Lower Limb Major Amputation Data as a Signal of an East/West Health Divide Across Europe

Björck, Martin; Behrendt, Christian‐Alexander

doi:10.1016/j.ejvs.2020.07.051

Cited by 11 publications

(4 citation statements)

References 10 publications

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“…One report from CEECs showed that, as with Western countries, a small decline in amputations became apparent over a longer period, but the starting time was found to be ten years later compared to WECs [43]. Based on these data, an East-West divide in amputation outcomes is discernible [61].…”

Section: Discussionmentioning

confidence: 99%

A Divide between the Western European and the Central and Eastern European Countries in the Peripheral Vascular Field: A Narrative Review of the Literature

Björck

Behrendt

2021

JCM

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Thirty years after the transition period, starting from 1989, Central and Eastern European countries (CEECs), representing one-fifth of the entire European population, share many historical, societal, political, economic, and cultural characteristics. Although accumulating data on coronary heart diseases and cerebrovascular diseases support these observations, in the case of peripheral arterial disease, data are scarce. The present review attempts to summarise the shreds of data that may highlight a divide in this field between CEECs and Western European countries. Disparities in risk factors and peripheral vascular care across Europe seem to be tangible and can be seen as a signal of existing differences. Improvements in research and development and the collection and cross-border share of scientific data are essential to initiate and facilitate convergence in this field.

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Section: Discussionmentioning

confidence: 99%

A Divide between the Western European and the Central and Eastern European Countries in the Peripheral Vascular Field: A Narrative Review of the Literature

Björck

Behrendt

2021

JCM

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“…34 The socio-economic gradients in amputation rates may also exist when comparing different countries. A striking difference in amputation rates across Europe is an example of the East/West divide in health 87 that may be partly accounted for by the complex disparities found in socio-economic characteristics of Western European and Central and Eastern European countries. 88 Critical covariates were also shown to interact with amputation risk.…”

Section: Ses and Pad Carementioning

confidence: 99%

The importance of socio-economic determinants of health in the care of patients with peripheral artery disease: A narrative review from VAS

et al. 2023

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Socio-economic determinants of health (SDoH) include various nonmedical factors in the socio-economic sphere with a potentially significant impact on health outcomes. Their effects manifest through several mediators/moderators (behavioral characteristics, physical environment, psychosocial circumstances, access to care, and biological factors). Various critical covariates (age, gender/sex, race/ethnicity, culture/acculturation, and disability status) also interact. Analyzing the effects of these factors is challenging due to their enormous complexity. Although the significance of SDoH for cardiovascular diseases is well documented, research regarding their impact on peripheral artery disease (PAD) occurrence and care is less well documented. This narrative review explores to what extent SDoH are multifaceted in PAD and how they are associated with its occurrence and care. Additionally, methodological issues that may hamper this effort are addressed. Finally, the most important question, whether this association may contribute to reasonable interventions aimed at SDoH, is analyzed. This endeavor requires attention to the social context, a whole systems approach, multilevel-thinking, and a broader alliance that reaches out to more stakeholders outside the medical sphere. More research is needed to justify the power in this concept to improve PAD-related outcomes like lower-extremity amputations. At the present time, some evidence, reasonable consideration, and intuitive reasoning support the implementation of various interventions in SDoH in this field.

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“…Ebben az értelemben a perifériás verôérbeteg-ellátás "tükrének" tartott amputációs adatok Nyugat-és Közép-Kelet-Európa különbségét mutatják. Figyelemmel a régiófejlettség egyéb mutatóiban ismeretes különbségekre, ez nem feltétlenül meglepô (19,20). Örvendetes, kismértékû amputációs aktivitáscsökkenés a Magyarországnál fejlettebb országokban is megfigyelhetô volt, azonban 10 évvel korábban (14).…”

Section: Az Alsó Végtagok Verôérbetegséggel éS Cukorbetegséggel Kapcs...unclassified

Perifériás verőérbetegek szűrése és ellátása Magyarországon

Farkas¹

2022

LAM

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A perifériás verőérbetegség az alsó végtagi panaszok által okozott életminőség-romlás, a végtagvesztés kockázata mellett fokozott cardiovascularis rizikót hordoz. Nemzetközi epidemiológiai adatok extrapolációjára alapozva, a magyar népességben a betegség közel 600 000 embert érinthet. Az utóbbi években két tudományos kutatás kezdődött, amely 1. célul tűzte ki egy reprezentatív, magas vérnyomásban szenvedő kohorsz vizsgálata során a perifériás verőérbetegség szűrésének elemzését (ÉRV program), és amely 2. a teljes biztosított népesség adatait használva elemezte azon betegek adatait, akik alsó végtagi amputáción estek át, vagy revascularisatióban részesültek (HUNVASCDATA vizsgálat). Jelen összefoglaló tanulmány e két vizsgálat eredményeit mutatja be. Azért kiemelt a hazai adatelemzés jelentősége, mert a magyarországi érbetegellátás javulásának feltétele a hazai helyzet részletes ismerete.

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Lower Limb Major Amputation Data as a Signal of an East/West Health Divide Across Europe

Cited by 11 publications

References 10 publications

A Divide between the Western European and the Central and Eastern European Countries in the Peripheral Vascular Field: A Narrative Review of the Literature

A Divide between the Western European and the Central and Eastern European Countries in the Peripheral Vascular Field: A Narrative Review of the Literature

The importance of socio-economic determinants of health in the care of patients with peripheral artery disease: A narrative review from VAS

Perifériás verőérbetegek szűrése és ellátása Magyarországon

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