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Racial disparities in time to hematopoietic cell transplant among patients with hematologic malignancies at a large urban academic center

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Fig. 1: Cumulative incidence curves and subdistribution hazard ratio (SHR) of time to HCT within 6 months from consultation by race (Black vs. White, White as reference) with death as a competing risk.

Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.


  1. Joshua TV, Rizzo JD, Zhang MJ, Hari PN, Kurian S, Pasquini M, et al. Access to hematopoietic stem cell transplantation: effect of race and sex. Cancer. 2010;116:3469–76.

    Article  Google Scholar 

  2. Pidala J, Craig BM, Lee SJ, Majhail N, Quinn G, Anasetti C, et al. Practice variation in physician referral for allogeneic hematopoietic cell transplantation. Bone Marrow Transplant. 2013;48:63–7.

    CAS  Article  Google Scholar 

  3. Flannelly C, Tan BE, Tan JL, McHugh CM, Sanapala C, Lagu T, et al. Barriers to hematopoietic cell transplantation for adults in the United States: a systematic review with a focus on age. Biol Blood Marrow Transplant. 2020;26:2335–45.

    Article  Google Scholar 

  4. Hong S, Rybicki L, Abounader DM, Bolwell BJ, Dean R, Gerds AT, et al. Association of socioeconomic status with autologous hematopoietic cell transplantation outcomes for lymphoma. Bone Marrow Transplant. 2016;51:1191–6.

    CAS  Article  Google Scholar 

  5. Baker KS, Davies SM, Majhail NS, Hassebroek A, Klein JP, Ballen KK, et al. Race and socioeconomic status influence outcomes of unrelated donor hematopoietic cell transplantation. Biol Blood Marrow Transplant. 2009;15:1543–54.

    Article  Google Scholar 

  6. Fiala MA, Finney JD, Liu J, Stockerl-Goldstein KE, Tomasson MH, Vij R, et al. Socioeconomic status is independently associated with overall survival in patients with multiple myeloma. Leuk Lymphoma. 2015;56:2643–9.

    Article  Google Scholar 

  7. Fu S, Rybicki L, Abounader D, Andresen S, Bolwell BJ, Dean R, et al. Association of socioeconomic status with long-term outcomes in 1-year survivors of allogeneic hematopoietic cell transplantation. Bone Marrow Transplant. 2015;50:1326–30.

    CAS  Article  Google Scholar 

  8. Fiala MA, Wildes TM. Racial disparities in treatment use for multiple myeloma. Cancer. 2017;123:1590–6.

    Article  Google Scholar 

  9. Fiala MA, Finney JD, Stockerl-Goldstein KE, Tomasson MH, DiPersio JF, Vij R, et al. Re: disparities in utilization of autologous hematopoietic cell transplantation for treatment of multiple myeloma. Biol Blood Marrow Transplant. 2015;21:1153–4.

    Article  Google Scholar 

  10. Stafford M, Marmot M. Neighbourhood deprivation and health: does it affect us all equally? Int J Epidemiol. 2003;32:357–66.

    Article  Google Scholar 

  11. Palumbo A, Michael Y, Hyslop T. Latent class model characterization of neighborhood socioeconomic status. Cancer Causes Control. 2016;27:445–52.

    Article  Google Scholar 

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ES designed the study. HS, ES, SK, and KC collected data. HS wrote the manuscript. All authors read the manuscript, provided input, and approved the final version. This study was presented as an oral abstract at ASH 2018.

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Correspondence to Harsh Shah.

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Shah, H., Kim, S., Klimecki, S. et al. Racial disparities in time to hematopoietic cell transplant among patients with hematologic malignancies at a large urban academic center. Bone Marrow Transplant (2022).

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