Alabi Olamide, Hunt Kelly J, Patzer Rachel E, Henry Akintobi Tabia, Massarweh Nader N
Surgical and Perioperative Care, Atlanta VA Health Care System, Decatur, Georgia, USA.
Division of Vascular Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Health Equity. 2023 May 26;7(1):346-350. doi: 10.1089/heq.2023.0004. eCollection 2023.
It is unclear whether disparities in the care provided before lower extremity amputation (LEA) is driven by differences in receipt of diagnostic work-up versus revascularization attempts.
We performed a national cohort study of Veterans who underwent LEA between March 2010 and February 2020 to assess receipt of vascular assessment with arterial imaging and/or revascularization in the year prior to LEA.
Among 19,396 veterans (mean age 66.8 years; 26.6% Black), Black veterans had diagnostic procedures more often than White veterans (47.5% vs. 44.5%) and revascularization as often (25.8% vs. 24.5%).
We must identify patient and facility-level factors associated with LEA as disparities do not appear related to differences in attempted revascularization.
下肢截肢（LEA）前所提供护理的差异是否由诊断检查与血管重建尝试接受情况的差异所驱动尚不清楚。
我们对2010年3月至2020年2月期间接受LEA的退伍军人进行了一项全国队列研究，以评估LEA前一年接受动脉成像和/或血管重建的血管评估情况。
在19396名退伍军人（平均年龄66.8岁；26.6%为黑人）中，黑人退伍军人接受诊断程序的频率高于白人退伍军人（47.5%对44.5%），接受血管重建的频率相同（25.8%对24.5%）。
我们必须确定与LEA相关的患者和机构层面因素，因为差异似乎与血管重建尝试的差异无关。
