Gender disparities among patients with peripheral arterial disease treated via endovascular approach: A propensity score matched analysis

Doshi, Rajkumar; Shah, Priyank; Meraj, Perwaiz

doi:10.1111/joic.12431

Cited by 24 publications

(16 citation statements)

References 37 publications

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“…Comparisons of in‐hospital outcomes were performed in matched cohorts using the McNemar test or paired t test, as appropriate. This method has been used earlier …”

Section: Methodsmentioning

confidence: 99%

Transcatheter or surgical aortic valve replacement in patients with advanced kidney disease: A propensity score–matched analysis

Doshi

Shah

Patel

et al. 2017

Clinical Cardiology

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Background Transcatheter aortic valve replacement (TAVR) is an alternative for surgically inoperable patients with severe aortic stenosis. Advanced kidney disease may significantly affect outcomes in patients treated with TAVR and surgical aortic valve replacement (SAVR). Hypothesis TAVR is associated with better in‐hospital outcomes compared with SAVR in patients with advanced kidney disease. Methods We identified our sample from the National Inpatient Sample between 2012 and 2014, using International Classification of Diseases, Ninth Revision, Clinical Modification codes. We included patients with chronic kidney disease stages IV and V and end‐stage renal disease as advanced kidney disease patients. We excluded patients with acute kidney injury on admission and patients on dialysis. Results After propensity matching, 2485 patients were included in each group. The primary outcome of in‐hospital mortality (12.9% vs 6.2%; P < 0.01) was higher with SAVR as compared with TAVR. Patients who underwent SAVR reported higher acute kidney injury (50.3% vs 33%; P < 0.01) and dialysis requirements (26.8% vs 20.1%; P < 0.01). Other secondary outcomes including blood transfusion, atrial fibrillation, iatrogenic cardiac complications, pericardial complications, perioperative stroke, perioperative infections, and postoperative shock were more common with SAVR. With SAVR, the length of hospitalization and hospitalization costs were significantly higher; however, permanent pacemaker placement was more common with TAVR compared with SAVR. Conclusions In patients with advanced kidney disease, SAVR was associated with higher mortality and higher periprocedural complications, as compared with TAVR. Thus, benefits of TAVR could be extended in patients with advanced kidney disease who cannot undergo surgery.

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“…Comparisons of in‐hospital outcomes were performed in matched cohorts using the McNemar test or paired t test, as appropriate. This method has been used earlier …”

Section: Methodsmentioning

confidence: 99%

Transcatheter or surgical aortic valve replacement in patients with advanced kidney disease: A propensity score–matched analysis

Doshi

Shah

Patel

et al. 2017

Clinical Cardiology

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“…This study includes hospitalizations from the NIS which has been described elsewhere 5,6 . We included hospitalizations from January 2012 to September 2015 and identified hospitalizations using International Classifications of Diseases, Ninth Revision, Clinical Modification (ICD‐9‐CM) diagnostic codes.…”

Section: Methodsmentioning

confidence: 99%

Burden of arrythmias in transgender patients hospitalized for gender‐affirming surgeries

Antwi‐Amoabeng

Doshi

Adalja

et al. 2020

Journal of Arrhythmia

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Background We sought to describe the burden of arrhythmias and their impact on in‐hospital outcomes in transgender patients who underwent gender re‐assignment surgery. Methods The study utilized data from the National Inpatient Sample from January 2012 to September 2015. Results 16 555 adult transgender patients were included in this study. A total of 610 adults developed arrhythmia out of which atrial fibrillation (N = 475, 2.87%) was the most frequent arrhythmia. In‐hospital mortality increased substantially with arrhythmias. Conclusions New‐onset arrythmias, while infrequent in the inpatient setting is associated with significantly higher in‐hospital mortality and resource utilization.

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“…Multiple studies have found that Blacks and Hispanics are less likely to get revascularization than White patients [30][31][32][33][34]. Men are more likely than women to receive lower extremity revascularization (LER), when presenting to a hospital with IC or CLI [35][36][37][38]. This may be because women with PAD are more likely to present to the hospital emergently with CLI and found to have more advanced disease [35][36][37][38].…”

Section: Background Of the Health Disparities In Diabetes Mellitus (Dmentioning

confidence: 99%

“…Men are more likely than women to receive lower extremity revascularization (LER), when presenting to a hospital with IC or CLI [35][36][37][38]. This may be because women with PAD are more likely to present to the hospital emergently with CLI and found to have more advanced disease [35][36][37][38]. Women have been found to have a higher in-hospital mortality rate following LER procedures, although the types of procedures have not been consistent, with some groups identifying an increased risk for endovascular procedures alone, with others reporting an increased risk for both open and endovascular [35,36,38].…”

Section: Background Of the Health Disparities In Diabetes Mellitus (Dmentioning

confidence: 99%

Healthcare Disparities in Dysvascular Lower Extremity Amputations

Hurwitz

Fuentes

2020

Curr Phys Med Rehabil Rep

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Purpose of Review Our goal is to provide a current review of health disparities in patients with dysvascular lower extremity amputation, so that we can better identify how disparities persist after an amputation and how to reduce these disparities. Recent Findings Health disparities in amputation risk, level, and outcomes exist in the USA based on race/ethnicity, gender, income, insurance, care provider, hospital, neighborhood, and US region. Summary While health disparities exist for patients with dysvascular lower extremity amputation, little is known about differences in function, rehabilitation, and prosthesis prescriptions. Future research in this area is important, so that we can better identify how disparities persist after an amputation.

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Gender disparities among patients with peripheral arterial disease treated via endovascular approach: A propensity score matched analysis

Cited by 24 publications

References 37 publications

Transcatheter or surgical aortic valve replacement in patients with advanced kidney disease: A propensity score–matched analysis

Transcatheter or surgical aortic valve replacement in patients with advanced kidney disease: A propensity score–matched analysis

Burden of arrythmias in transgender patients hospitalized for gender‐affirming surgeries

Healthcare Disparities in Dysvascular Lower Extremity Amputations

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