Racial, ethnic, and socioeconomic inequities in amputation risk for patients with peripheral artery disease and diabetes

Semin Vasc Surg. 2023 Mar;36(1):9-18. doi: 10.1053/j.semvascsurg.2023.01.005. Epub 2023 Feb 2.

Abstract

Peripheral artery disease and diabetes are highly prevalent diseases and the leading cause of limb loss. Despite advances in medical and surgical techniques, there are stark differences in delivery and outcomes of lower extremity amputation among populations when stratified by race, ethnicity, and socioeconomic status. We reviewed studies from the last 2 decades (1999-2022) to provide a comprehensive assessment of the current impact of disparities on the risk for, and management of, lower extremity amputation and offer action items that can optimize health outcomes.

Keywords: Diabete; Ethnicity; Peripheral artery disease; Race; Socioeconomic status.

Publication types

  • Review

MeSH terms

  • Amputation, Surgical
  • Diabetes Mellitus*
  • Humans
  • Lower Extremity / blood supply
  • Peripheral Arterial Disease* / diagnosis
  • Peripheral Arterial Disease* / surgery
  • Retrospective Studies
  • Risk Factors
  • Social Class