Effective mitigation of health and healthcare disparities first requires acknowledging
the significant inequities resulting from racial inequalities and discrimination.
Historically, many studies attempted to explain disproportionately poor vascular disease
outcomes in Black/African American and Hispanic/Latinx patient populations with the
assumption of biological racial variations.
1
However, social determinants of health (SDOH), particularly socioeconomic factors
and environmental factors, drive disparities in vascular care.
- Nguyen L.
- Henry A.
Disparities in vascular surgery: is it biology or environment?.
1
Systemic and institutional racism affects historically excluded and underrepresented
groups in medicine (HEURGM) in clinical and research settings.
- Nguyen L.
- Henry A.
Disparities in vascular surgery: is it biology or environment?.
2
Often, HEURGM investigators and clinicians experience discrimination during their
training and career, regardless of socioeconomic status.
2
HEURGM patient populations may be distrustful or hesitant to volunteer/participate
in clinical trials for multiple complex reasons, such as a history of discrimination
that leads to poor physical and mental health.
3
Additionally, HEURGM patients may perceive the position and obstacles with which
their caregivers must contend and can be hesitant to put themselves in an unjust institution.
Therefore, high-quality vascular surgery research and treatment interventions must
be focused on diversity, equity, and inclusion of HEURGM investigators, clinicians,
and patients/participants to improve overall patient outcomes.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Disparities in vascular surgery: is it biology or environment?.J Vasc Surg. 2010; 51 (Supplement): S36-S41https://doi.org/10.1016/j.jvs.2010.02.003
- Recognizing and addressing the disparities in research funding for underrepresented minorities and women.Ann Surg. 2020; 272 (July): 30-31https://doi.org/10.1097/SLA.0000000000003933
- Health disparities in New York city.New York City Department of Health and Mental Hygiene, New York2004
- Race and socioeconomic status independently affect risk of major amputation in peripheral artery disease.J Am Heart Assoc. 2018; 7 (2018 Jan 12)e007425https://doi.org/10.1161/JAHA.117.007425
- Racial disparities in outcomes of endovascular procedures for peripheral arterial disease: an evaluation of California hospitals, 2005-2009.Ann Vasc Surg. 2015; 29: 950-959https://doi.org/10.1016/j.avsg.2015.01.006
- Disparities in the treatment and outcomes of vascular disease in Hispanic patients.J Vasc Surg. 2007; 46: 971-978https://doi.org/10.1016/j.jvs.2007.07.021
- Variation in amputation risk for Black patients: uncovering potential sources of bias and opportunities for intervention.J Am Coll Surg. 2018; 226: 641-649https://doi.org/10.1016/j.jamcollsurg.2017.12.038
- A plan to transform the empire state's medicaid program better care, better health, lower costs.(Accessed 7/24/2021 at)
- New York state.(Accessed 7/25/21 at)
- Identifying New York city neighborhoods at risk of being overlooked for interventions.Prev Chronic Dis. 2020; 17: 190325https://doi.org/10.5888/pcd17.190325
- Enhanced recovery after surgery (ERAS) eliminates racial disparities in postoperative length of stay after colorectal surgery.Ann Surg. 2018; 268: 1026-1035https://doi.org/10.1097/SLA.0000000000002307
Article info
Publication history
Published online: October 18, 2021
Accepted:
October 11,
2021
Received in revised form:
September 9,
2021
Received:
September 7,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
