Health care disparities involved in establishing functional arteriovenous fistula hemodialysis access

McDonnell, Shannon K.; Frueh, Jonah; Blecha, Matthew; Aulivola, Bernadette; Halandras, Pegge

doi:10.1016/j.jvs.2023.04.038

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…41 In a recent retrospective review encompassing data from 669 patients spanning the years 2007 to 2021, it was observed that Black patients with a dialysis conduit are approximately twice as likely to undergo additional surgical procedures, which included both the maintenance of existing fistulas and the creation of new ones, in comparison to patients from other racial backgrounds. 42 A large national study of firsttime dialysis conduit recipients revealed that AV grafts (as opposed to fistulae) were created with higher frequency in women and non-White minority patients (32% women vs. 23% men; 39% Black, 32% Hispanic, 29% Asian vs. 21% White). Following endovascular interventions to prolong conduit patency, women are at higher risk of postintervention patency loss (hazard ratio: 1.49) and Black patients are at higher risk of postintervention thrombosis (hazard ratio: 1.29).…”

Section: Dialysis Interventionsmentioning

confidence: 99%

A Review of Healthcare Disparities Relevant to Interventional Radiology

Marchak,

Singh,

Malavia

et al. 2023

Semin intervent Radiol

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Racial, ethnic, and gender disparities have received focused attention recently, as they became more visible in the COVID era. We continue to learn more about how healthcare disparities manifest for our patients and, more broadly, the structural underpinnings that result in predictable outcomes gaps. This review summarizes what we know about disparities relevant to interventional radiologists. The prevalence and magnitude of disparities are quantified and discussed where relevant. Specific examples are provided to demonstrate how factors like gender, ethnicity, social status, geography, etc. interact to create inequities in the delivery of interventional radiology (IR) care. Understanding and addressing health disparities in IR is crucial for improving real-world patient outcomes and reducing the economic burden associated with ineffective and low-value care. Finally, the importance of intentional mentorship, outreach, education, and equitable distribution of high-quality healthcare to mitigate these disparities and promote health equity in interventional radiology is discussed.

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Section: Dialysis Interventionsmentioning

confidence: 99%