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Philip P. Goodney, MD, MS, Kerianne Holman, MD, MPH, Peter K

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Presentation on theme: "Philip P. Goodney, MD, MS, Kerianne Holman, MD, MPH, Peter K"— Presentation transcript:

1 Regional intensity of vascular care and lower extremity amputation rates 
Philip P. Goodney, MD, MS, Kerianne Holman, MD, MPH, Peter K. Henke, MD, Lori L. Travis, MS, Justin B. Dimick, MD, MPH, Therese A. Stukel, PhD, Elliott S. Fisher, MD, MPH, John D. Birkmeyer, MD  Journal of Vascular Surgery  Volume 57, Issue 6, Pages e3 (June 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Population-based amputation rates for peripheral arterial disease (PAD) by hospital referral regions are shown on the map. Journal of Vascular Surgery  , e3DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Correlation at the regional level is shown between intensity of vascular care and amputation rate. Intensity of vascular care is measured as a function of (A) all inpatient revascularizations, (B) all inpatient open surgical revascularizations, (C) inpatient therapeutic endovascular procedures, and (D) inpatient and outpatient diagnostic and therapeutic, open and endovascular revascularization procedures. *Amputation rates specifies major (above or below) knee amputation rate per 10,000 Medicare beneficiaries. †Intensity of care measured as a function of the number of procedures performed in the year prior to amputation. Journal of Vascular Surgery  , e3DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, The mean number of revascularization procedures (therapeutic endovascular interventions or bypass surgery) for each amputation is shown by the quintile of the population-based amputation rate. *P is for nonparametric test of trend across all regions. B, The mean number of other vascular procedures for each amputation is shown by the quintile of the population-based amputation rate. Journal of Vascular Surgery  , e3DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

5 Supplementary Fig (online only)
Variation in the intensity of vascular care, by hospital referral region, as measured by the proportion of patients in each region undergoing invasive vascular care in the year before amputation, PAD, Peripheral arterial disease. Journal of Vascular Surgery  , e3DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

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