Variation in management of intermittent claudication by vascular surgeons in Scotland

Autor: M.R. Whyman
Rok vydání: 1998
Předmět:
Zdroj: European Journal of Vascular and Endovascular Surgery. 15(3):250-254
ISSN: 1078-5884
DOI: 10.1016/s1078-5884(98)80185-8
Popis: Objectives:The principal aim was to determine the extent to which intended and actual management varied among vascular surgeons.Design:Prospective survey.Methods:A nationwide survey of initial management of, and determination of subsequent surgical management in, 1180 patients with a diagnosis of intermittent claudication made by 28 vascular surgeons was carried out in Scotland.Results:The proportion of patients considered for conservative management varied between consultants from 10–83% (mean 42%, s.d. 16%). The proportion considered for angiography varied from 13–80% (mean 46%, s.d. 14%). For surgery, the range was 4–68% (mean 37%, s.d. 14%) and for angioplasty the range was 13–90% (mean 49%, s.d. 19%). All differences in management intention between consultants were significant (p
Databáze: OpenAIRE