1. Dual-eligible, dual-risk? A brief review on the impact of dual-eligible status on health disparities and peripheral artery disease.
- Author
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Dockery DM, Nwaiwu CA, Liu Y, Green A, Licht AH, Ewala S, Leal D, and Moreira CC
- Subjects
- Aged, Humans, United States epidemiology, Medicaid, Risk Assessment, Comorbidity, Medicare, Peripheral Arterial Disease diagnosis, Peripheral Arterial Disease epidemiology, Peripheral Arterial Disease therapy
- Abstract
Peripheral artery disease (PAD) has been associated with poorer outcomes based on particular social determinants of health, including insurance status. A unique population to study treatment outcomes related to PAD is those with dual-eligible status-those who qualify for both Medicare and Medicaid-comprising more than 12 million people. We performed a systematic review of the literature surrounding dual-eligible patients and impact on PAD, with final inclusion of six articles. Dual eligibility has been associated with higher rates of comorbidities; more severe symptoms at initial presentation for PAD; and poorer treatment outcomes, including mortality. Further studies are needed to specifically look at the association between PAD and dual-eligible status, but what is clear is that patients in this population would benefit from early identification to prevent disease progression and improve equity., (Copyright © 2023 Elsevier Inc. All rights reserved.)
- Published
- 2023
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