Evidence map›Paper›PMID 42766091›Full record

ArticleIrish journal of medical science2026

The impact of socioeconomic status on outcomes of peripheral arterial disease in North-East Ireland.

Steven Browne, Elrasheid Kheirelseid, Peter Naughton, Sayed Aly, Daragh Moneley, Seamus McHugh

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Article in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Steven BrowneDepartment of Vascular Surgery, Beaumont Hospital, Dublin 9, Dublin, Ireland. stevenbrowne@rcsi.com.ORCID http://orcid.org/0000-0002-7034-8569
Elrasheid KheirelseidDepartment of Vascular Surgery, Beaumont Hospital, Dublin 9, Dublin, Ireland.
Peter NaughtonDepartment of Vascular Surgery, Beaumont Hospital, Dublin 9, Dublin, Ireland.
Sayed AlyDepartment of Vascular Surgery, Beaumont Hospital, Dublin 9, Dublin, Ireland.
Daragh MoneleyDepartment of Vascular Surgery, Beaumont Hospital, Dublin 9, Dublin, Ireland.
Seamus McHughDepartment of Vascular Surgery, Beaumont Hospital, Dublin 9, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocioeconomic status (SES) has a measurable and significant effect on cardiovascular morbidity and mortality.

aimThe objective of this study was to assess the relationship between SES and peripheral arterial disease (PAD).

methodsThis is a retrospective, observational cohort study of all adult patients that were admitted with PAD between 2014 and 2020. Patients with a valid Irish postal address were assigned a SES score and quartile based on the Pobal Hasse-Pratschke (HP) deprivation index. Cox proportional hazards models and Kaplan-Meier survival analysis were used to determine the relationship between SES and primary outcome measures including revascularisation, amputation and overall survival.

resultsA total of 800 patients were included. SES scores demonstrated a significant left shift when compared to the general population, indicating lower SES in the PAD cohort (combined Kolmogorov-Smirnov test p < 0.0001). SES score was not associated with repeat revascularisation (HR 1.00, 95% CI 0.99-1.02, p = 0.579). Lower SES score was associated with an increased risk of repeat amputation (HR 0.97, 95% CI 0.942-0.996, p = 0.027). Patient survival was not associated with SES status (HR 1.00, 95% CI 0.99-1.01, p = 0.688). A log-rank test showed no significant difference in overall survival by SES quartile (χ²(3) = 1.45, p = 0.693).

conclusionIn the North-East of Ireland, patients with PAD exhibited a higher incidence of socioeconomic deprivation compared to the general population. Lower socioeconomic status conferred a small increased risk of repeat amputation. However, there was no demonstratable difference in repeat revascularisation and overall survival rates across the social gradient.

Indexed as

AmputationEpidemiologyLower-extremity revascularisationPeripheral arterial diseaseSocioeconomic status

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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.