Impact of race on the treatment for peripheral arterial occlusive disease

Abstract

There is a marked racial disparity in the treatment of patients with PAOD that may be caused in part by differences in the severity of disease or disease distribution.

Atherosclerotic Vascular Disease Conference

“…76 Multiple other studies have also demonstrated increased rates of amputation for black and Hispanic compared with white subjects. [77][78][79][80] Although the burden of traditional atherosclerotic risk factors was also higher in minority patients, the increased risk of amputation was not entirely explained by the higher prevalence of risk factors.…”

“…There seems to be no sex difference in relative risk of PAD for subsequent CVD mortality. 67,80 In summary, many factors related to development, outcome, and prevention of atherosclerosis in cerebrovascular, aortic, renal, and peripheral arterial territories are shared with coronary atherosclerosis. Important differences remain, as do gaps in semantics, such as terminology, and fundamentals, such as data on the true prevalence of intramural aortic hematoma.…”

Disparities in Amputations in Minorities

“…The incidence of amputation was much higher (5.0 versus 2.5 per 10,000) among blacks when compared with the white reference group, whereas the incidence of revascularization was much lower (4.0 versus 7.1 per 10,000) among blacks. While controlling for confounding variables, multivariate analysis of this data set revealed blacks were more likely (OR, 3.79; CI, 3.34-4.40) than whites to undergo amputation of the extremity [25].…”

“…Amputation is surgery that not only requires additional funds for rehabilitation, but also prosthetic creation, management, and maintenance [19,40]. Amputation also plays a major role in an individual's psychosocial, functional, and economic status, making it more difficult for a person to return to leisure, educational, and employment activities [25,42,50,57].…”

Discovering the Full Spectrum of Cardiovascular Disease

“…Black patients are more likely to undergo amputation and are less likely to undergo revascularization than are their white counterparts. 41 Many questions are unanswered with regard to the epidemiology and prognosis of subclinical disease; data have been collected in many community-based cohorts. The single-site or single-race/ethnicity design of most previous studies limits comparisons across racial/ethnic groups; the observed disparities may be attributable to variation in the performance or measurement of the subclinical disease in different centers as opposed to being attributable to ethnic differences.…”