Dual-eligible, dual-risk? A brief review on the impact of dual-eligible status on health disparities and peripheral artery disease

Peripheral artery disease (PAD) has been associated with poorer outcomes based on particular social determinants of health, including insurance status. A unique population to study treatment outcomes related to PAD is those with dual-eligible status—those who qualify for both Medicare and Medicaid—c...

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Veröffentlicht in:Seminars in vascular surgery 2023-03, Vol.36 (1), p.64-68
Hauptverfasser: Dockery, Dominique M., Nwaiwu, Chibueze A., Liu, Yao, Green, Adrienne, Licht, Aron H., Ewala, Stanley, Leal, Dayann, Moreira, Carla C.
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container_end_page 68
container_issue 1
container_start_page 64
container_title Seminars in vascular surgery
container_volume 36
creator Dockery, Dominique M.
Nwaiwu, Chibueze A.
Liu, Yao
Green, Adrienne
Licht, Aron H.
Ewala, Stanley
Leal, Dayann
Moreira, Carla C.
description Peripheral artery disease (PAD) has been associated with poorer outcomes based on particular social determinants of health, including insurance status. A unique population to study treatment outcomes related to PAD is those with dual-eligible status—those who qualify for both Medicare and Medicaid—comprising more than 12 million people. We performed a systematic review of the literature surrounding dual-eligible patients and impact on PAD, with final inclusion of six articles. Dual eligibility has been associated with higher rates of comorbidities; more severe symptoms at initial presentation for PAD; and poorer treatment outcomes, including mortality. Further studies are needed to specifically look at the association between PAD and dual-eligible status, but what is clear is that patients in this population would benefit from early identification to prevent disease progression and improve equity.
doi_str_mv 10.1053/j.semvascsurg.2022.12.005
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subjects Aged
Comorbidity
Dual-eligible status
Health disparities
Humans
Medicaid
Medicare
Peripheral Arterial Disease - diagnosis
Peripheral Arterial Disease - epidemiology
Peripheral Arterial Disease - therapy
Peripheral artery disease
Risk Assessment
Social determinants of health
United States - epidemiology
title Dual-eligible, dual-risk? A brief review on the impact of dual-eligible status on health disparities and peripheral artery disease
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