Dual-eligible, dual-risk? A brief review on the impact of dual-eligible status on health disparities and peripheral artery disease.

Semin Vasc Surg

Supporting Underrepresented Research to Generate Equity (SURGE) Laboratory, Warren Alpert Medical School of Brown University, Providence, RI; Department of Surgery, Lifespan Health System and Warren Alpert Medical School of Brown University, Providence, RI; Division of Vascular Surgery, Department o

Published: March 2023


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Article Abstract

Peripheral artery disease (PAD) has been associated with poorer outcomes based on particular social determinants of health, including insurance status. A unique population to study treatment outcomes related to PAD is those with dual-eligible status-those who qualify for both Medicare and Medicaid-comprising more than 12 million people. We performed a systematic review of the literature surrounding dual-eligible patients and impact on PAD, with final inclusion of six articles. Dual eligibility has been associated with higher rates of comorbidities; more severe symptoms at initial presentation for PAD; and poorer treatment outcomes, including mortality. Further studies are needed to specifically look at the association between PAD and dual-eligible status, but what is clear is that patients in this population would benefit from early identification to prevent disease progression and improve equity.

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http://dx.doi.org/10.1053/j.semvascsurg.2022.12.005DOI Listing

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