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Healthcare Disparities in Dysvascular Lower Extremity Amputations

  • Amputation Rehabilitation (J Heckman, Section Editor)
  • Published:
Current Physical Medicine and Rehabilitation Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Our goal is to provide a current review of health disparities in patients with dysvascular lower extremity amputation, so that we can better identify how disparities persist after an amputation and how to reduce these disparities.

Recent Findings

Health disparities in amputation risk, level, and outcomes exist in the USA based on race/ethnicity, gender, income, insurance, care provider, hospital, neighborhood, and US region.

Summary

While health disparities exist for patients with dysvascular lower extremity amputation, little is known about differences in function, rehabilitation, and prosthesis prescriptions. Future research in this area is important, so that we can better identify how disparities persist after an amputation.

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Abbreviations

AI:

American Indian

AN:

Alaskan Native

CLI:

critical limb ischemia

DM:

diabetes mellitus

ED:

emergency department

HCUP:

Healthcare Cost and Utilization Project

IC:

intermittent claudication

LEA:

lower extremity amputation

LER:

lower extremity revascularization

LDL:

low density lipoprotein

NHW:

non-Hispanic Whites

NW:

non-White

NIS:

National Inpatient Sample

PAD:

peripheral arterial disease

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  1. Department of Rehabilitation Medicine, VA Puget Sound Health Care System Rehab Care Services, University of Washington, 1660 South Columbian Way, Seattle, WA, 98108, USA

    Max Hurwitz

  2. Department of Rehabilitation Medicine, Seattle Children’s Research Institute, University of Washington School of Medicine, Seattle, WA, USA

    Molly Fuentes

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Hurwitz, M., Fuentes, M. Healthcare Disparities in Dysvascular Lower Extremity Amputations. Curr Phys Med Rehabil Rep 8, 110–117 (2020). https://doi.org/10.1007/s40141-020-00281-5

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