Understanding and Addressing Racial Disparities in Guideline-Indicated Management of Symptomatic Peripheral Artery Disease

理解和解决症状性外周动脉疾病指南指示治疗中的种族差异

• 批准号: 9892525
• 负责人: Corey Andrew Kalbaugh
• 金额: $ 13.61万
• 依托单位: CLEMSON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-01-15 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9892525
• 关键词: Abdomen; Address; Advisory Committees; Affect; Appendicitis; Area; Attenuated; Award; Behavior; Biomedical Engineering; Black race; Blood Vessels; Bypass; Cardiovascular system; Caring; Clinical; Data; Databases; Development; Diabetes Mellitus; Diagnosis; Diagnostic tests; Doctor of Philosophy; Educational workshop; Epidemiologic Methods; Epidemiologist; Epidemiology; Event; Funding; Future; Goals; Guidelines; Health; Healthcare; Implicit Association Test; Inferior; Institution; International; Intervention; Intervention Studies; K-Series Research Career Programs; Limb structure; Link; Literature; Location; Measures; Medicine; Mentored Research Scientist Development Award; Mentors; Mentorship; Methods; Midwestern United States; Morbidity - disease rate; North Carolina; Operative Surgical Procedures; Outcome; Patient Care; Patient-Focused Outcomes; Patients; Pelvic Inflammatory Disease; Peripheral arterial disease; Pharmaceutical Preparations; Physician' s Role; Physicians; Procedures; Provider; Race; Recommendation; Recording of previous events; Registries; Research; Research Personnel; Research Project Grants; Risk; Role; Sampling; Scholarship; Scientist; Severity of illness; Site; Smoking; Societies; Surgeon; Surveys; System; Test Result; Testing; Time; Training; Treatment outcome; Unconscious State; Universities; Woman; Work; acute care; base; cancer care; cancer health disparity; care delivery; care outcomes; care providers; career; career development; clinical decision support; design; disparity reduction; epidemiology study; experience; health equity; implicit bias; improved; innovation; mortality; professor; racial bias; racial disparity; success; successful intervention; support tools; surgery outcome; symposium; tenure track; therapy design

PROJECT SUMMARY AND ABSTRACT I am an Epidemiologist and a tenure-track Assistant Professor in the Department of Surgery at the University of North Carolina at Chapel Hill (UNC). Through scholarship, I will devote my professional career to improving the care and outcomes for people with symptomatic peripheral artery disease (PAD). I have graduate training in Bioengineering (MS, ’03), Medicine, Health and Society (MA, ’10), and Epidemiology (PhD, ’16). While I have exceptional training in epidemiology methods and have a long background of conducting epidemiologic research, the majority of my previous work was in a support role and I want to pivot into areas where I lack training and expertise. The overall goal of this K01 award, therefore, is to provide me with the training and mentorship in disparities and in intervention research aimed at reducing disparities that are critical to becoming an independent scientist. To accomplish this overall goal, I have assembled a team of internationally renowned scholars with expertise in the topics and methods described in my application. My primary mentor is Dr. Samuel Cykert, an expert in health care-related racial disparities and an R01-funded investigator with experience in designing and implementing successful interventions to reduce these disparities. My co-mentor is Dr. Adil Haider, an expert in the role of implicit bias in health care-related racial disparities, and an investigator with a significant history of R-level funding. Dr. Phillip Goodney will lend his expertise and credibility as a senior-level, practicing vascular surgeon and as the Chair of the Vascular Quality Initiative Research Advisory Committee. Each of the three are fully committed to this project and to my success. The research plan is designed to first identify the presence of racial disparities in the delivery of guideline- recommended care using the nationally representative vascular quality initiative registry, a database of vascular procedures performed across 536 locations in the US. Second, I will administer the implicit association test to vascular surgeons to examine implicit racial bias and determine if those biases are correlated with actual clinical results. Finally, I will incorporate the findings from these first components of the research plan into the design of an intervention aimed at reducing disparities in the delivery of PAD-related health care. I will pilot test the intervention by assessing acceptability and utility among surgeons who care for patients with symptomatic PAD. I have recommended coursework, workshops, conferences, and other educational opportunities to round out my training. I have set up five objectives regarding career development and each of these activities is directly related to one or more of those five objectives. The successful completion of this project will lead to an R01 submission designed to test a multi-site intervention and allow me to become an independent investigator who can contribute to health equity in an area where optimal care can attenuate substantial morbidity and mortality.

项目摘要和摘要 我是一名流行病学家，也是大学外科系的终身助理助理教授 北卡罗来纳州教堂山（UNC）。 有症状性周围替代疾病（PAD）患者的护理和结果。 Bioeinginingering（MS，'03），医学，健康与社会（MA，'10）和流行病学（PhD，16） 在流行病学方法中进行的特殊培训，并且具有长期进行流行病学的背景 研究，我以前的工作工作工作工作工作工作工作工作工作wark Wash，我想转移到我缺乏的领域 培训和专业知识。 分散式和干预研究的指导，旨在减少遇到至关重要的差异 一个独立的科学家。 我的主要指导者中描述的主题和方法方面具有专业知识。 塞缪尔·塞克特（Samuel Cykert）是与医疗保健相关的种族差异的专家，也是由R01资助的调查员。 在设计和实施成功的介入以减少这些差异的经验 是阿迪尔·海德（Adil Haider）博士，他是隐性偏见在与医疗保健相关的种族痛苦差异中的作用的专家，也是 R级资助历史悠久的调查员。 可信度是as级，实用的士兵外科医生，可信度 研究咨询委员会。 研究计划旨在首先确定种族差异在提供指南时的存在 - 推荐使用全国代表性血管质量倡议注册中心的护理，这是一个数据库 在美国的536个位置进行的血管程序。 与血管外科医生的关联测试检查隐式种族偏见并确定这些偏见是否是 最终，我将结合这些结果的结果。 研究计划的研究计划，旨在减少与垫有关 医疗保健。 有症状垫的患者。 教育机会可以解决我的培训。 这些活动中的每一个都与这五个目标中的一个或多个有关 通过R01提交旨在测试多站点间隔的R01提交的压缩，并允许我 为了vecome，一个独立的独立调查员，他可以在最佳护理的领域为健康公平做出贡献 减轻大量的发病率和死亡率。