Disparities in Peripheral Vascular Care: An Ongoing Dilemma-Racial and Ethnic Disparities in PAD: Mind the Gap

Video Transcription

Video Summary

In this video, Alex Fanner, an assistant professor of medicine at the University of Pennsylvania, discusses racial and ethnic disparities in peripheral artery disease (PAD) and focuses on disparities in revascularization for patients with critical limb ischemia (CLI). The studies show that black and Hispanic patients are more likely to undergo primary amputation without attempts at revascularization. The video also highlights the correlation between areas with higher rates of amputation and poorer communities, black populations, and rural environments. Fanner suggests that these disparities are potentially due to racism and structural factors such as residential racial segregation and lack of access to healthcare, jobs, education, and healthy behaviors. Solutions proposed include addressing unconscious bias and cultural racism, as well as investing in systems that bring early and equitable care to marginalized communities.

Asset Subtitle

Alexander Fanaroff, MD

Keywords

racial disparities

ethnic disparities

peripheral artery disease

critical limb ischemia

revascularization