Navigation Links
New study questions disparities in vascular surgery among Hispanics
Date:11/9/2007

NEW YORK (Nov. 9, 2007) -- Hispanics in the United States receive fewer vascular surgeries than the general population and have worse outcomes in some cases, according to new research, which also finds that Hispanics often seek treatment only after developing more advanced disease. Reasons for the disparities are not fully understood, but may include a combination of socioeconomic factors and genetic variations.

Published in the November Journal of Vascular Surgery, the study was led by a vascular surgery team from NewYork-Presbyterian Hospital, Columbia University Medical Center and Weill Cornell Medical College.

Using medical records from hospitals in New York and Florida from the years 2000 to 2004, researchers looked at three common vascular surgery procedures -- lower extremity revascularization (LER), carotid revascularization (CR), and abdominal aortic aneurysm (AAA) repair.

They found that Hispanic patients, compared to non-Hispanic whites, had higher rates of amputation following lower extremity revascularization (a surgical procedure to restore blood supply to a body part or organ) (6.2% vs. 3.4%) and greater risk for death following elective AAA repair (5.0% v. 3.4%). Additionally, Hispanic patients were as much as two times more likely than whites to seek treatment only after developing more advanced disease. They also spend more time in the hospital recovering.

"These are significant disparities, and the reasons for them must be determined in order to make improvements," says the study's principal investigator, Dr. Nicholas J. Morrissey, director of clinical trials and a vascular surgeon at NewYork-Presbyterian Hospital/Columbia University Medical Center and assistant professor of surgery at Columbia University College of Physicians and Surgeons and Weill Cornell Medical College. "One explanation may be socioeconomic factors, particularly insurance status, which could impede Hispanic patients' access to proper preventive and diagnostic care."

In addition, the study notes that Hispanics traditionally rely on self-care methods and are reluctant to seek professional treatment, and may even be less "willing" to consider prophylactic surgical interventions. It is also possible that there are genetic differences in the nature and manifestation of vascular disease.

Consistent with previous studies, the study also found elevated rates of diabetes, renal failure and hypertension among Hispanic patients. According to the authors, efforts directed at detection and control of these conditions would be an important component of a strategy aimed at addressing vascular disease for this population. However, they note that Hispanic ethnicity remained associated with more advanced disease even after controlling for coexisting co-morbidities, including diabetes -- a fact that points toward other explanations.

"The Hispanic population represents the fastest growing minority in the United States. As the population grows and ages, the vascular surgery community will be providing increasing amounts of care to this diverse group," Dr. Morrissey says.

Previous research cited by the study shows that ethnicity and race are predictors of screening disparities, treatment variations and health outcomes. Racial differences in utilization of surgical procedures have been seen in a wide variety of procedures -- including joint replacements, myocardial revascularization, renal transplant and even dialysis access. Among a variety of explanations are genetic variations, lack of screening, inferior access to care and awareness, delayed intervention and treatment discrepancies. Research has shown that these differences did not lessen significantly during the 1990s.


'/>"/>

Contact: Emily Berlanstein
eab2007@med.cornell.edu
212-821-0560
New York- Presbyterian Hospital/Weill Cornell Medical Center/Weill Cornell Medical College
Source:Eurekalert

Related medicine news :

1. Penn study finds pro-death proteins required to regulate healthy immune function
2. New study shows promise in reducing surgical risks associated with surgical bleeding
3. Study, meta-analysis examine factors associated with death from heatstroke
4. Study suggests loss of 2 types of neurons -- not just 1 -- triggers Parkinsons symptoms
5. Study says COPD testing is not measuring up
6. Preclinical study suggests organ-transplant drug may aid in lupus fight
7. Ability to cope with stress can increase good cholesterol in older white men, study finds
8. High alcohol consumption increases stroke risk, Tulane study says
9. Mailman School of Public Health study examines link between racial discrimination and substance use
10. Pitt study finds inequality in tobacco advertising
11. Stanford study highlights cost-effective method of lowering heart disease risks
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty ... Barry M. Weintraub as a prominent plastic surgeon and the network’s newest partner. ... and the most handsome men, look naturally attractive. Plastic surgery should be invisible.” ...
(Date:6/24/2016)... Frederick, Maryland (PRWEB) , ... June 24, 2016 ... ... Mid-Atlantic Angels is actively feeding the Frederick area economy by obtaining investment capital ... support over the past 2½ years that have already resulted in more than ...
(Date:6/24/2016)... ... 2016 , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... at the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The ... members that have been wounded in battle and their families. Venture Construction Group is ...
(Date:6/24/2016)... ... June 24, 2016 , ... Advanced Plastic Surgery ... Arizona pageant as its official Medspa Sponsor. Dr. Josh Olson, a board-certified plastic ... , Dr. Olson says the decision to support the pageant in an ...
(Date:6/24/2016)... ... June 24, 2016 , ... To succeed under value-based ... however, are unsure how to move forward, given the need to sustain current ... forward tailored to an organization’s specific needs. , PYA Principal Martie Ross states, ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016 Research and ... Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), ... Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is projected ... CAGR of 6.1% in the forecast period 2016 to ...
(Date:6/23/2016)... 23, 2016 Roche (SIX: RO, ROG; OTCQX: ... its Elecsys BRAHMS PCT (procalcitonin) assay as a dedicated ... shock. With this clearance, Roche is the first IVD ... solution for sepsis risk assessment and management. ... and PCT levels in blood can aid clinicians in ...
(Date:6/23/2016)... June 23, 2016 Capricor ... ), a biotechnology company focused on the discovery, ... that patient enrollment in its ongoing randomized HOPE-Duchenne ... exceeded 50% of its 24-patient target. Capricor expects ... third quarter of 2016, and to report top ...
Breaking Medicine Technology: