Racial, ethnic, and socioeconomic inequities in amputation risk for patients with peripheral artery disease and diabetes

Peripheral artery disease and diabetes are highly prevalent diseases and the leading cause of limb loss. Despite advances in medical and surgical techniques, there are stark differences in delivery and outcomes of lower extremity amputation among populations when stratified by race, ethnicity, and s...

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Bibliographic Details
Published in:Seminars in vascular surgery 2023-03, Vol.36 (1), p.9-18
Main Authors: Fereydooni, Arash, Patel, Janhavi, Dossabhoy, Shernaz S., George, Elizabeth L., Arya, Shipra
Format: Article
Language:English
Subjects:
Amputation, Surgical
Diabete
Diabetes Mellitus
Ethnicity
Humans
Lower Extremity - blood supply
Peripheral Arterial Disease - diagnosis
Peripheral Arterial Disease - surgery
Peripheral artery disease
Race
Retrospective Studies
Risk Factors
Social Class
Socioeconomic status
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Summary:Peripheral artery disease and diabetes are highly prevalent diseases and the leading cause of limb loss. Despite advances in medical and surgical techniques, there are stark differences in delivery and outcomes of lower extremity amputation among populations when stratified by race, ethnicity, and socioeconomic status. We reviewed studies from the last 2 decades (1999–2022) to provide a comprehensive assessment of the current impact of disparities on the risk for, and management of, lower extremity amputation and offer action items that can optimize health outcomes.
ISSN:0895-7967
1558-4518
DOI:10.1053/j.semvascsurg.2023.01.005