ArticleJournal of racial and ethnic health disparities2017
Explaining Racial Disparities in Amputation Rates for the Treatment of Peripheral Artery Disease (PAD) Using Decomposition Methods.
Article in Journal of racial and ethnic health disparities, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- 2026 ACC/AHA Clinical Performance and Quality Measures for Patients With Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Performance Measures.Journal of the American College of Cardiology · 2026Guideline
- 2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.Journal of the American College of Cardiology · 2024Guideline
- Guideline
- Improving Limb Salvage Outcomes in Racially and Ethnically Underserved Populations With a Highly Integrated Multidisciplinary Approach.Plastic and reconstructive surgery. Global open · 2026Article
- Advice From Patients to Improve Diabetic Foot Ulcer Management and Amputation Prevention.International wound journal · 2026Article
- Racial disparities in patients with amputation in an acute care setting in the immediate postoperative period.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Actionable partnerships for shaping healthcare's future by closing the equitable access gap and delivering meaningful change.Journal of public health policy · 2025Review
- Racial disparities in prosthesis abandonment and mobility outcomes after lower limb amputation from a dysvascular etiology in a veteran population.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Investigating the impact of suboptimal prescription of preoperative antiplatelets and statins on race and ethnicity-related disparities in major limb amputation.Vascular medicine (London, England) · 2024Article
- Examining health care access disparities in Hispanic populations with peripheral artery disease and diabetes.Vascular medicine (London, England) · 2023Article
- Sex and Racial Disparities in Peripheral Artery Disease.Arteriosclerosis, thrombosis, and vascular biology · 2023Review
- Disparities in limb preservation and associated socioeconomic burden among patients with diabetes and/or peripheral artery disease in the United States.Seminars in vascular surgery · 2023Review
- Association of Clinical Setting With Sociodemographics and Outcomes Following Endovascular Femoropopliteal Artery Revascularization in the United States.Circulation. Cardiovascular quality and outcomes · 2023Article
- Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration.Health equity · 2023Article
- Racial and ethnic amputation level disparities in veterans undergoing incident dysvascular lower extremity amputation.PM & R : the journal of injury, function, and rehabilitation · 2022Article
- The Associations between Racial Disparities, Health Insurance, and the Use of Amputation as Treatment for Malignant Primary Bone Neoplasms in the US: A Retrospective Analysis from 1998 to 2016.International journal of environmental research and public health · 2022Article
- The shifting care and outcomes for patients with endangered limbs - Critical limb ischemia (SCOPE-CLI) registry overview of study design and rationale.International journal of cardiology. Heart & vasculature · 2022Article
- Interest in Serving the Underserved: Role of Race, Gender, and Medical Specialty Plans.Health equity · 2022Article
- Geographic Disparities in Readmissions for Peripheral Artery Disease in South Carolina.International journal of environmental research and public health · 2021Article
- Racial disparities in surgical management and outcomes of acute limb ischemia in the United States.Surgery open science · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWhile studies have documented racial and ethnic disparities in amputation rates for patients with peripheral artery disease (PAD), the importance of specific factors has not been quantified. This research seeks to provide such evidence and to quantify how much of the difference reflects observable versus unexplained factors.
methodsThis study used the nationally representative HCUP inpatient database from 2006 to 2013 for patients with a primary diagnosis of PAD who were either Caucasian, African-American, or Hispanic. Multivariable logistic regression models were estimated to identify the determinants of amputation rates.
resultsMultivariable results revealed that African-Americans and Hispanics are approximately twice as likely to be amputated as are Caucasians. Observed factors in the models collectively account for 51 to 55 % of the disparities for African-Americans and 64 to 69 % for Hispanics. The results suggest that African-Americans and Hispanics have less access to care, because they are being admitted when sicker and more likely on an emergent basis.
conclusionsRacial and ethnic disparities in amputation rates are substantial, with disease severity and hospital admission source being key factors.
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