Revascularization for peripheral vascular disease in Aboriginal and non-Aboriginal patients

Journal of Vascular Surgery
Stephen GouletJohn M Embil

Abstract

Canadian Aboriginal subjects have a higher prevalence of diabetes, renal disease, and lower extremity amputation than non-Aboriginal subjects. However, limited information is available about patient outcomes for arterial bypass surgery in Canadian Aboriginal compared with non-Aboriginal subjects. A retrospective study of all patients undergoing revascularization for peripheral vascular disease at a tertiary care referral center was performed. A total of 828 procedures were performed on 678 patients between 1995 and 2002: 108 (13%) procedures on 84 (12%) Aboriginal patients and 720 (87%) procedures on 594 (88%) non-Aboriginal patients. Aboriginal patients had a higher prevalence of diabetes, chronic renal failure, and end-stage renal disease than non-Aboriginal patients. Aboriginal patients presented with more serious complications (gangrene [Aboriginal, 63 [58%] of 108 patients; non-Aboriginal, 112 [16%] of 720 patients; P < .0001] and nonhealing ulcer [Aboriginal, 29 [27%] of 108 patients; non-Aboriginal, 131 [18%] of 720 patients; P < .05]) and required urgent or emergency revascularization (Aboriginal, 47 [49%] of 95 patients; non-Aboriginal, 228 [36%] of 634 patients; P < .02) more frequently than non-Aboriginal patients. T...Continue Reading

References

Aug 1, 1988·American Journal of Surgery·D M ShahR P Leather
Jan 1, 1993·Diabetes Care·R G NelsonP H Bennett
Jul 1, 1998·Journal of Diabetes and Its Complications·V GahtanM D Kerstein
Dec 9, 1998·Journal of Vascular Surgery·S A LeersM Caron
Jun 30, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D N ReddanD M Landwehr
Sep 21, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M AlbersM da Silva Júnior
Mar 27, 2002·International Journal of Epidemiology·Anselm HennisUNKNOWN Barbados Eye Study Group
May 22, 2002·JAMA : the Journal of the American Medical Association·Andrew J KarterJoe V Selby
Jun 21, 2002·Vascular and Endovascular Surgery·Boulos ToursarkissianMellick T Sykes
Jul 23, 2002·JAMA : the Journal of the American Medical Association·Dean SchillingerAndrew B Bindman
Jun 26, 2003·Archives of Internal Medicine·Tracie C CollinsCarol M Ashton
Sep 16, 2004·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Marcello TonelliJohn S Gill
May 12, 2005·Journal of Vascular Surgery·Joe FeinglassWilliam H Pearce

❮ Previous
Next ❯

Citations

May 17, 2011·Vascular and Endovascular Surgery·Alok TiwariHisham Rashid
May 18, 2018·BMC Cardiovascular Disorders·Tejas P SinghJonathan Golledge

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Canadian Family Physician Médecin De Famille Canadien
S B HarrisL McMurray
CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Susan M SamuelPediatric Renal Outcomes Canada Group
Clinical and Investigative Medicine. Médecine Clinique Et Experimentale
R F Dyck, L Tan
© 2022 Meta ULC. All rights reserved