Racial and ethnic differences in presentation severity and postoperative outcomes in vascular surgery

Lee, Michael Ho-Yan; Li, Ben; Feridooni, Tiam; Li, Pei Ye; Shakespeare, Audrey; Samarasinghe, Yasith; Cuen-Ojeda, César; Verma, Raj; Kishibe, Teruko; Al‐Omran, Mohammed

doi:10.1016/j.jvs.2022.08.043

Cited by 12 publications

(1 citation statement)

References 119 publications

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“…80 In addition to SDoH, the critical covariates also influenced the outcomes of vascular procedures. This was demonstrated for race/ethnicity 81 and sex/gender 82 across various vascular surgery presentations.…”

Section: Ses and Pad Carementioning

confidence: 80%

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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Section: Ses and Pad Carementioning

confidence: 80%