Disparities in vascular surgery: is it biology or environment?

J Vasc Surg. 2010 Apr;51(4 Suppl):36S-41S. doi: 10.1016/j.jvs.2010.02.003.


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.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Ethnicity*
  • Female
  • Health Services Research
  • Healthcare Disparities*
  • Humans
  • Male
  • Outcome and Process Assessment, Health Care*
  • Patient Selection
  • Peripheral Vascular Diseases / diagnosis
  • Peripheral Vascular Diseases / ethnology
  • Peripheral Vascular Diseases / surgery*
  • Prevalence
  • Racial Groups*
  • Risk Assessment
  • Risk Factors
  • Sex Factors
  • Socioeconomic Factors
  • Treatment Outcome
  • Vascular Surgical Procedures* / adverse effects