Evidence map›Paper›PMID 38452897›Full record

ArticleJournal of vascular surgery. Venous and lymphatic disorders2024

Disparities in access to endovenous treatment options in chronic lower extremity superficial venous insufficiency: A national 7-year analysis.

Shin Mei Chan, Azadeh Tabari, Emma Rudié, Brian D'Amore, Meredith Cox, Ayah Mugahid, Shams Iqbal, Dania Daye

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of vascular surgery. Venous and lymphatic disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 95% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 0 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Shin Mei ChanUCSF Department of Radiology & Biomedical Imaging, University of California, San Francisco, CA.
Azadeh TabariDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address: atabari@mgh.harvard.edu.
Emma RudiéDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Brian D'AmoreDrexel University College of Medicine, Philadelphia, PA.
Meredith CoxDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA; Duke University School of Medicine, Durham, NC.
Ayah MugahidUCSF Department of Radiology & Biomedical Imaging, University of California, San Francisco, CA.
Shams IqbalDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Dania DayeDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Harvard University · USUniversity of California, San Francisco · USDrexel University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe goal of this study was to analyze trends in treatment access for chronic superficial venous disease and to identify disparities in care.

methodsThis retrospective study was exempt from institutional review board approval. The American College of Surgeon National Surgical Quality Improvement Program database was used to identify patients who underwent vein stripping (VS) and endovenous procedures for treatment of chronic superficial venous disease. Endovenous options included radiofrequency ablation (RFA) and laser ablation. Data was available from 2011 to 2018 and demographic information was extracted for each patient identified by Current Procedural Terminology codes. For all racial and ethnic groups, trend lines were plotted, and the relative rate of change was determined within each specified demographic.

resultsThere were 21,025 patients included in the analysis. The overall mean age was 54.2 years, and the majority of patients were female (64.8%). In total, 27.9%, 55.2%, and 16.9% patients underwent VS, RFA, and laser ablation, respectively. Patients who received laser ablation were older (P < .001). Hispanic ethnicity was associated with significantly lower odds of receiving endovascular thermal ablation (EVTA) over VS (odds ratio [OR], 0.71; 95% confidence interval [CI], 0.64-0.78; P < .001). American Indian/Alaska Native patients were more likely to receive EVTA over VS (OR, 4.02; 95% CI, 2.48-6.86); similarly, Native Hawaiian/Pacific Islander patients were more likely to receive EVTA over VS, although this difference was not statistically significant (OR, 1.44; 95% CI, 0.93-2.27). On multinomial regression, Hispanic patients were less likely to receive RFA over VS, whereas American Indian/Alaskan Native patients were more likely to receive RFA over VS. In all racial and ethnic groups, the percentage of endovenous procedures increased, whereas vein stripping decreased.

conclusionsBased on a hospital-based dataset, demographic indicators, including age, sex, race, and ethnicity, are associated with differences in endovenous treatments for chronic superficial venous insufficiency suggesting disparities in obtaining minimally invasive treatment options among certain patient groups.

Indexed as

Databases, FactualEndovascular ProceduresHealthcare DisparitiesLaser TherapyLower ExtremityVenous InsufficiencyAdultAgedChronic DiseaseFemaleHealth Services AccessibilityHumansMaleMiddle AgedRace FactorsRetrospective StudiesAgeChronic venous diseaseEndovascular thermal ablationEthnicityRaceRadiofrequency ablationSuperficial venous diseaseVenous stripping

Identifiers

PMID38452897
PMCPMC11523438
OpenAlexW4392452926

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.