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Outcome of Femoral-popliteal Bypass Procedures in Different Ethnic Groups in England: A Retrospective Analysis of Hospital Episode Statistics.
- Source :
-
Annals of vascular surgery [Ann Vasc Surg] 2021 Oct; Vol. 76, pp. 351-356. Date of Electronic Publication: 2021 May 02. - Publication Year :
- 2021
-
Abstract
- Background: Previous studies, mainly from the United States, have reported worse outcomes from lower limb bypass procedures in ethnic minority populations. Limited nationwide data are available from ethnic minority populations from Europe. The aim of this study is to investigate outcomes from lower limb bypass procedures in ethnic minorities from England.<br />Methods: We enquired the "Hospital Episode Statistics" database, using ICD-10 codes to identify all cases of femoral-popliteal bypass operations from English NHS Hospitals from 01/01/2006 to 31/12/2015. Every case was followed up for 2 years for subsequent events. The primary outcomes were mortality and major leg amputation. Patients were broadly categorised according to Black, Asian and White ethnicity. Chi-square test was used to the ethnic groups and odds ratios (OR) were calculated using White ethnic group with the largest numbers of participants as a reference category.<br />Results: In the examined 10-year period, 20825 femoral-popliteal bypass procedures (250 of Black, 167 of Asian, and 20.408 of White ethnicity) were recorded. Thirty-day and 2-year mortality were 2.8% and 16.8% with no significant ethnic differences. Patients of Black ethnicity had higher risk of limb loss compared to Whites (23.2% vs. 15.6%, OR = 1.63, 95% confidence interval (CI) 1.21-2.19, P < 0.01). There was no significant difference in amputation rates between Asians and Whites (16.2% vs.. 15.6%, P = 0.94).<br />Conclusions: Patients of Black ethnicity are at higher risk of limb loss after a femoropopliteal bypass procedure. Further research is needed to identify the causes of this discrepancy.<br /> (Copyright © 2021. Published by Elsevier Inc.)
- Subjects :
- Aged
Aged, 80 and over
Amputation, Surgical statistics & numerical data
Asian People statistics & numerical data
Black People statistics & numerical data
England epidemiology
Female
Humans
Limb Salvage statistics & numerical data
Male
Middle Aged
Peripheral Arterial Disease mortality
Race Factors
Retrospective Studies
Risk Assessment
Risk Factors
State Medicine statistics & numerical data
Time Factors
Treatment Outcome
Vascular Grafting adverse effects
Vascular Grafting mortality
White People statistics & numerical data
Ethnic and Racial Minorities statistics & numerical data
Health Status Disparities
Hospitals statistics & numerical data
Lower Extremity blood supply
Peripheral Arterial Disease ethnology
Peripheral Arterial Disease surgery
Vascular Grafting statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1615-5947
- Volume :
- 76
- Database :
- MEDLINE
- Journal :
- Annals of vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 33951529
- Full Text :
- https://doi.org/10.1016/j.avsg.2021.04.018