Racial Disparities Associated With Reinterventions After Elective Endovascular Aortic Aneurysm Repair
| Autor: | James C. Iannuzzi, Elliott R. Haut, Caitlin W. Hicks, Christopher J. Abularrage, James H. Black, Devin S. Zarkowsky, Joseph K. Canner, Dominique Vervoort |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Medicare Logistic regression Article Blood Vessel Prosthesis Implantation Risk Factors medicine Humans Aged Retrospective Studies Aortic aneurysm repair Proportional hazards model business.industry Endovascular Procedures Vascular surgery medicine.disease United States Abdominal aortic aneurysm Surgery Treatment Outcome Elective Surgical Procedures Cohort Etiology Female business Medicaid Aortic Aneurysm Abdominal |
| Zdroj: | J Surg Res |
| ISSN: | 0022-4804 |
| DOI: | 10.1016/j.jss.2021.07.010 |
| Popis: | BACKGROUND: There are substantial racial and socioeconomic disparities underlying endovascular abdominal aortic aneurysm repair (EVAR) in the United States. To date, race-based variations in reinterventions following elective EVAR have not been studied. Here, we aim to examine racial disparities associated with reinterventions following elective EVAR in a real-world cohort. MATERIALS AND METHODS: We used the Vascular Quality Initiative (VQI) EVAR dataset to identify all patients undergoing elective EVAR between January 2009 and December 2018 in the United States. We compared the association of race with reinterventions after EVAR and all-cause mortality using Welch two-sample t-tests, multivariate logistic regression, and Cox proportional hazards analyses adjusting for baseline differences between groups. RESULTS: At median follow-up of 1.1±1.1 years (1.3±1.4 years Black, 1.1±1.1 years White; P=0.02), a total of 1,164 of 42,481 patients (2.7%) underwent reintervention after elective EVAR, including 2.7% (n = 1,096) White vs. 3.2% (n = 68) Black (P = 0.21). Black patients requiring reintervention were more frequently female, more frequently current or former smokers, and less frequently insured by Medicare/Medicaid (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect