Financial barriers in accessing medical care for peripheral artery disease are associated with delay of presentation and adverse health status outcomes in the United States.
Aged
Female
Health Care Costs
Health Services Accessibility
/ economics
Health Status Disparities
Healthcare Disparities
/ economics
Humans
Insurance, Health
/ economics
Male
Medically Uninsured
Middle Aged
Patient Reported Outcome Measures
Peripheral Arterial Disease
/ diagnosis
Prospective Studies
Quality of Life
Risk Factors
Time Factors
Time-to-Treatment
/ economics
United States
/ epidemiology
financial disparities
health status
peripheral artery disease (PAD)
quality of life
Journal
Vascular medicine (London, England)
ISSN: 1477-0377
Titre abrégé: Vasc Med
Pays: England
ID NLM: 9610930
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
pubmed:
12
10
2019
medline:
21
8
2020
entrez:
12
10
2019
Statut:
ppublish
Résumé
Patient-reported difficulties in affording health care and their association with health status outcomes in peripheral artery disease (PAD) have never been studied. We sought to determine whether financial barriers affected PAD symptoms at presentation, treatment patterns, and patient-reported health status in the year following presentation. A total of 797 United States (US) patients with PAD were identified from the Patient-centered Outcomes Related to TReatment Practices in Peripheral Arterial Disease: Investigating Trajectories (PORTRAIT) study, a prospective, multicenter registry of patients presenting to vascular specialty clinics with PAD. Financial barriers were defined as a composite of no insurance and underinsurance. Disease-specific health status was measured by Peripheral Artery Questionnaire (PAQ) and general health-related quality of life was measured by EuroQol 5 (EQ5D) dimensions at presentation and at 3, 6, and 12 months of follow-up. Among 797 US patients, 21% (
Identifiants
pubmed: 31603393
doi: 10.1177/1358863X19872542
doi:
Banques de données
ClinicalTrials.gov
['NCT01419080']
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM