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

Health Equity

Surgical and Perioperative Care, Atlanta VA Health Care System, Decatur, Georgia, USA.

Published: May 2023


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Article Abstract

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240309PMC
http://dx.doi.org/10.1089/heq.2023.0004DOI Listing

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