ArticleWorld journal of surgery2022
Disparities in Advanced Peripheral Arterial Disease Presentation by Socioeconomic Status.
Article in World journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- The impact of socioeconomic status on outcomes of peripheral arterial disease in North-East Ireland.Irish journal of medical science · 2026Article
- Article
- Disparities in Limb-Saving Surgery Persist Among Black Patients With Peripheral Artery Disease.Cureus · 2026Article
- Clinical assessment of peripheral arterial occlusive disease and various classifications.Indian journal of thoracic and cardiovascular surgery · 2025Review
- Cardiovascular diseases and intersectionality: beyond traditional risk factors.Jornal vascular brasileiro · 2025Article
- Vascular surgeons are positioned to fight healthcare disparities.Journal of vascular surgery. Venous and lymphatic disorders · 2024Review
- A Review of Healthcare Disparities Relevant to Interventional Radiology.Seminars in interventional radiology · 2023Review
- The importance of socio-economic determinants of health in the care of patients with peripheral artery disease: A narrative review from VAS.Vascular medicine (London, England) · 2023Review
- Impact of neighborhood social disadvantage on the presentation and management of peripheral artery disease.Journal of vascular surgery · 2023Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetes and peripheral arterial disease (PAD) often synergistically lead to foot ulceration, infection, and gangrene, which may require lower limb amputation. Worldwide there are disparities in the rates of advanced presentation of PAD for vulnerable populations. This study examined rates of advanced presentations of PAD for unemployed patients, those residing in low Index of Economic Resources (IER) areas, and those in rural areas of Australia.
methodsA retrospective study was conducted at a regional tertiary care centre (2008-2018). To capture advanced presentations of PAD, the proportion of operative patients presenting with complications (gangrene/ulcers), the proportion of surgeries that are amputations, and the rate of emergency to elective surgeries were examined. Multivariable logistic regression adjusting for year, age, sex, Charlson Comorbidity Index, and sociodemographic variables was performed.
resultsIn the period examined, 1115 patients underwent a surgical procedure for PAD. Forty-nine per cent of patients had diabetes. Following multivariable testing, the rates of those requiring amputations were higher for unemployed (OR 1.99(1.05-3.79), p = 0.036) and rural patients (OR 1.83(1.21-2.76), p = 0.004). The rate of presentation with complications was higher for unemployed (OR 7.2(2.13-24.3), p = 0.001), disadvantaged IER (OR 1.91(1.2-3.04), p = 0.007), and rural patients (OR 1.73(1.13-2.65), p = 0.012). The rate of emergency to elective surgery was higher for unemployed (OR 2.32(1.18-4.54), p = 0.015) and rural patients (OR 1.92(1.29-2.86), p = 0.001).
conclusionsThis study found disparities in metrics capturing delayed presentations of PAD: higher rates of presentations with complications, higher amputation rates, and increased rates of emergency to elective surgery, for patients of low socioeconomic status and those residing in rural areas. This suggests barriers to appropriate, effective, and timely care exists for these patients.
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