Race and socioeconomic differences associated with endovascular peripheral vascular interventions for newly diagnosed claudication.

ABSTRACT:

Background

Despite guidelines cautioning against the use of endovascular peripheral vascular interventions (PVI) for claudication, more than 1.3 million PVI procedures are performed annually in the United States. We aimed to describe national rates of PVI for claudication, and identify patient and county-level risk factors associated with a high rate of PVI.

Methods

We used the Medicare claims database to identify all Medicare beneficiaries with a new diagnosis of claudication between January 2015 and June 2017. A hierarchical logistic regression model accounting for patient age, sex, comorbidities; county region and setting; and a patient race-county median income interaction was used to assess the associations of race and income with a high PVI rate.

Results

We iden

SUBMITTER: Hicks CW 

PROVIDER: S-EPMC7731457 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature