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      Investigating the impact of suboptimal prescription of preoperative antiplatelets and statins on race and ethnicity-related disparities in major limb amputation.

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          Abstract

          Non-Hispanic Black and Hispanic patients with symptomatic PAD may receive different treatments than White patients with symptomatic PAD. The delivery of guideline-directed medical treatment may be a modifiable upstream driver of race and ethnicity-related disparities in outcomes such as limb amputation. The purpose of our study was to investigate the prescription of preoperative antiplatelets and statins in producing disparities in the risk of amputation following revascularization for symptomatic peripheral artery disease (PAD).

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          Heart Disease and Stroke Statistics—2020 Update

          Circulation
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            Author and article information

            Journal
            Vasc Med
            Vascular medicine (London, England)
            SAGE Publications
            1477-0377
            1358-863X
            Feb 2024
            : 29
            : 1
            Affiliations
            [1 ] Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, IN, USA.
            [2 ] West Virginia Clinical and Translational Sciences Institute, Morgantown, WV, USA.
            [3 ] Department of Public Health Sciences, Clemson University, Clemson, SC, USA.
            [4 ] Center for Public Health Modeling and Response, Clemson University, Clemson, SC, USA.
            [5 ] Department of Surgery, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
            [6 ] Division of Vascular Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA.
            [7 ] Division of General Medicine and Clinical Epidemiology, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
            [8 ] Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
            [9 ] Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
            Article
            NIHMS1953511
            10.1177/1358863X231196139
            10922837
            37737127
            6ca0a085-1d3b-4bb3-8ae4-ef05ec9697fa
            History

            Vascular Quality Initiative (VQI),peripheral artery disease (PAD),quality of care,guideline-directed medical therapy,health disparities,health equity

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