Matches in SemOpenAlex for { <https://semopenalex.org/work/W3195787001> ?p ?o ?g. }
- W3195787001 abstract "Background Rates of major lower extremity amputation in patients with peripheral artery disease are higher in rural communities with markers of low socioeconomic status, but most Americans live in metropolitan areas. Whether amputation rates vary within US metropolitan areas is unclear, as are characteristics of high amputation rate urban communities. Methods and Results We estimated rates of major lower extremity amputation per 100 000 Medicare beneficiaries between 2010 and 2018 at the ZIP code level among ZIP codes with ≥100 beneficiaries. We described demographic characteristics of high and low amputation ZIP codes, and the association between major amputation rate and 3 ZIP code-level markers of socioeconomic status-the proportion of patients with dual eligibility for Medicaid, median household income, and Distressed Communities Index score-for metropolitan, micropolitan, and rural ZIP code cohorts. Between 2010 and 2018, 188 995 Medicare fee-for-service patients living in 31 391 ZIP codes with ≥100 beneficiaries had a major lower extremity amputation. The median (interquartile range) ZIP code-level number of amputations per 100 000 beneficiaries was 262 (75-469). Though nonmetropolitan ZIP codes had higher rates of major amputation than metropolitan areas, 78.2% of patients undergoing major amputation lived in metropolitan areas. Compared with ZIP codes with lower amputation rates, top quartile amputation rate ZIP codes had a greater proportion of Black residents (4.4% versus 17.5%, P<0.001). In metropolitan areas, after adjusting for clinical comorbidities and demographics, every $10 000 lower median household income was associated with a 4.4% (95% CI, 3.9-4.8) higher amputation rate, and a 10-point higher Distressed Communities Index score was associated with a 3.8% (95% CI, 3.4%-4.2%) higher amputation rate; there was no association between the proportion of patients eligible for Medicaid and amputation rate. These findings were comparable to the associations identified across all ZIP codes. Conclusions In metropolitan areas, where most individuals undergoing lower extremity amputation live, markers of lower socioeconomic status and Black race were associated with higher rates of major lower extremity amputation. Development of community-based tools for peripheral artery disease diagnosis and management targeted to communities with high amputation rates in urban areas may help reduce inequities in peripheral artery disease outcomes." @default.
- W3195787001 created "2021-08-30" @default.
- W3195787001 creator A5000203028 @default.
- W3195787001 creator A5006941068 @default.
- W3195787001 creator A5018177681 @default.
- W3195787001 creator A5019226827 @default.
- W3195787001 creator A5033473865 @default.
- W3195787001 creator A5043374949 @default.
- W3195787001 creator A5069400507 @default.
- W3195787001 creator A5079070292 @default.
- W3195787001 creator A5082890040 @default.
- W3195787001 creator A5084233879 @default.
- W3195787001 creator A5085985235 @default.
- W3195787001 creator A5089790512 @default.
- W3195787001 date "2021-09-07" @default.
- W3195787001 modified "2023-10-18" @default.
- W3195787001 title "Geographic and Socioeconomic Disparities in Major Lower Extremity Amputation Rates in Metropolitan Areas" @default.
- W3195787001 cites W1834701545 @default.
- W3195787001 cites W1965476814 @default.
- W3195787001 cites W1983886502 @default.
- W3195787001 cites W2008752340 @default.
- W3195787001 cites W2023043227 @default.
- W3195787001 cites W2065401619 @default.
- W3195787001 cites W2082336558 @default.
- W3195787001 cites W2090405682 @default.
- W3195787001 cites W2100049802 @default.
- W3195787001 cites W2103676908 @default.
- W3195787001 cites W2106229632 @default.
- W3195787001 cites W2106315724 @default.
- W3195787001 cites W2108525796 @default.
- W3195787001 cites W2133537013 @default.
- W3195787001 cites W2139176490 @default.
- W3195787001 cites W2169041305 @default.
