- Title
- Association of peripheral artery disease and chronic limb-threatening ischemia with socioeconomic deprivation in people with diabetes: a population data-linkage and geospatial analysis
- Creator
- Hurst, Joanne E.; Tehan, Peta Ellen; Hussey, Keith; Woodburn, James
- Relation
- Vascular Medicine Vol. 26, Issue 2, p. 147-154
- Publisher Link
- http://dx.doi.org/10.1177/1358863X20981132
- Publisher
- Sage
- Resource Type
- journal article
- Date
- 2021
- Description
- The association between the prevalence and geographical distribution of peripheral artery disease (PAD) and chronic limb-threatening ischemia (CLTI) in patients with diabetes in the context of socioeconomic deprivation is not well understood. We undertook a retrospective cohort study of 76,307 people with diabetes admitted as a hospital inpatient in a large Scottish health administrative area. Utilising linked health records, we identified diagnoses of PAD and/or CLTI and their distribution using small area cartography techniques according to multiple deprivation maps. Spatial autocorrelation techniques were applied to examine PAD and CLTI patterning. Association between crude inpatient prevalence-adjusted outcome rates and exposure to social deprivation were determined. We found crude prevalence-adjusted rates of 8.05% for PAD and 1.10% for CLTI with a five- to sevenfold difference from the least to most deprived regions. Statistically significant hot spots were found for PAD (p < 0.001) and CLTI (p < 0.001) in the most deprived areas, and cold spots for PAD (p < 0.001) but not CLTI (p = 0.72) in the least deprived areas. Major health disparities in PAD/CLTI diagnoses in people with diabetes is driven by socioeconomic deprivation.
- Subject
- chronic limb-threatening ischemia (CLTI); diabetes; geospatial mapping; health disparities; peripheral artery disease (PAD); spatial clustering; SDG 10; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1461971
- Identifier
- uon:46353
- Identifier
- ISSN:1358-863X
- Language
- eng
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Goal 10: Reduced Inequalities
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