Document Detail


Evaluation and management of patients with peripheral artery disease by interventional radiologists: current practices.
MedLine Citation:
PMID:  18440449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Traditionally, surgeons have served as primary consultants for patients with peripheral vascular disease for whom revascularization is considered. An important component of care for patients with peripheral artery disease (PAD) is risk factor management. The present study was undertaken to determine current management practices of interventional radiologists for patients with PAD and compare them to published data for vascular surgeons. If PAD patient management practices are similar, this would support direct referral of PAD patients who are considered for revascularization from primary care doctors to interventional radiologists. MATERIALS AND METHODS: An online survey was administered to full members of the Society of Interventional Radiology with e-mail addresses on file. Filtering was done to examine and compare interactions among several responses. The margin of error for the survey was +/-2%, based on 95% CIs for the entire surveyed population (N=2,371). RESULTS: Seventy-five percent of respondents see PAD patients in ambulatory office settings. Only eight percent see themselves as the physician responsible for risk factor management, similar to reported results of vascular surgeons (10%). Other variables examined, such as frequency of inquiring about Framingham risk factors, indicate similar practices to those previously reported for vascular surgeons. CONCLUSIONS: For interventional radiologists who accept direct referrals for medical management of patients with PAD, disease management by interventional radiologists is similar to that previously reported for vascular surgeons. This supports the role of interventional radiologists who accept direct referrals of patients with PAD as primary consultants to primary care doctors.
Authors:
Ethan A Prince; Timothy P Murphy; Raj Dhangana; Gregory M Soares; Sun H Ahn; Gregory J Dubel
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-03-28
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  19     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-28     Completed Date:  2008-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  639-44     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Imaging and Vascular Disease Research Center, Rhode Island Hospital/The Warren Alpert Medical School of Brown University, 593 Eddy Street, Gerry 337, Providence, RI 02903, USA.
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care / statistics & numerical data
Humans
Peripheral Vascular Diseases / surgery,  therapy*
Physician's Practice Patterns / statistics & numerical data*
Questionnaires
Radiography, Interventional*
Referral and Consultation / statistics & numerical data
Risk Management
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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