LAUSR

Key Points Question Is the intersection of race, ethnicity, rurality, and/or neighborhood disadvantage associated with outcomes among US patients with diabetic foot ulcers? Findings In this cohort study of 124 487 patients hospitalized with diabetic foot ulcers, 17.6% underwent major (above-ankle) leg amputation or died within 30 days of hospital discharge; proportions increased to 18.3% for rural patients and 21.9% for those identifying as Black. The proportion increased to 28.0% for patients who identified as both rural and Black, suggesting a role for intersectionality. Meaning This study suggests that the intersection of rural residence and identifying as Black is associated with an amplified risk of major leg amputation or death among US patients with diabetic foot ulcers.