Dr. Joel Zonszein, director of the Clinical Diabetes Center at Montefiore Medical Center in New York City, agreed that the situation is "always very complex."
"There are certainly many other variables to consider," Zonszein said. "Cultural, social, access of care, medication adherence. For example, I deal with a large African American and Hispanic population, and you do see that there is less adherence to medications. So they often come to the hospital with more advanced disease. And if someone comes to the hospital with early gangrene, it's very different than if someone comes in with late gangrene. That makes a difference in terms of amputations."
On the other hand, he added, "It's also true that while stroke is much higher among African Americans than white patients, they actually have a much lower coronary 'burden,' despite having more classic risk factors like smoking or obesity."
For more on peripheral artery disease, visit the U.S. National Library of Medicine.
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