Healthcare disparities in vascular surgery: A critical review

Health disparities in vascular surgical care have existed for decades. Persons categorized as Black undergo a nearly twofold greater risk-adjusted rate of leg amputations. Persons categorized as Black, Latinx, and women have hemodialysis initiated via autogenous fistula less often than male persons...

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Bibliographic Details
Published in:Journal of vascular surgery 2021-08, Vol.74 (2), p.6S-14S.e1
Main Authors: Barshes, Neal R., Minc, Samantha D.
Format: Article
Language:English
Subjects:
Amputation
Culturally Competent Care - ethnology
Female
Health Knowledge, Attitudes, Practice - ethnology
Health Status Disparities
Healthcare disparities
Healthcare Disparities - ethnology
Humans
Male
Patient Education as Topic
Race Factors
Racial disparities
Risk Assessment
Risk Factors
Social Determinants of Health - ethnology
Societies, Medical
Surgeons
Vascular Diseases - diagnosis
Vascular Diseases - ethnology
Vascular Diseases - surgery
Vascular Surgical Procedures
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Summary:Health disparities in vascular surgical care have existed for decades. Persons categorized as Black undergo a nearly twofold greater risk-adjusted rate of leg amputations. Persons categorized as Black, Latinx, and women have hemodialysis initiated via autogenous fistula less often than male persons categorized as White. Persons categorized as Black, Latino, Latina, or Latinx, and women are less likely to undergo carotid endarterectomy for symptomatic carotid stenosis and repair of abdominal aortic aneurysms. New approaches are needed to address these disparities. We suggest surgeons use data to identify groups that would most benefit from medical care and then partner with community organizations or individuals to create lasting health benefits. Surgeons alone cannot rectify the structural inequalities present in American society. However, all surgeons should contribute to ensuring that all people have access to high-quality vascular surgical care.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2021.03.055