Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration

PURPOSE: It is unclear whether disparities in the care provided before lower extremity amputation (LEA) is driven by differences in receipt of diagnostic work-up versus revascularization attempts. METHODS: We performed a national cohort study of Veterans who underwent LEA between March 2010 and Febr...

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Autores principales: Alabi, Olamide, Hunt, Kelly J., Patzer, Rachel E., Henry Akintobi, Tabia, Massarweh, Nader N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2023
Materias:
Special Collection: Improving Care for Veterans Through Health Equity Research (#13/14)
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240309/
https://www.ncbi.nlm.nih.gov/pubmed/37284536
http://dx.doi.org/10.1089/heq.2023.0004
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author Alabi, Olamide
Hunt, Kelly J.
Patzer, Rachel E.
Henry Akintobi, Tabia
Massarweh, Nader N.
author_facet Alabi, Olamide
Hunt, Kelly J.
Patzer, Rachel E.
Henry Akintobi, Tabia
Massarweh, Nader N.
author_sort Alabi, Olamide
collection PubMed
description PURPOSE: It is unclear whether disparities in the care provided before lower extremity amputation (LEA) is driven by differences in receipt of diagnostic work-up versus revascularization attempts. METHODS: We performed a national cohort study of Veterans who underwent LEA between March 2010 and February 2020 to assess receipt of vascular assessment with arterial imaging and/or revascularization in the year prior to LEA. RESULTS: Among 19,396 veterans (mean age 66.8 years; 26.6% Black), Black veterans had diagnostic procedures more often than White veterans (47.5% vs. 44.5%) and revascularization as often (25.8% vs. 24.5%). CONCLUSION: We must identify patient and facility-level factors associated with LEA as disparities do not appear related to differences in attempted revascularization.
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spelling pubmed-102403092023-06-06 Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration Alabi, Olamide Hunt, Kelly J. Patzer, Rachel E. Henry Akintobi, Tabia Massarweh, Nader N. Health Equity Special Collection: Improving Care for Veterans Through Health Equity Research (#13/14) PURPOSE: It is unclear whether disparities in the care provided before lower extremity amputation (LEA) is driven by differences in receipt of diagnostic work-up versus revascularization attempts. METHODS: We performed a national cohort study of Veterans who underwent LEA between March 2010 and February 2020 to assess receipt of vascular assessment with arterial imaging and/or revascularization in the year prior to LEA. RESULTS: Among 19,396 veterans (mean age 66.8 years; 26.6% Black), Black veterans had diagnostic procedures more often than White veterans (47.5% vs. 44.5%) and revascularization as often (25.8% vs. 24.5%). CONCLUSION: We must identify patient and facility-level factors associated with LEA as disparities do not appear related to differences in attempted revascularization. Mary Ann Liebert, Inc., publishers 2023-05-26 /pmc/articles/PMC10240309/ /pubmed/37284536 http://dx.doi.org/10.1089/heq.2023.0004 Text en © Olamide Alabi et al., 2023; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Special Collection: Improving Care for Veterans Through Health Equity Research (#13/14)
Alabi, Olamide
Hunt, Kelly J.
Patzer, Rachel E.
Henry Akintobi, Tabia
Massarweh, Nader N.
Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration
title Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration
title_full Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration
title_fullStr Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration
title_full_unstemmed Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration
title_short Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration
title_sort racial differences in vascular assessment prior to amputation in the veterans health administration
topic Special Collection: Improving Care for Veterans Through Health Equity Research (#13/14)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240309/
https://www.ncbi.nlm.nih.gov/pubmed/37284536
http://dx.doi.org/10.1089/heq.2023.0004
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