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High incidence of vascular reconstructions in socioeconomically deprived areas of an urban Swedish population

Ogren, M; Lindblad, Bengt LU ; Engström, Gunnar LU ; Hedblad, Bo LU and Janzon, Lars LU (2007) In British Journal of Surgery 94(2). p.183-188
Abstract
Background: In Malmo approximately 250 000 citizens live in 17 administrative areas with substantial socioeconomic differences. At the single centre for arterial reconstruction, Malmo University Hospital, all procedures are registered prospectively. Methods: Between 1987 and 2002, 1832 Malmo citizens underwent reconstruction for peripheral arterial disease, either intermittent claudication (IQ or critical leg ischaemia (CLI). A socioeconomic score based on migration rate, percentage of residents with foreign citizenship/residents with foreign background, social welfare support dependency and unemployment rate has previously been developed and validated for each area. The relationship between socioeconomic score and area-specific... (More)
Background: In Malmo approximately 250 000 citizens live in 17 administrative areas with substantial socioeconomic differences. At the single centre for arterial reconstruction, Malmo University Hospital, all procedures are registered prospectively. Methods: Between 1987 and 2002, 1832 Malmo citizens underwent reconstruction for peripheral arterial disease, either intermittent claudication (IQ or critical leg ischaemia (CLI). A socioeconomic score based on migration rate, percentage of residents with foreign citizenship/residents with foreign background, social welfare support dependency and unemployment rate has previously been developed and validated for each area. The relationship between socioeconomic score and area-specific standardized morbidity ratios (SMRs) after vascular reconstruction was analysed by population-weighted linear regression. Results: The mean incidence of vascular reconstruction was 76 (range 27-106) per 100000 person years. Age- and sex-adjusted SMRs ranged from 0.57 to 1.39. A strong correlation between SMR and socioeconomic score was found overall (R = 0.63; P = 0.007), in men (R = 0.63; P = 0.007) and in women (R = 0.58; P = 0.039), and for IC (R = 0.58; P = 0.015) and CLI (R = 0.58; P = 0.015). Conclusion: In an urban population with similar access to medical care, vascular reconstruction rates varied substantially. High-rate areas were characterized by inferior socioeconomic circumstances and a higher prevalence of smoking, hypertension and obesity. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Surgery
volume
94
issue
2
pages
183 - 188
publisher
John Wiley & Sons
external identifiers
  • wos:000244670800009
  • scopus:33847358615
ISSN
1365-2168
DOI
10.1002/bjs.5594
language
English
LU publication?
yes
id
645ecd8f-deca-4f92-8ead-33f2083d54ce (old id 673953)
date added to LUP
2007-12-18 18:02:46
date last changed
2017-01-01 04:20:40
@article{645ecd8f-deca-4f92-8ead-33f2083d54ce,
  abstract     = {Background: In Malmo approximately 250 000 citizens live in 17 administrative areas with substantial socioeconomic differences. At the single centre for arterial reconstruction, Malmo University Hospital, all procedures are registered prospectively. Methods: Between 1987 and 2002, 1832 Malmo citizens underwent reconstruction for peripheral arterial disease, either intermittent claudication (IQ or critical leg ischaemia (CLI). A socioeconomic score based on migration rate, percentage of residents with foreign citizenship/residents with foreign background, social welfare support dependency and unemployment rate has previously been developed and validated for each area. The relationship between socioeconomic score and area-specific standardized morbidity ratios (SMRs) after vascular reconstruction was analysed by population-weighted linear regression. Results: The mean incidence of vascular reconstruction was 76 (range 27-106) per 100000 person years. Age- and sex-adjusted SMRs ranged from 0.57 to 1.39. A strong correlation between SMR and socioeconomic score was found overall (R = 0.63; P = 0.007), in men (R = 0.63; P = 0.007) and in women (R = 0.58; P = 0.039), and for IC (R = 0.58; P = 0.015) and CLI (R = 0.58; P = 0.015). Conclusion: In an urban population with similar access to medical care, vascular reconstruction rates varied substantially. High-rate areas were characterized by inferior socioeconomic circumstances and a higher prevalence of smoking, hypertension and obesity.},
  author       = {Ogren, M and Lindblad, Bengt and Engström, Gunnar and Hedblad, Bo and Janzon, Lars},
  issn         = {1365-2168},
  language     = {eng},
  number       = {2},
  pages        = {183--188},
  publisher    = {John Wiley & Sons},
  series       = {British Journal of Surgery},
  title        = {High incidence of vascular reconstructions in socioeconomically deprived areas of an urban Swedish population},
  url          = {http://dx.doi.org/10.1002/bjs.5594},
  volume       = {94},
  year         = {2007},
}