Abstract:
OBJECTIVES:This study sought to characterize temporal trends, patient-specific factors, and geographic variation associated with amputation in patients with lower-extremity peripheral artery disease (LE PAD) during the study period. BACKGROUND:Amputation represents the end-stage failure for those with LE PAD, and little is known about the rates and geographic variation in the use of LE amputation. METHODS:By using data from the Centers for Medicare & Medicaid Services (CMS) from January 1, 2000, to December 31, 2008, we examined national patterns of LE amputation among patients age 65 years or more with PAD. Multivariable logistic regression was used to adjust regional results for other patient demographic and clinical factors. RESULTS:Among 2,730,742 older patients with identified PAD, the overall rate of LE amputation decreased from 7,258 per 100,000 patients with PAD to 5,790 per 100,000 (p < 0.001 for trend). Male sex, black race, diabetes mellitus, and renal disease were all independent predictors of LE amputation. The adjusted odds ratio of LE amputation per year between 2000 and 2008 was 0.95 (95% CI: 0.95-0.95, p < 0.001). CONCLUSIONS:From 2000 to 2008, LE amputation rates decreased significantly among patients with PAD. However, there remains significant patient and geographic variation in amputation rates across the United States.
journal_name
J Am Coll Cardioljournal_title
Journal of the American College of Cardiologyauthors
Jones WS,Patel MR,Dai D,Subherwal S,Stafford J,Calhoun S,Peterson EDdoi
10.1016/j.jacc.2012.08.983subject
Has Abstractpub_date
2012-11-20 00:00:00pages
2230-6issue
21eissn
0735-1097issn
1558-3597pii
S0735-1097(12)04365-3journal_volume
60pub_type
杂志文章,多中心研究abstract:OBJECTIVES:We sought to study the safety, feasibility and efficacy of selective suction and pressure-regulated retroinfusion to protect against myocardial ischemia in patients undergoing normal risk and high risk balloon angioplasty. BACKGROUND:In a pig model of acute myocardial ischemia it was previously shown that u...
journal_title:Journal of the American College of Cardiology
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更新日期:1998-06-01 00:00:00
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journal_title:Journal of the American College of Cardiology
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doi:10.1016/0735-1097(94)00465-3
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journal_title:Journal of the American College of Cardiology
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更新日期:1997-06-01 00:00:00
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更新日期:2007-04-03 00:00:00
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更新日期:1995-07-01 00:00:00
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更新日期:2003-07-02 00:00:00
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更新日期:2016-03-15 00:00:00
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更新日期:2009-09-29 00:00:00
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更新日期:2012-12-25 00:00:00
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更新日期:2016-04-05 00:00:00
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更新日期:2012-01-24 00:00:00
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更新日期:2018-01-16 00:00:00
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更新日期:2006-10-03 00:00:00
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更新日期:2012-06-19 00:00:00
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更新日期:2018-09-11 00:00:00
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更新日期:2012-01-03 00:00:00
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journal_title:Journal of the American College of Cardiology
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更新日期:1996-03-15 00:00:00
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更新日期:1984-12-01 00:00:00
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更新日期:2002-02-20 00:00:00