Lower extremity arterial interventions in England
| Autor: | Sarah Onida, Alun H. Davies, Aleksandra Staniszewska, Tristan R A Lane, Madelaine Gimzewska |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Arterial disease medicine.medical_treatment Psychological intervention 030230 surgery Amputation Surgical 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Epidemiology Medicine Humans Intensive care medicine Aged Retrospective Studies business.industry Open surgery Endovascular Procedures General Medicine medicine.disease Limb Salvage Amputation England Lower Extremity Surgery Female business |
| Zdroj: | Annals of the Royal College of Surgeons of England. 103(5) |
| ISSN: | 1478-7083 |
| Popis: | Introduction The increasing prevalence of diabetes mellitus and advances in endovascular therapies continue to have an impact on the epidemiology and management of lower extremity arterial disease. This study describes trends in lower extremity revascularisation and major lower limb amputation in NHS England over the past two decades (2000–2019). Methods Numbers of lower extremity endovascular interventions, open surgical procedures and major lower limb amputations performed in NHS England between 2000 and 2019 were extracted from publicly available hospital admitted patient care activity reports. Trends in intervention were assessed with linear regression models and chi-square tests for trend. Results Over this period, 527,131 revascularisations and 92,053 amputations were performed. The mean age of patients was 67.5 years (standard deviation 1.6 years) and 65.3% were male. The number of lower limb revascularisation procedures increased by 402.4 units/year (95% confidence interval, CI, 290.1–514.6, p 2 = 0.42, p = 0.003). Conclusions There has been a significant increase in the rate of lower limb revascularisation procedures associated with decreased numbers of major lower limb amputations over the past two decades. These changes in overall trends may affect both service provision and vascular surgery training planning. |
| Databáze: | OpenAIRE |
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