Evidence map›Paper›PMID 36958894›Full record

ReviewSeminars in vascular surgery2023

Using the National Institute on Minority Health and Health Disparities framework to better understand disparities in major amputations.

Meghan B Brennan, Tze-Woei Tan, Marcos C Schechter, Maya Fayfman

Abstract readReview
In one paragraph

Review in Seminars in vascular surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Racial disparities in selected micronutrient deficiencies after bariatric surgery: A systematic review.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

4 authors.

Meghan B BrennanDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, Madison, WI, 53583. Electronic address: mbbrennan@medicine.wisc.edu.
Tze-Woei TanDepartment of Surgery, Keck School of Medicine University of Southern California, Los Angeles, CA.
Marcos C SchechterDepartment of Medicine, Emory University School of Medicine, Atlanta, GA; Grady Health System, Atlanta, GA.
Maya FayfmanDepartment of Medicine, Emory University School of Medicine, Atlanta, GA; Grady Health System, Atlanta, GA.

Funding

Crossing the divide: piloting an integrated care model to bridge rural-urban healthcare systems and reduce major amputations among rural patients with diabetic foot ulcersR01DK132569 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI BRENNAN, MEGHAN · 2022 to 2024
$921k
Determinants in Limb Preservation in Hispanics and Native AmericansK23DK122126 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TAN, TZE-WOEI · 2019 to 2023
$845k
Neighborhood transportation vulnerability and geographic patterns of diabetes-related limb lossR21MD017943 · NIMHD · EMORY UNIVERSITY · PI CHANG, HOWARD H, SCHECHTER, MARCOS C. · 2022 to 2023
$430k
NIDDK NIH HHS K23 DK122126NIDDK NIH HHS R01 DK132569NIMHD NIH HHS R21 MD017943
6 · The paper itself

Abstract

Recently, the United States experienced its first resurgence of major amputations in more than 20 years. Compounding this rise is a longstanding history of disparities. Patients identifying as non-Hispanic Black are twice as likely to lose a limb as those identifying as non-Hispanic White. Those identifying as Latino face a 30% increase. Rural patients are also more likely to undergo major amputations, and the rural-urban disparity is widening. We used the National Institute on Minority Health and Health Disparities framework to better understand these disparities and identify common factors contributing to them. Common factors were abundant and included increased prevalence of diabetes, possible lower rates of foot self-care, transportation barriers to medical appointments, living in disadvantaged neighborhoods, and lack of insurance. Solutions within and outside the health care realm are needed. Health care-specific interventions that embed preventative and ambulatory care services within communities may be particularly high yield.

Indexed as

EthnicityHealthcare DisparitiesMinority HealthBlack or African AmericanBlack PeopleDelivery of Health CareHumansUnited StatesWhiteAfrican AmericanBlackHispanicLatinoRural

Identifiers

PMID36958894
PMCPMC10039286

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.