation.