- W3195787001 cites W2484288932 @default.
- W3195787001 cites W2566053674 @default.
- W3195787001 cites W2611241853 @default.
- W3195787001 cites W2754151018 @default.
- W3195787001 cites W2888703671 @default.
- W3195787001 cites W2907260560 @default.
- W3195787001 cites W2950592056 @default.
- W3195787001 cites W2955531754 @default.
- W3195787001 cites W3000565156 @default.
- W3195787001 cites W3001588399 @default.
- W3195787001 cites W3032286955 @default.
- W3195787001 cites W3090248451 @default.
- W3195787001 cites W3092695915 @default.
- W3195787001 cites W3102378350 @default.
- W3195787001 doi "https://doi.org/10.1161/jaha.121.021456" @default.
- W3195787001 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34431320" @default.
- W3195787001 hasPublicationYear "2021" @default.
- W3195787001 type Work @default.
- W3195787001 sameAs 3195787001 @default.
- W3195787001 citedByCount "34" @default.
- W3195787001 countsByYear W31957870012021 @default.
- W3195787001 countsByYear W31957870012022 @default.
- W3195787001 countsByYear W31957870012023 @default.
- W3195787001 crossrefType "journal-article" @default.
- W3195787001 hasAuthorship W3195787001A5000203028 @default.
- W3195787001 hasAuthorship W3195787001A5006941068 @default.
- W3195787001 hasAuthorship W3195787001A5018177681 @default.
- W3195787001 hasAuthorship W3195787001A5019226827 @default.
- W3195787001 hasAuthorship W3195787001A5033473865 @default.
- W3195787001 hasAuthorship W3195787001A5043374949 @default.
- W3195787001 hasAuthorship W3195787001A5069400507 @default.
- W3195787001 hasAuthorship W3195787001A5079070292 @default.
- W3195787001 hasAuthorship W3195787001A5082890040 @default.
- W3195787001 hasAuthorship W3195787001A5084233879 @default.
- W3195787001 hasAuthorship W3195787001A5085985235 @default.
- W3195787001 hasAuthorship W3195787001A5089790512 @default.
- W3195787001 hasBestOaLocation W31957870011 @default.
- W3195787001 hasConcept C119060515 @default.
- W3195787001 hasConcept C126322002 @default.
- W3195787001 hasConcept C141071460 @default.
- W3195787001 hasConcept C142724271 @default.
- W3195787001 hasConcept C144024400 @default.
- W3195787001 hasConcept C147077947 @default.
- W3195787001 hasConcept C149923435 @default.
- W3195787001 hasConcept C158739034 @default.
- W3195787001 hasConcept C160735492 @default.
- W3195787001 hasConcept C162324750 @default.
- W3195787001 hasConcept C205649164 @default.
- W3195787001 hasConcept C2776204877 @default.
- W3195787001 hasConcept C2776534028 @default.
- W3195787001 hasConcept C2908647359 @default.
- W3195787001 hasConcept C3018590553 @default.
- W3195787001 hasConcept C44249647 @default.
- W3195787001 hasConcept C50522688 @default.
- W3195787001 hasConcept C58640448 @default.
- W3195787001 hasConcept C68443243 @default.
- W3195787001 hasConcept C71924100 @default.
- W3195787001 hasConcept C74909509 @default.
- W3195787001 hasConcept C99454951 @default.
- W3195787001 hasConceptScore W3195787001C119060515 @default.
- W3195787001 hasConceptScore W3195787001C126322002 @default.
- W3195787001 hasConceptScore W3195787001C141071460 @default.
- W3195787001 hasConceptScore W3195787001C142724271 @default.
- W3195787001 hasConceptScore W3195787001C144024400 @default.
- W3195787001 hasConceptScore W3195787001C147077947 @default.
- W3195787001 hasConceptScore W3195787001C149923435 @default.
- W3195787001 hasConceptScore W3195787001C158739034 @default.