Olamide Alabi, Kelly J Hunt, Rachel E Patzer, Tabia Henry Akintobi, Nader N Massarweh
{"title":"退伍军人健康管理局截肢前血管评估的种族差异。","authors":"Olamide Alabi, Kelly J Hunt, Rachel E Patzer, Tabia Henry Akintobi, Nader N Massarweh","doi":"10.1089/heq.2023.0004","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>We must identify patient and facility-level factors associated with LEA as disparities do not appear related to differences in attempted revascularization.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"7 1","pages":"346-350"},"PeriodicalIF":2.6000,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240309/pdf/","citationCount":"0","resultStr":"{\"title\":\"Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration.\",\"authors\":\"Olamide Alabi, Kelly J Hunt, Rachel E Patzer, Tabia Henry Akintobi, Nader N Massarweh\",\"doi\":\"10.1089/heq.2023.0004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>We must identify patient and facility-level factors associated with LEA as disparities do not appear related to differences in attempted revascularization.</p>\",\"PeriodicalId\":36602,\"journal\":{\"name\":\"Health Equity\",\"volume\":\"7 1\",\"pages\":\"346-350\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2023-05-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240309/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Equity\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1089/heq.2023.0004\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Equity","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/heq.2023.0004","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
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 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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