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

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.


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

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