Black patients present with more severe vascular disease and a greater burden of risk factors than white patients at time of major vascular intervention. Soden, P. A., Zettervall, S. L., Deery, S. E., Hughes, K., Stoner, M. C., Goodney, P. P., Vouyouka, A. G., & Schermerhorn, M. L. Journal of Vascular Surgery, 67(2):549–556, September, 2017. MAG ID: 2758716993doi abstract bibtex Abstract Background Although many studies have demonstrated racial disparities after major vascular surgery, few have identified the reasons for these disparities, and those that did often lacked clinical granularity. Therefore, our aim was to evaluate differences in initial vascular intervention between black and white patients. Methods We identified black and white patients' initial carotid, abdominal aortic aneurysm (AAA), and infrainguinal peripheral artery disease (PAD) interventions in the Vascular Quality Initiative (VQI) registry from 2009 to 2014. We excluded nonblack or nonwhite patients as well as those with Hispanic ethnicity, asymptomatic PAD, or a history of prior ipsilateral interventions. We compared baseline characteristics and disease severity at time of intervention on a national and regional level. Results We identified 76,372 patients (9% black), including 35,265 carotid (5% black), 17,346 AAA (5% black), and 23,761 PAD interventions (18% black). For all operations, black patients were younger, more likely female, and had more insulin-dependent diabetes, hypertension, congestive heart failure, renal dysfunction, and dialysis dependence. Black patients were less likely to be on a statin before AAA (62% vs 69%; P P P = .01]; PAD, 64% vs 67% [ P P P P P P Conclusions Black patients present with more advanced disease at the time of initial major vascular operation. Efforts to control risk factors, identify and treat arterial disease in a timely fashion, and optimize medical management among black patients may provide opportunity to improve current disparities.
@article{soden_black_2017,
title = {Black patients present with more severe vascular disease and a greater burden of risk factors than white patients at time of major vascular intervention},
volume = {67},
doi = {10.1016/j.jvs.2017.06.089},
abstract = {Abstract Background Although many studies have demonstrated racial disparities after major vascular surgery, few have identified the reasons for these disparities, and those that did often lacked clinical granularity. Therefore, our aim was to evaluate differences in initial vascular intervention between black and white patients. Methods We identified black and white patients' initial carotid, abdominal aortic aneurysm (AAA), and infrainguinal peripheral artery disease (PAD) interventions in the Vascular Quality Initiative (VQI) registry from 2009 to 2014. We excluded nonblack or nonwhite patients as well as those with Hispanic ethnicity, asymptomatic PAD, or a history of prior ipsilateral interventions. We compared baseline characteristics and disease severity at time of intervention on a national and regional level. Results We identified 76,372 patients (9\% black), including 35,265 carotid (5\% black), 17,346 AAA (5\% black), and 23,761 PAD interventions (18\% black). For all operations, black patients were younger, more likely female, and had more insulin-dependent diabetes, hypertension, congestive heart failure, renal dysfunction, and dialysis dependence. Black patients were less likely to be on a statin before AAA (62\% vs 69\%; P P P = .01]; PAD, 64\% vs 67\% [ P P P P P P Conclusions Black patients present with more advanced disease at the time of initial major vascular operation. Efforts to control risk factors, identify and treat arterial disease in a timely fashion, and optimize medical management among black patients may provide opportunity to improve current disparities.},
number = {2},
journal = {Journal of Vascular Surgery},
author = {Soden, Peter A. and Zettervall, Sara L. and Deery, Sarah E. and Hughes, Kakra and Stoner, Michael C. and Goodney, Philip P. and Vouyouka, Ageliki G. and Schermerhorn, Marc L.},
month = sep,
year = {2017},
doi = {10.1016/j.jvs.2017.06.089},
pmcid = {5794625},
pmid = {28951156},
note = {MAG ID: 2758716993},
pages = {549--556},
}
Downloads: 0
{"_id":"54yf7DhQwZsMdLh3N","bibbaseid":"soden-zettervall-deery-hughes-stoner-goodney-vouyouka-schermerhorn-blackpatientspresentwithmoreseverevasculardiseaseandagreaterburdenofriskfactorsthanwhitepatientsattimeofmajorvascularintervention-2017","author_short":["Soden, P. A.","Zettervall, S. L.","Deery, S. E.","Hughes, K.","Stoner, M. C.","Goodney, P. P.","Vouyouka, A. G.","Schermerhorn, M. L."],"bibdata":{"bibtype":"article","type":"article","title":"Black patients present with more severe vascular disease and a greater burden of risk factors than white patients at time of major vascular intervention","volume":"67","doi":"10.1016/j.jvs.2017.06.089","abstract":"Abstract Background Although many studies have demonstrated racial disparities after major vascular surgery, few have identified the reasons for these disparities, and those that did often lacked clinical granularity. Therefore, our aim was to evaluate differences in initial vascular intervention between black and white patients. Methods We identified black and white patients' initial carotid, abdominal aortic aneurysm (AAA), and infrainguinal peripheral artery disease (PAD) interventions in the Vascular Quality Initiative (VQI) registry from 2009 to 2014. We excluded nonblack or nonwhite patients as well as those with Hispanic ethnicity, asymptomatic PAD, or a history of prior ipsilateral interventions. We compared baseline characteristics and disease severity at time of intervention on a national and regional level. Results We identified 76,372 patients (9% black), including 35,265 carotid (5% black), 17,346 AAA (5% black), and 23,761 PAD interventions (18% black). For all operations, black patients were younger, more likely female, and had more insulin-dependent diabetes, hypertension, congestive heart failure, renal dysfunction, and dialysis dependence. Black patients were less likely to be on a statin before AAA (62% vs 69%; P P P = .01]; PAD, 64% vs 67% [ P P P P P P Conclusions Black patients present with more advanced disease at the time of initial major vascular operation. Efforts to control risk factors, identify and treat arterial disease in a timely fashion, and optimize medical management among black patients may provide opportunity to improve current disparities.","number":"2","journal":"Journal of Vascular Surgery","author":[{"propositions":[],"lastnames":["Soden"],"firstnames":["Peter","A."],"suffixes":[]},{"propositions":[],"lastnames":["Zettervall"],"firstnames":["Sara","L."],"suffixes":[]},{"propositions":[],"lastnames":["Deery"],"firstnames":["Sarah","E."],"suffixes":[]},{"propositions":[],"lastnames":["Hughes"],"firstnames":["Kakra"],"suffixes":[]},{"propositions":[],"lastnames":["Stoner"],"firstnames":["Michael","C."],"suffixes":[]},{"propositions":[],"lastnames":["Goodney"],"firstnames":["Philip","P."],"suffixes":[]},{"propositions":[],"lastnames":["Vouyouka"],"firstnames":["Ageliki","G."],"suffixes":[]},{"propositions":[],"lastnames":["Schermerhorn"],"firstnames":["Marc","L."],"suffixes":[]}],"month":"September","year":"2017","pmcid":"5794625","pmid":"28951156","note":"MAG ID: 2758716993","pages":"549–556","bibtex":"@article{soden_black_2017,\n\ttitle = {Black patients present with more severe vascular disease and a greater burden of risk factors than white patients at time of major vascular intervention},\n\tvolume = {67},\n\tdoi = {10.1016/j.jvs.2017.06.089},\n\tabstract = {Abstract Background Although many studies have demonstrated racial disparities after major vascular surgery, few have identified the reasons for these disparities, and those that did often lacked clinical granularity. Therefore, our aim was to evaluate differences in initial vascular intervention between black and white patients. Methods We identified black and white patients' initial carotid, abdominal aortic aneurysm (AAA), and infrainguinal peripheral artery disease (PAD) interventions in the Vascular Quality Initiative (VQI) registry from 2009 to 2014. We excluded nonblack or nonwhite patients as well as those with Hispanic ethnicity, asymptomatic PAD, or a history of prior ipsilateral interventions. We compared baseline characteristics and disease severity at time of intervention on a national and regional level. Results We identified 76,372 patients (9\\% black), including 35,265 carotid (5\\% black), 17,346 AAA (5\\% black), and 23,761 PAD interventions (18\\% black). For all operations, black patients were younger, more likely female, and had more insulin-dependent diabetes, hypertension, congestive heart failure, renal dysfunction, and dialysis dependence. Black patients were less likely to be on a statin before AAA (62\\% vs 69\\%; P P P = .01]; PAD, 64\\% vs 67\\% [ P P P P P P Conclusions Black patients present with more advanced disease at the time of initial major vascular operation. Efforts to control risk factors, identify and treat arterial disease in a timely fashion, and optimize medical management among black patients may provide opportunity to improve current disparities.},\n\tnumber = {2},\n\tjournal = {Journal of Vascular Surgery},\n\tauthor = {Soden, Peter A. and Zettervall, Sara L. and Deery, Sarah E. and Hughes, Kakra and Stoner, Michael C. and Goodney, Philip P. and Vouyouka, Ageliki G. and Schermerhorn, Marc L.},\n\tmonth = sep,\n\tyear = {2017},\n\tdoi = {10.1016/j.jvs.2017.06.089},\n\tpmcid = {5794625},\n\tpmid = {28951156},\n\tnote = {MAG ID: 2758716993},\n\tpages = {549--556},\n}\n\n\n\n","author_short":["Soden, P. A.","Zettervall, S. L.","Deery, S. E.","Hughes, K.","Stoner, M. C.","Goodney, P. P.","Vouyouka, A. G.","Schermerhorn, M. L."],"key":"soden_black_2017","id":"soden_black_2017","bibbaseid":"soden-zettervall-deery-hughes-stoner-goodney-vouyouka-schermerhorn-blackpatientspresentwithmoreseverevasculardiseaseandagreaterburdenofriskfactorsthanwhitepatientsattimeofmajorvascularintervention-2017","role":"author","urls":{},"metadata":{"authorlinks":{}},"html":""},"bibtype":"article","biburl":"https://bibbase.org/zotero/drdanovak","dataSources":["xZ5hJJktDAHAFpiAW"],"keywords":[],"search_terms":["black","patients","present","more","severe","vascular","disease","greater","burden","risk","factors","white","patients","time","major","vascular","intervention","soden","zettervall","deery","hughes","stoner","goodney","vouyouka","schermerhorn"],"title":"Black patients present with more severe vascular disease and a greater burden of risk factors than white patients at time of major vascular intervention","year":2017}