ArticleDiabetes care2022
Racial Disparities in Health Care With Timing to Amputation Following Diabetic Foot Ulcer.
Article in Diabetes care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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
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Who cites it
23 citing papers in PubMed, 28 citations in OpenAlex.
- Polysaccharide-engineered mitochondria reprogram macrophages to resolve diabetic wound inflammation and promote repair.Bioactive materials · 2026Article
- Texas strength through resilience in diabetes education (TX STRIDE): Protocol for a non-randomized cluster-controlled trial among African American adults with type 2 diabetes.Contemporary clinical trials · 2026Article
- Racial and microvascular determinants of progression to treatment-warranted diabetic eye disease.Eye (London, England) · 2026Article
- Glucose/ROS dual-responsive mitochondria-targeting nanozyme microneedles remodel mitochondrial homeostasis to orchestrate immune metabolic reprogramming for diabetic foot ulcer healing.Regenerative biomaterials · 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
- 4D-printed hydrogel with precise regulation of viability and environment of stem cells for diabetic skin wound healing.Materials today. Bio · 2025Article
- Trends of lower-limb complications in patients with type 2 diabetes mellitus during the COVID-19 pandemic.Diabetes research and clinical practice · 2025Article
- Enhanced clinical photoacoustic vascular imaging through a skin localization network and adaptive weighting.Photoacoustics · 2025Article
- Facility-Level Variation in Major Leg Amputation Among Patients With Newly Diagnosed Diabetic Foot Ulcer.JAMA network open · 2025Article
- Disparities in diabetic foot examinations: a cross-sectional analysis of the behavioural risk factor surveillance system.Primary health care research & development · 2025Article
- Targeting oxidative damage in diabetic foot ulcers: integrative strategies involving antioxidant drugs and nanotechnologies.Burns & trauma · 2025Review
- Racial Disparities in Foot Examination among People with Diabetes in Brazil: A Nationwide Survey, 2019.Ethnicity & disease · 2024Article
- Association of Race With Referral Disparities for Patients With Diabetic Foot Ulcers at an Institution Serving Rural and Urban Populations.Foot & ankle orthopaedics · 2024Article
- Prevalence of secondary prosthesis use in lower limb prosthesis users.Disability and rehabilitation · 2024Article
- Association of Race, Ethnicity, and Gender to Disparities in Functional Recovery and Social Health After Major Lower Limb Amputation: A Cross-sectional Pilot Study.Archives of physical medicine and rehabilitation · 2024Article
- The awareness and determinants of diabetic foot ulcer prevention among diabetic patients: Insights from NHANES (2011-2018).Preventive medicine reports · 2023Article
- Racial and Ethnic Disparities in the Management of Diabetic Feet.Current reviews in musculoskeletal medicine · 2023Review
- Diabetic Foot Ulcers: A Review.JAMA · 2023Review
- Metrics of Gender Differences in Mortality Risk after Diabetic Foot Disease.Journal of clinical medicine · 2023Article
- Using the National Institute on Minority Health and Health Disparities framework to better understand disparities in major amputations.Seminars in vascular surgery · 2023Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine variations in timing of lower-limb amputation (LLA) across race/ethnicity and sex among older adults with a diabetic foot ulcer (DFU). It was hypothesized Black/African Americans were more likely to have LLA post-DFU earlier compared with non-Hispanic/Whites, and more men would receive LLA earlier post-DFU compared with women. RESEARCH DESIGN AND
methodsThis was a retrospective cohort analysis of enrolled Medicare fee-for-service (FFS) beneficiaries with a diagnosis of DFU during the study period (2012-2017), allowing up to 5 years post-DFU. Final analytic sample contained 643,287 individuals; the subsample consisted of 68,633 individuals with LLA only. The primary outcome was mutually exclusive groups based on timing of LLA. Multinomial logistic regression was applied to assess likelihood of membership into a group post-DFU based on characteristics such as sex and race/ethnicity.
resultsBlack/African American beneficiaries had 1.98 (95% CI 1.93-2.03) times the odds of receiving an LLA within 1 year of DFU diagnosis compared with non-Hispanic/White beneficiaries relative to no amputation. Female beneficiaries had increased odds (odds ratio [OR] 1.07, 95% CI 1.02-1.11] between 1 and 3 years and OR 1.08 [95% CI 1.03-1.12] in ≥3 years) of a delayed LLA compared with men among those that underwent LLA.
conclusionsNotably, these results present novel evidence on timing of LLA between racial groups and sex for Medicare FFS beneficiaries post-DFU. Results may be generalizable to individuals with Medicare FFS and DFU. Clinically more targeted, evidence-based decision making informs care decisions with opportunities to address inequities related to the social determinants of health that may lead to LLA.
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Registered trials
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.