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Health Disparities in Peripheral Artery Disease: A Scientific Statement From the American Heart Association

Matthew Allison, David G. Armstrong, Philip P. Goodney, Naomi M. Hamburg, Lee Kirksey, Kristie J. Lancaster, Carlos Mena‐Hurtado, Sanjay Misra, Diane Treat‐Jacobson, Khendi White Solaru

2023Circulation156 citationsDOIOpen Access PDF

Abstract

Peripheral artery disease (PAD) affects 200 million individuals worldwide. In the United States, certain demographic groups experience a disproportionately higher prevalence and clinical effect of PAD. The social and clinical effect of PAD includes higher rates of individual disability, depression, minor and major limb amputation along with cardiovascular and cerebrovascular events. The reasons behind the inequitable burden of PAD and inequitable delivery of care are both multifactorial and complex in nature, including systemic and structural inequity that exists within our society. Herein, we present an overview statement of the myriad variables that contribute to PAD disparities and conclude with a summary of potential novel solutions.

Topics & Concepts

MedicineDiseaseArterial diseaseAssociation (psychology)AmputationDepression (economics)Heart diseaseGerontologyVascular diseaseCardiologyInternal medicinePsychiatryMacroeconomicsPhilosophyEconomicsEpistemologyPeripheral Artery Disease ManagementDiagnosis and Treatment of Venous DiseasesCoronary Interventions and Diagnostics