Endovenous Treatment Disparities in Superficial Venous Insufficiency: National 7-Year Analysis

Introduction: Our study aims to assess utilization trends of radiofrequency ablation (RFA), laser ablation, and vein stripping (VS) across different demographic groups in patients with lower extremity chronic superficial venous disease over a 7-year period.

Method(s): A total of 24,870 patients were identified in the 2011 to 2018 American College of Surgeon National Surgical Quality Improvement Program (NSQIP) database using the CPT codes for RFA, laser ablation, and venous stripping for lower extremity venous insufficiency. In total, 3,951 patients were excluded for missing race and 32 for missing age. Utilization trends were analyzed. Logistic regression was used to fit a model using the demographic features as explanatory variables and procedure type as the dependent variable.

Result(s): A total of 5,864 patients received VS, 11,605 patients received RFA, and 3,556 patients received laser ablation; most were female. There were lower odds of endovenous treatment in Hispanics (OR = 0.71, p < 0.001), male or younger than 65 years patients, and higher odds in Native Americans (OR = 4.0, p < 0.001).

Conclusion(s): Endovenous treatment for chronic venous insufficiency increased from 2011 to 2018. Disparities in access to endovenous treatment are pronounced among Hispanic, male, and less than 65-year-old patients.

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Publikationsverlauf

Artikel online veröffentlicht:
09. Februar 2023