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Rates of Diabetes-Related Major Amputations Among Racial and Ethnic Minority Adults Following Medicaid Expansion Under the Patient Protection and Affordable Care Act

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Key Points Question Has the amputation rate among African American, Hispanic, and other racial and ethnic minority adults with diabetic foot ulcerations (DFUs) changed during the early implementation of the… Click to show full abstract

Key Points Question Has the amputation rate among African American, Hispanic, and other racial and ethnic minority adults with diabetic foot ulcerations (DFUs) changed during the early implementation of the Patient Protection and Affordable Care Act (ACA)? Findings In a cohort study of 115 071 hospitalizations for DFUs among racial and ethnic minority adults, early Medicaid expansion was associated with decreased major amputation and hospitalization rates in early-adoption states compared with nonadoption states. Meaning These findings suggest that early ACA implementation was associated with decreased lower extremity amputation among underserved racial and ethnic minority adults with DFUs.

Keywords: protection affordable; ethnic minority; racial ethnic; patient protection; minority adults

Journal Title: JAMA Network Open
Year Published: 2022

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