Evidence map›Paper›PMID 39946083›Full record

ArticleJournal of racial and ethnic health disparities2026

Diabetes-Related Lower Limb Amputations in the Rio Grande Valley of Texas: A Focused Look at a Historical Health Disparity.

Ashley Collazo, Naohiro Shibuya, John Prochaska, Daniel C Jupiter

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Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ashley CollazoSchool of Public and Population Health, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Naohiro ShibuyaSchool of Podiatric Medicine, The University of Texas Rio Grande Valley, 1214 W. Schooner St. 2.108, Edinburg, TX, 78541, USA.
John ProchaskaDepartment of Population Health and Health Disparities, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555-1148, USA.
Daniel C JupiterDepartment of Biostatistics and Data Science, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555-1148, USA. dajupite@utmb.edu.ORCID 0000-0002-3235-0473

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are established regional and racial/ethnic disparities in lower limb amputation due to diabetes; risk is higher in people of African American and Hispanic origin, particularly those in South Texas. The studies exposing these disparities in the Lower Rio Grande Valley are not current and are limited in number.

methodsWe collected data from 2011 to 2016 from the United States Census Bureau, Texas Department of State Health Services (DSHS), and Robert Wood Johnson Foundation (RWJF) databases. Demographic information related to gender, race, and Hispanic ethnicity was extracted from the Census Bureau, counts of minor and major amputations from DSHS, and socioeconomic data such as percent of unemployed, uninsured, and college education attainment from RWJF. Using multivariate Poisson regression, current rates of lower limb amputation secondary to diabetes in the Rio Grande Valley were analyzed, and the role of Hispanic ethnicity in county-level amputation rates was explored.

resultsThe Valley population living with diabetes had a significantly increased risk (1.334; CI 1.291, 1.378) of diabetes-related lower limb amputation compared to the rest of Texas when adjusting for the year. Similarly, Hispanic ethnicity was associated with an increased risk of amputation by a factor of 2.172 (CI 2.097, 2.248) compared to non-Hispanic ethnicity. However, when adjusting for Hispanic ethnicity, residing in the Valley is a protective factor for amputation, decreasing risk by a factor of 0.827 (CI 0.795, 0.86) compared to the rest of Texas.

conclusionWhile Hispanic ethnicity is associated with an increased individual risk of diabetes-related lower limb amputation in the Rio Grande Valley, residence in the Valley is simultaneously a protective factor from amputation.

Indexed as

Amputation, SurgicalHealthcare DisparitiesHealth Status DisparitiesLower ExtremityAdultAgedBlack or African AmericanFemaleHispanic or LatinoHumansMaleMiddle AgedTexasWhiteAmputationDiabetes complicationsDiabetes mellitusHealth disparate minority and vulnerable populationsHispanic originLower extremity

Identifiers

PMID39946083

What Socratic holds

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Registered trials

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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.