Disparities in vascular surgery: Is it biology or environment?
Disparities in vascular surgery: Is it biology or environment?
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DOI：
10.1016/j.jvs.2010.02.003
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发表时间：
2010-04-01
影响因子：
4.3
通讯作者：
Henry, Antonia J.
中科院分区：
文献类型：
--
作者：
Nguyen, Louis L.;Henry, Antonia J.
几个种族、民族和性别群体在医疗保健方面的差异都有很好的记录。在外周动脉疾病方面，患病率、治疗选择、治疗结果和由此产生的生活质量的差异对一些少数群体和妇女产生了负面影响。记录差异可能很容易，但理解其根本原因则更难。种族和民族成员之间是否存在影响疾病表现和结果的生物差异？或者，他们周围的社会经济环境是观察到的差异的真正驱动因素？本文回顾了血管外科中种族和性别差异的证据，并提出了一些可能解释差异的机制。(《美国外科杂志》2010；51：36-41)
Disparities in health care are well documented for several racial, ethnic, and gender groups. In peripheral arterial disease, differences in prevalence, treatment selection, treatment outcomes, and resulting quality of life have negative effects on some minority groups and women. It may be easy to document disparities, but it is harder to understand their underlying causes. Are there biologic differences between members of racial and ethnic groups that influence disease presentation and outcomes? Or is the socioeconomic environment that surrounds them the true driver of observed differences? This article reviews the evidence for racial and gender disparities in vascular surgery and presents some potential mechanisms that may explain the disparities. (J Vasc Surg 2010;51:36S-41S.)