Evidence map›Paper›PMID 34303462›Full record

ReviewJournal of vascular surgery2021

Healthcare disparities in vascular surgery: A critical review.

Neal R Barshes, Samantha D Minc

Open access · greenAbstract readReview
In one paragraph

Review in Journal of vascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. How patient profile and hospital setting drive pulmonary embolism treatment modality.Journal of vascular surgery. Venous and lymphatic disorders · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Multidisciplinary Amputation Prevention at the DeBakey VA Hospital: Our First Decade.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    Article
  9. Vascular surgeons are positioned to fight healthcare disparities.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    Review
  10. Article
  11. Review
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Neal R BarshesDivision of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex; Michael E. DeBakey Veterans Affairs Center, Houston, Tex. Electronic address: nbarshes@bcm.edu.
Samantha D MincDivision of Vascular Surgery and Endovascular Therapy, Department of Cardiovascular and Thoracic Surgery, School of Medicine, West Virginia University, Morgantown, WV; Department of Occupational and Environmental Health Sciences, School of Public Health, West Virginia University, Morgantown, WV.
Baylor College of Medicine · USWest Virginia University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI JUDITH FEINBERG · 2012 to 2026
$81.0M
Rural West Virginia Responds to Opioid Injection Epidemics: From Data to ActionUG3DA044825 · NIDA · WEST VIRGINIA UNIVERSITY · PI FEINBERG, JUDITH, SMITH, GORDON STEPHEN · 2017 to 2018
$1.0M
Drugs and Driving: Developing a Sentinel Drug_FARS for ResearchR21DA040187 · NIDA · WEST VIRGINIA UNIVERSITY · PI SMITH, GORDON STEPHEN · 2016 to 2017
$360k
NIDA NIH HHS R21 DA040187NIDA NIH HHS UG3 DA044825NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

Health disparities in vascular surgical care have existed for decades. Persons categorized as Black undergo a nearly twofold greater risk-adjusted rate of leg amputations. Persons categorized as Black, Latinx, and women have hemodialysis initiated via autogenous fistula less often than male persons categorized as White. Persons categorized as Black, Latino, Latina, or Latinx, and women are less likely to undergo carotid endarterectomy for symptomatic carotid stenosis and repair of abdominal aortic aneurysms. New approaches are needed to address these disparities. We suggest surgeons use data to identify groups that would most benefit from medical care and then partner with community organizations or individuals to create lasting health benefits. Surgeons alone cannot rectify the structural inequalities present in American society. However, all surgeons should contribute to ensuring that all people have access to high-quality vascular surgical care.

Indexed as

Health Status DisparitiesSurgeonsVascular Surgical ProceduresCulturally Competent CareFemaleHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeHumansMalePatient Education as TopicRace FactorsRisk AssessmentRisk FactorsSocial Determinants of HealthSocieties, MedicalVascular DiseasesAmputationHealthcare disparitiesRacial disparities

Identifiers

PMID34303462
PMCPMC10187131
OpenAlexW3184997628

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.