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Notable Racial and Ethnic Disparities Persist in Lower Extremity Amputations for Critical Limb Ischemia and Infection.

J Am Acad Orthop Surg

November 2020

From the Medical University of South Carolina, Charleston, SC (Dr. Traven, Dr. Walton, Dr. Leddy, and Gross), the Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA (Dr. Synovec), and the McGaw Medical Center of Northwestern University, Chicago, IL (Dr. Suleiman).

Introduction: The purpose of this study is to investigate the current disparities for major lower extremity amputation in patients with critical limb ischemia (CLI) and infection.

Methods: A retrospective analysis of the National Surgical Quality Improvement Program's database for the years 2011 to 2017 was conducted. Multivariate models were used to isolate the effect of race and ethnicity on the likelihood of a below-knee or above-knee amputation (BKA and AKA, respectively) for CLI secondary to type 2 diabetes mellitus, atherosclerosis, peripheral vascular disease, chronic osteomyelitis, and deep soft-tissue infections.

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