Disparities in Diagnosis, Treatment, and Outcomes of Peripheral Artery Disease: JACC Scientific Statement (JACC December 2023-2)-Article: Disparities in Diagnosis, Treatment, and Outcomes of Peripheral Artery Disease: JACC Scientific Statement

Article: Disparities in Diagnosis, Treatment, and Outcomes of Peripheral Artery Disease: JACC Scientific Statement

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A review published in the Journal of the American College of Cardiology highlights disparities in the diagnosis, treatment, and outcomes of peripheral artery disease (PAD) based on factors such as sex, race, socioeconomic status, and geography. While PAD prevalence is similar in men and women, women tend to present for revascularization at older ages and have a higher prevalence of atypical symptoms. Black individuals have a higher prevalence of PAD compared to White individuals and experience more severe symptoms, greater mobility loss, and higher amputation rates. Hispanics also have higher amputation rates compared to White individuals. Rates of amputation vary by geographic region, with the highest rates in the southeastern United States. The review emphasizes the need for intentional actions to address these disparities, including clinician education, culturally appropriate patient education, improved access to high-quality healthcare, research focused on disparity elimination, and health policy changes. By addressing these disparities, equitable and optimal care for all individuals with PAD can be achieved. The authors call for interventions to address the underlying factors contributing to these disparities, such as structural racism and bias. This review highlights the importance of addressing disparities in PAD care in order to improve patient outcomes.

Keywords

disparities

peripheral artery disease

PAD

race

socioeconomic status

geography

amputation rates

healthcare access

disparity elimination

structural racism