Aortic & peripheral vascular disease
Temporal and Geographic Trends in the Treatment of Peripheral Arterial Disease Stratified by Race Among Medicare Beneficiaries
Authors' conclusion
These findings suggest that higher proportions of Black patients than White patients undergo invasive procedures for PAD, with considerable variation across states.
Study context
- Population
- Medicare fee-for-service beneficiaries with peripheral arterial disease (PAD), 2018–2022
- Participants
- 2,376,300 beneficiaries
- Exposure
- Black vs White patients
- Blackn = 219,338
- Whiten = 2,156,962reference
- Outcome
- Proportions undergoing revascularization and major amputation, over time and by state (adjusted for age, sex, hypertension, DM, tobacco use, CKD, county-level SVI)
Main finding
As reported in the abstract
Black
- Revascularization
- 8.9%
- Major amputation
- 2.8%
White
- Revascularization
- 7.6%
- Major amputation
- 1.0%
Revascularization
Black8.9%
White7.6%
Major amputation
Black2.8%
White1.0%
Black vs WhiteOdds ratio (95% CI)P value
Revascularization
1.19(1.18–1.21)
P < 0.001Major amputation
2.91(2.83–2.99)
P < 0.001Observational data: associations, not effects.
Further findings
Revascularization over time
- Black: decreased
- from 8.0% to 7.4%
- White: decreased
- from 6.8% to 6.2%
Major amputation over time
- Black: decreased
- from 2.9% to 2.5%; P < .001
- White: no change
- from 0.7% to 0.7%; P = .53
By state
- Higher proportions of Black patients underwent revascularization and major amputation in the majority of states, with marked variation across states
Correlation with Social Vulnerability Index (SVI)
- Revascularization (weak)
- ρ = 0.10
- Amputation (moderate)
- ρ = 0.46
Original publication
Temporal and Geographic Trends in the Treatment of Peripheral Arterial Disease Stratified by Race Among Medicare Beneficiaries. JAMA Cardiol. Published 1 August 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →