Racial and ethnic disparities in surgical amputations following serious musculoskeletal infections in a diverse New Mexico cohort

Martha L Carvour; Allyssa Chiu; Kimberly Page

doi:10.18053/jctres.05.201901.001

Back

Racial and ethnic disparities in surgical amputations following serious musculoskeletal infections in a diverse New Mexico cohort

Journal article

Open access

Racial and ethnic disparities in surgical amputations following serious musculoskeletal infections in a diverse New Mexico cohort

Martha L Carvour, Allyssa Chiu and Kimberly Page

Journal of clinical and translational research, Vol.5(1), pp.25-32

09/08/2019

DOI: 10.18053/jctres.05.201901.001

PMCID: PMC6765154

PMID: 31579839

Files and links (1)

url

https://doi.org/10.18053/jctres.05.201901.001View

Published (Version of record) Open Access

Abstract

Patients with serious musculoskeletal infections may encounter health disparities across multiple phases of prevention and treatment, including surgical intervention. The purpose of this study was to identify and compare the predictors of surgical intervention and surgical amputation among patients with septic arthritis, osteomyelitis, and infectious myositis in a diverse cohort of patients from New Mexico. A retrospective cohort from the University of New Mexico Health System was formed. Patients with septic arthritis, osteomyelitis, and/or infectious myositis who underwent surgical procedures or amputations were compared with those who did not, using predictive multivariable logistic regression modeling. The impact of diabetes mellitus (DM) as a predictor of surgical outcomes was evaluated. DM was a predictor of both surgical procedures and amputations in a diverse cohort of patients (n = 1694). Diabetes was more common in American Indian/Alaskan Native (AI/AN) patients. However, Black non-Hispanic/African American and Hispanic patients were more likely to undergo amputations, compared to AI/AN patients, even after adjustment for diabetes severity. Racial and ethnic disparities in infection-related amputation may differ from those observed for diabetes or for general access to surgical management. Interventions intended to prevent or treat serious musculoskeletal infections should consider health disparities that differ across the clinical care process.

musculoskeletal infection

amputation

diabetes mellitus

health disparities

Details

Title: Subtitle: Racial and ethnic disparities in surgical amputations following serious musculoskeletal infections in a diverse New Mexico cohort
Creators: Martha L Carvour - University of New Mexico
Allyssa Chiu - Department of Internal Medicine, Divisions of Epidemiology, Biostatistics, and Preventive Medicine, Albuquerque, NM, United States.
Kimberly Page - Department of Internal Medicine, Divisions of Epidemiology, Biostatistics, and Preventive Medicine, Albuquerque, NM, United States.
Resource Type: Journal article
Publication Details: Journal of clinical and translational research, Vol.5(1), pp.25-32
DOI: 10.18053/jctres.05.201901.001
PMID: 31579839
PMCID: PMC6765154
NLM abbreviation: J Clin Transl Res
ISSN: 2424-810X
eISSN: 2424-810X
Language: English
Date published: 09/08/2019
Academic Unit: Infectious Diseases; Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
Record Identifier: 9984361734102771

Metrics

15 Record Views