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Disparities in Amputations in Minorities

Disparities in Amputations in Minorities,10.1007/s11999-011-1842-x,Clinical Orthopaedics and Related Research,Kristin M. Lefebvre,Lawrence A. Lavery

Disparities in Amputations in Minorities   (Citations: 1)
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Background  As a result of the impact of health disparities on the healthcare system such as their influence on arenas significant to healthcare distribution, including cost, quality, and access, identification and resolution of health disparities is a primary national agenda item. Resolution of disparities in amputation is an area of opportunity that warrants further consideration. Questions/purposes  The purposes of our review are to highlight current data on disparities in amputation in minorities and to consider future goals related to an elimination of this disparity. Methods  Studies on disparities in amputation were accessed using the following databases: PubMed, Cinahl, OVID/Medline, Embase, and Cochrane databases. In each database, a search of title/abstract was performed for the search terms “disparities and amputation,” “race and amputation,” and “diabetes and amputation.” Each search was limited by human and English language. Where are we now? A disparity exists in both frequency and level of amputation in minorities both in the presence and absence of a diagnosis of diabetes. Where do we need to go? A need exists for future research involving a more deliberate examination of the use of preventive screening for patients at high risk for amputation across medical settings. How do we get there? Research in this area would benefit from funding, large-scale data collection, and physician exposure to education on high-risk patients and preventive screening opportunities.
Journal: Clinical Orthopaedics and Related Research - CLIN ORTHOP RELATED RES , vol. 469, no. 7, pp. 1941-1950, 2011
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    • ...Our symposium included many important highlights of disparities such as lower functional outcomes in women undergoing TKA as compared to men [6] and higher rates of amputation for dysvascular limbs in African Americans as compared to white Americans [3]...
    • ...The Sullivan Commission [8] concluded the diversity of the nation’s healthcare professions ‘‘have not kept pace with changing demographics [and] may be an even greater cause of disparities in health access and outcomes than the persistent lack of health insurance for tens of millions of Americans.’’ Racial concordance between providers and patients enhances effective communication and improves patient satisfaction [9]...

    Mary I. O’Connoret al. AAOS/ORS/ABJS Musculoskeletal Healthcare Disparities Research Symposiu...

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