Evidence map›Paper›PMID 36958896›Full record

ReviewSeminars in vascular surgery2023

Disparities in limb preservation and associated socioeconomic burden among patients with diabetes and/or peripheral artery disease in the United States.

Katherine M McDermott, Sanuja Bose, Alana Keegan, Caitlin W Hicks

Open access · greenAbstract 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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Age Differences in Lower-Extremity Amputation in People With Diabetes and Behavioral Health Comorbidities.Clinical diabetes : a publication of the American Diabetes Association · 2025
    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 at 1 institution in 1 country.

Katherine M McDermottDivision of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD, 21287.
Sanuja BoseDivision of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD, 21287.
Alana KeeganDivision of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD, 21287; Department of Surgery, Sinai Hospital of Baltimore, Baltimore, MD.
Caitlin W HicksDivision of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD, 21287. Electronic address: chicks11@jhmi.edu.
Johns Hopkins University · US

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
Risk Factors and Outcomes Associated with Late-Life Diabetic Peripheral NeuropathyK23DK124515 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI HICKS, CAITLIN WHITNEY · 2020 to 2024
$898k
Feasibility and effectiveness of a pilot remote monitoring program for the treatment of diabetic foot ulcersR03DK133557 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI HICKS, CAITLIN WHITNEY · 2022 to 2023
$189k
NHLBI NIH HHS T32 HL007024NIDDK NIH HHS K23 DK124515NIDDK NIH HHS R03 DK133557
6 · The paper itself

Abstract

Racial, ethnic, socioeconomic, and geographic disparities in limb preservation and nontraumatic lower extremity amputation (LEA) are consistently demonstrated in populations with diabetes and peripheral artery disease (PAD). Higher rates of major LEA in disadvantaged groups are associated with increased health care utilization and higher costs of care. Functional decline that often follows major LEA confers substantial risk of disability and premature mortality, and the burden of these outcomes is more prevalent in racial and ethnic minority groups, people with low socioeconomic status, and people in geographic regions where limited resources or distance from specialty care are barriers to access. We present a narrative review of the existing literature on estimated costs of diabetic foot disease and PAD, inequalities in care that contribute to excess costs, and disparities in outcomes that lead to a disproportionate burden of diabetes- and PAD-related LEA on systematically disadvantaged populations.

Indexed as

Diabetes MellitusDiabetic FootPeripheral Arterial DiseaseEthnicityHumansLower ExtremityMinority GroupsRisk FactorsSocioeconomic FactorsUnited StatesHealthcare costsHealth disparitiesLimb preservationLower extremity amputationPeripheral artery disease

Identifiers

PMID36958896
PMCPMC10039285
OpenAlexW4319072768

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.