{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:26:06Z","timestamp":1791980766579,"version":"4.4.0"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000038","name":"US Food and Drug Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000038","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ajconline.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Cardiology"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.amjcard.2025.09.047","type":"journal-article","created":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T15:17:28Z","timestamp":1759591048000},"page":"203-209","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Persistent Racial Disparities in Chronic Limb-Threatening Ischemia Outcomes and Utilization Among US Medicare Patients"],"prefix":"10.1016","volume":"258","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9320-4307","authenticated-orcid":false,"given":"Lorenzo V.","family":"Arvanitis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph M.","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siling","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit K.","family":"Manchella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3861-3163","authenticated-orcid":false,"given":"Eric A.","family":"Secemsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6s","key":"10.1016\/j.amjcard.2025.09.047_bib0001","article-title":"Global vascular guidelines on the management of chronic limb-threatening ischemia","volume":"69","author":"Conte","year":"2019","journal-title":"J Vasc Surg"},{"issue":"1","key":"10.1016\/j.amjcard.2025.09.047_bib0002","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.jvs.2009.08.073","article-title":"Critical limb ischemia","volume":"51","author":"Varu","year":"2010","journal-title":"J Vasc Surg"},{"issue":"16","key":"10.1016\/j.amjcard.2025.09.047_bib0003","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.118.009724","article-title":"Determinants of long-term outcomes and costs in the management of critical limb ischemia: a population-based cohort study","volume":"7","author":"Mustapha","year":"2018","journal-title":"J Am Heart Assoc"},{"issue":"6","key":"10.1016\/j.amjcard.2025.09.047_bib0004","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1016\/j.surg.2021.01.025","article-title":"Disparities in amputation in patients with peripheral arterial disease","volume":"169","author":"McGinigle","year":"2021","journal-title":"Surgery"},{"issue":"6","key":"10.1016\/j.amjcard.2025.09.047_bib0005","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvs.2015.07.065","article-title":"The natural history of untreated severe or critical limb ischemia","volume":"62","author":"Abu Dabrh","year":"2015","journal-title":"J Vasc Surg"},{"issue":"3","key":"10.1016\/j.amjcard.2025.09.047_bib0006","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1002\/bjs.10657","article-title":"Cardiovascular and all-cause mortality in patients with intermittent claudication and critical limb ischaemia","volume":"105","author":"van Haelst","year":"2018","journal-title":"Br J Surg"},{"issue":"2","key":"10.1016\/j.amjcard.2025.09.047_bib0007","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1161\/JAHA.117.007425","article-title":"Race and socioeconomic status independently affect risk of major amputation in peripheral artery disease","volume":"7","author":"Arya","year":"2018","journal-title":"J Am Heart Assoc"},{"issue":"18","key":"10.1016\/j.amjcard.2025.09.047_bib0008","doi-asserted-by":"crossref","first-page":"2002","DOI":"10.1016\/j.jacc.2016.04.071","article-title":"Critical limb ischemia: an expert statement","volume":"68","author":"Shishehbor","year":"2016","journal-title":"J Am Coll Cardiol"},{"issue":"2","key":"10.1016\/j.amjcard.2025.09.047_bib0009","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvs.2011.02.035","article-title":"Racial disparities in the use of revascularization before leg amputation in Medicare patients","volume":"54","author":"Holman","year":"2011","journal-title":"J Vasc Surg"},{"issue":"24","key":"10.1016\/j.amjcard.2025.09.047_bib0010","doi-asserted-by":"crossref","first-page":"2312","DOI":"10.1016\/j.jacc.2023.09.830","article-title":"Disparities in diagnosis, treatment, and outcomes of peripheral artery disease: JACC scientific statement","volume":"82","author":"McDermott","year":"2023","journal-title":"J Am Coll Cardiol"},{"issue":"4","key":"10.1016\/j.amjcard.2025.09.047_bib0011","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.amepre.2006.12.010","article-title":"Ethnic-specific prevalence of peripheral arterial disease in the United States","volume":"32","author":"Allison","year":"2007","journal-title":"Am J Prev Med"},{"key":"10.1016\/j.amjcard.2025.09.047_bib0012","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.avsg.2015.07.040","article-title":"Amputation rates for patients with diabetes and peripheral arterial disease: the effects of race and region","volume":"30","author":"Newhall","year":"2016","journal-title":"Ann Vasc Surg"},{"issue":"1","key":"10.1016\/j.amjcard.2025.09.047_bib0013","article-title":"Racial, socioeconomic, and geographic disparities in preamputation vascular care for patients with chronic limb-threatening ischemia","volume":"18","author":"Ramadan","year":"2025","journal-title":"Circ: Cardiovasc Qual Outcomes"},{"key":"10.1016\/j.amjcard.2025.09.047_bib0014","unstructured":"Association AH. PAD National Action Plan 2022 [Accessed on 2025 6\/1]. Available from: https:\/\/professional.heart.org\/-\/media\/PHD-Files-2\/Science-News\/p\/PAD-National-Action-Plan.pdf."