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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Peripheral vascular disease in women: Are we analyzing the costs correctly?

Steven H Back1, William A Gray1

  • 1Lankenau Medical Center, Main Line Health System, Wynnewood, Pennsylvania, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|July 12, 2020
PubMed

Insights

Women undergoing peripheral vascular interventions have higher hospital costs and more comorbidities than those receiving percutaneous coronary interventions. Greater physician awareness of sex-based differences in cardiovascular disease is crucial.

Area of Science:

  • Cardiovascular Medicine
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Women undergoing peripheral vascular intervention (PVI) present with greater comorbidities and higher hospital admission costs compared to those treated with percutaneous coronary intervention (PCI).
  • Existing data do not fully capture the impact of critical limb ischemia (CLI) on these disparities.
  • Cardiovascular disease (CVD) manifestations and risks differ significantly between sexes.

Discussion:

  • PVI in women is associated with increased healthcare utilization and resource burden.
  • The underlying reasons for these differences, potentially including disease severity and patient factors, warrant further investigation.
  • Physicians require enhanced education on sex-specific aspects of CVD.

Key Insights:

  • Significant cost and comorbidity differences exist between PVI and PCI in women.
  • Critical limb ischemia's role in PVI outcomes requires dedicated study.
  • Sex-based disparities in cardiovascular disease presentation necessitate clinical attention.

Outlook:

  • Future research should focus on elucidating the specific drivers of increased costs and comorbidities in women undergoing PVI.
  • Developing sex-specific clinical guidelines for CVD management is essential.
  • Improving physician awareness and education on female cardiovascular health is paramount.

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