Critical Limb Ischemia Care
Multiple factors contribute to racial, gender and ethnic disparities in care for Critical Limb Ischemia (CLI). Get an overview of the differences in risk factors and barriers to care.
Who’s at Risk?
CLI often remains untreated, with significant disparities in revascularization and amputation rates according to race, socioeconomic status and where patients live.
Black men are more likely to progress from peripheral artery disease to CLI than Caucasian men.1
Women with CLI are more likely to have an above-the-knee amputation than men which leads to lower mobility, functional status and higher mortality.2
Insight from Underserved CLI Patients
In order to help you understand how to best reach undertreated minority groups at the local level, Boston Scientific commissioned a market research study on traditionally underserved populations across the country. Researchers engaged with people who identified as being either at high risk or who have already been diagnosed with CLI in order to capture demographic, psycho-graphic and behavioral insights. Below is a snapshot of patients’ perceptions. You can also download a one-page summary.
What Can Help Underserved CLI Patients
Give Educational Materials
- 53% prefer downloadable online materials
- 53% would like information on diet and exercise
- 46% would like websites with information on the disease/condition
Increase Communication & Access
- 37% want to email a specialst
- 37% say they'd like to call a nurse for more information
- 37% ask for statistics on life expectancy
Connect with Your Patients
- 27% of people with CLI get nervous around doctors, which means that they might not feel comfortable telling you about symptoms or concerns. You may want to connect with them by asking about barriers to care
- Half of the survey respondents with CLI cited distance to care as their biggest barrier
Healthcare Disparity Details
Increase Clinical Research Diversity
A total of 60% of heart failure patient respondents say they’re “somewhat” or “very” likely to participate in a clinical trial – but 70% have never been asked to participate in one. Learn about opportunities for increasing research diversity and find educational materials to inform your patients.
Who’s Going Untreated in Your Area?
Boston Scientific can provide you with a zip-code specific Disparity Index Report with epidemiological data on the health challenges impacting your community.
How Can Close The Gap Support You?
Boston Scientific's dedicated Health Equity Consultants are here to build a personalized program
to help you target your at-risk demographics – at no expense to you.
1 Rivero, M. Nader, N. Blochle, R. Harris, L. Dryjski, M. Dosluoglu, H. (2016). Pooper limb salvage in African American men with chronic limb ischemia is due to advanced clinical stage and higher anatomic complexity at presentation. Journal of Vascular Surgery. 63(3) pg. 1318-1324
2 Long, C. Jones, WS. (2017). Disparities in the Care of Patients with Peripheral Artery Disease and Critical Limb Ischemia. American College of Cardiology.