外周动脉疾病和糖尿病患者截肢风险的种族、民族和社会经济不平等。
Racial, ethnic, and socioeconomic inequities in amputation risk for patients with peripheral artery disease and diabetes.
机构信息
Division of Vascular Surgery, Department of Surgery, Stanford University School of Medicine, 780 Welch Road, Palo Alto, CA 94304.
Michael G. DeGroote School of Medicine, Michael G. DeGroote Centre for Learning and Discovery, Hamilton, Ontario, Canada.
出版信息
Semin Vasc Surg. 2023 Mar;36(1):9-18. doi: 10.1053/j.semvascsurg.2023.01.005. Epub 2023 Feb 2.
Peripheral artery disease and diabetes are highly prevalent diseases and the leading cause of limb loss. Despite advances in medical and surgical techniques, there are stark differences in delivery and outcomes of lower extremity amputation among populations when stratified by race, ethnicity, and socioeconomic status. We reviewed studies from the last 2 decades (1999-2022) to provide a comprehensive assessment of the current impact of disparities on the risk for, and management of, lower extremity amputation and offer action items that can optimize health outcomes.
外周动脉疾病和糖尿病是高发疾病，也是导致肢体丧失的主要原因。尽管医疗和手术技术取得了进步，但按种族、民族和社会经济地位对人群进行分层后，下肢截肢的提供和结果存在明显差异。我们回顾了过去 20 年（1999-2022 年）的研究，全面评估了差异对外周动脉疾病和糖尿病患者下肢截肢风险和管理的当前影响，并提供了可以优化健康结果的行动项目。
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