},{"key":"10.1016\/j.amjcard.2025.09.047_bib0015","unstructured":"SCAI. Get a pulse on PAD SCAI website2024 [Accessed on 2025 6\/1]. Available from: https:\/\/www.secondscount.org\/get-a-pulse-pad."},{"key":"10.1016\/j.amjcard.2025.09.047_bib0016","unstructured":"Payne D.M. Amputation reduction and compassion act of 2023 Congress 2023 [Accessed June 1, 2025] Available from: https:\/\/www.congress.gov\/bill\/118th-congress\/house-bill\/4261."},{"key":"10.1016\/j.amjcard.2025.09.047_bib0017","unstructured":"About the DCI [Accessed June 1, 2025] Available from: https:\/\/eig.org\/distressed-communities\/"},{"issue":"1","key":"10.1016\/j.amjcard.2025.09.047_bib0018","article-title":"Impact of intensity of vascular care preceding major amputation among patients with chronic limb-threatening ischemia","volume":"17","author":"Secemsky","year":"2024","journal-title":"Circ: Cardiovasc Intervent"},{"issue":"6","key":"10.1016\/j.amjcard.2025.09.047_bib0019","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1080\/03610910902859574","article-title":"Using the standardized difference to compare the prevalence of a binary variable between two groups in observational research","volume":"38","author":"Austin","year":"2009","journal-title":"Comm Stat: Simulat Computat"},{"issue":"3","key":"10.1016\/j.amjcard.2025.09.047_bib0020","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1161\/CIRCULATIONAHA.122.058998","article-title":"Differences in comorbidities explain black\u2013White disparities in outcomes after femoropopliteal endovascular intervention","volume":"146","author":"Krawisz","year":"2022","journal-title":"Circulation"},{"issue":"24","key":"10.1016\/j.amjcard.2025.09.047_bib0021","doi-asserted-by":"crossref","first-page":"e454","DOI":"10.1161\/CIR.0000000000000936","article-title":"Call to action: structural racism as a fundamental driver of health disparities: a presidential advisory from the American Heart Association","volume":"142","author":"Churchwell","year":"2020","journal-title":"Circulation"},{"key":"10.1016\/j.amjcard.2025.09.047_bib0022","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1146\/annurev-publhealth-040218-043750","article-title":"Racism and health: evidence and needed research","volume":"40","author":"Williams","year":"2019","journal-title":"Annu Rev Public Health"},{"issue":"2","key":"10.1016\/j.amjcard.2025.09.047_bib0023","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.jvs.2017.10.090","article-title":"Regional variation in racial disparities among patients with peripheral artery disease","volume":"68","author":"O'Donnell","year":"2018","journal-title":"J Vasc Surg"},{"issue":"12","key":"10.1016\/j.amjcard.2025.09.047_bib0024","doi-asserted-by":"crossref","first-page":"1913","DOI":"10.1161\/CIRCRESAHA.121.318243","article-title":"White Solaru KT. Racial and ethnic disparities in peripheral artery disease","volume":"128","author":"Hackler","year":"2021","journal-title":"Circu Res"},{"issue":"6","key":"10.1016\/j.amjcard.2025.09.047_bib0025","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1056\/NEJMsa040609","article-title":"Primary care physicians who treat blacks and whites","volume":"351","author":"Bach","year":"2004","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.amjcard.2025.09.047_bib0026","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.29238","article-title":"Assessment of racial disparities in primary care physician specialty referrals","volume":"4","author":"Landon","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"1","key":"10.1016\/j.amjcard.2025.09.047_bib0027","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.123.013693","article-title":"Confronting treatment disparities in chronic limb-threatening ischemia","volume":"17","author":"Butala","year":"2024","journal-title":"Circ Cardiovasc Interv"}],"container-title":["The American Journal of Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914925006022?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914925006022?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T01:29:57Z","timestamp":1765070997000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002914925006022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":27,"alternative-id":["S0002914925006022"],"URL":"https:\/\/doi.org\/10.1016\/j.amjcard.2025.09.047","relation":{},"ISSN":["0002-9149"],"issn-type":[{"value":"0002-9149","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Persistent Racial Disparities in Chronic Limb-Threatening Ischemia Outcomes and Utilization Among US Medicare Patients","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjcard.2025.09.047","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}