| Title: |
Managing Peripheral Artery Disease in Diabetic Patients: A Questionnaire Survey from Vascular Centers of the Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS) |
| Authors: |
Bracale U. M.; Ammollo R. P.; Hussein E. A.; Hoballah J. J.; Goeau-Brissonniere O.; Taurino M.; Setacci C.; Pecoraro F.; Bracale G.; Giribono A. M.; Ferrante L.; de Donato G.; Dinoto E.; Bajardi G.; Illario M.; Bouayed M. N.; Saleem B. R.; Pulli R.; Gossetti B.; Pane B.; Castelli P.; Tozzi M.; Sraieb T.; Setacci F.; Stella A.; De Luca V. |
| Contributors: |
Bracale, U. M.; Ammollo, R. P.; Hussein, E. A.; Hoballah, J. J.; Goeau-Brissonniere, O.; Taurino, M.; Setacci, C.; Pecoraro, F.; Bracale, G.; Giribono, A. M.; Ferrante, L.; de Donato, G.; Dinoto, E.; Bajardi, G.; Illario, M.; Bouayed, M. N.; Saleem, B. R.; Pulli, R.; Gossetti, B.; Pane, B.; Castelli, P.; Tozzi, M.; Sraieb, T.; Setacci, F.; Stella, A.; De Luca, V. |
| Publication Year: |
2020 |
| Collection: |
Università degli Studi di Siena: USiena air |
| Subject Terms: |
Amputation; Diabetic Foot; Endovascular Procedure; Health Care Survey; Healthcare Disparitie; Human; Ischemia; Mediterranean Region; Nurse's Role; Patient Care Team; Peripheral Arterial Disease; Physician's Role; Practice Patterns; Nurses'; Physicians'; Reoperation; Specialization; Treatment Outcome; Vascular Surgical Procedure; Wound Healing |
| Description: |
Background: The Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS) was founded on October 1, 2018, to enhance cooperation among vascular professionals within Mediterranean countries. Due to its prominent social and economic impact on national health systems, diabetic arteriopathy has been selected as the very first topic to be investigated by the federation. Methods: MeFAVS members were asked to reply to a questionnaire on the management of diabetic ischemic foot. Results were collected and analyzed statistically. The questionnaire consisted of 15 multiple choice answers regarding diabetic foot (DF) diagnosis and treatment. The questionnaire was submitted to 21 centers on April 20, 2019. Results: Response rate was 62%. The survey revealed that vascular surgeons, diabetologists, and wound care nurses made-up the core of the diabetic teams present in 76.9%, 69.3%, and 92.3% of the centers, respectively. Diabetic teams were most often led by vascular surgeons (53.8%) and diabetologists (42.2%), but only in 7.9% of cases by nurses. Duplex ultrasonography and computed tomographic angiography were the most commonly available tools used to assess diabetic peripheral arterial disease (PAD). Surgical wound care was undertaken by vascular surgeons in the majority of cases, and only in 46.2% of the cases to orthopedic or plastic surgeons, while nonsurgical wound care was handled by specialized nurses (76.6%) and diabetologists (53.8%). First-line revascularization was preferred over conservative treatment (61.5% vs 53.8%) and endovascular strategy (45.3%) over open (33.7%) or hybrid (21.0%) surgery. Vascular surgeons and interventional radiologists were found to be the most common performers of endovascular revascularization (92.3% and 53.8%, respectively). Amputations had an overall rate of 16.6% (range 4–30%) and a mean reintervention rate of 22.5%, and were usually performed by vascular surgeons for both minor and major interventions (84.6%) followed by orthopedic surgeons (15.4% minor and 30.8% ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
STAMPA |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/31629843; info:eu-repo/semantics/altIdentifier/wos/WOS:000521506600034; volume:64; firstpage:239; lastpage:245; numberofpages:7; journal:ANNALS OF VASCULAR SURGERY; https://hdl.handle.net/11365/1276056; https://www.sciencedirect.com/science/article/abs/pii/S0890509619308519 |
| DOI: |
10.1016/j.avsg.2019.09.013 |
| Availability: |
https://hdl.handle.net/11365/1276056; https://doi.org/10.1016/j.avsg.2019.09.013; https://www.sciencedirect.com/science/article/abs/pii/S0890509619308519 |
| Accession Number: |
edsbas.D88F82AE |
| Database: |
BASE |