Underdiagnosis of peripheral arterial disease in the Spanish population. ARTPER study
Although peripheral arterial disease (PA) is an important clinical marker of cardiovascular morbimortality, the rate of under-diagnosis is unknown. Our aimed to know the proportion of patients underdiagnosed of PA and the associated factors. 3786 patients >49 years old, randomly selected, were st...
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| Veröffentlicht in: | Medicina clínica 2010-09, Vol.135 (7), p.306-309 |
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| container_title | Medicina clínica |
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| creator | Forés Raurell, Rosa Alzamora Sas, M Teresa Baena Díez, José Miguel Pera Blanco, Guillem Torán Monserrat, Pere Ingla Mas, Jordi |
| description | Although peripheral arterial disease (PA) is an important clinical marker of cardiovascular morbimortality, the rate of under-diagnosis is unknown. Our aimed to know the proportion of patients underdiagnosed of PA and the associated factors.
3786 patients >49 years old, randomly selected, were studied. PA was diagnosed by means of the ankle-brachial index (ABI |
| doi_str_mv | 10.1016/j.medcli.2009.11.046 |
| format | Article |
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3786 patients >49 years old, randomly selected, were studied. PA was diagnosed by means of the ankle-brachial index (ABI<0, 9). Underdiagnosed was considered when ABI<0, 9 and when they were not diagnosed of PA in the clinical record. We also determined the presence of intermittent claudication (IC) defined by Edinburgh's questionnaire.
7,6% had an ABI <0, 9 (IC95% 6.7-8.4). Of these patients 80.7%, were underdiagnosed, although the 29.3% had IC. PA underdiagnosis was low in current smokers or former smokers (OR 0.20; IC95% 0.07-0.59), if IC (OR 0.40; IC95% 0.18-0.89), if ABI between <0.7 and 0.5 (OR 0.36; IC95% 0.16-0.81) or <0,5 (OR 0.04; IC95 % 0.01-0.20), being higher in >70 years (OR 3.12; IC95% 1.12-8.67).
PA underdiagnosis is high, especially in old patients. It is necessary to reach consensus criteria for the practice of the ABI in the general population.</description><identifier>ISSN: 0025-7753</identifier><identifier>DOI: 10.1016/j.medcli.2009.11.046</identifier><identifier>PMID: 20553696</identifier><language>spa</language><publisher>Spain</publisher><subject>Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Peripheral Arterial Disease - diagnosis ; Peripheral Arterial Disease - epidemiology ; Spain - epidemiology</subject><ispartof>Medicina clínica, 2010-09, Vol.135 (7), p.306-309</ispartof><rights>Copyright © 2009 Elsevier España, S.L. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20553696$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Forés Raurell, Rosa</creatorcontrib><creatorcontrib>Alzamora Sas, M Teresa</creatorcontrib><creatorcontrib>Baena Díez, José Miguel</creatorcontrib><creatorcontrib>Pera Blanco, Guillem</creatorcontrib><creatorcontrib>Torán Monserrat, Pere</creatorcontrib><creatorcontrib>Ingla Mas, Jordi</creatorcontrib><creatorcontrib>grupo ARTPER</creatorcontrib><title>Underdiagnosis of peripheral arterial disease in the Spanish population. ARTPER study</title><title>Medicina clínica</title><addtitle>Med Clin (Barc)</addtitle><description>Although peripheral arterial disease (PA) is an important clinical marker of cardiovascular morbimortality, the rate of under-diagnosis is unknown. Our aimed to know the proportion of patients underdiagnosed of PA and the associated factors.
3786 patients >49 years old, randomly selected, were studied. PA was diagnosed by means of the ankle-brachial index (ABI<0, 9). Underdiagnosed was considered when ABI<0, 9 and when they were not diagnosed of PA in the clinical record. We also determined the presence of intermittent claudication (IC) defined by Edinburgh's questionnaire.
7,6% had an ABI <0, 9 (IC95% 6.7-8.4). Of these patients 80.7%, were underdiagnosed, although the 29.3% had IC. PA underdiagnosis was low in current smokers or former smokers (OR 0.20; IC95% 0.07-0.59), if IC (OR 0.40; IC95% 0.18-0.89), if ABI between <0.7 and 0.5 (OR 0.36; IC95% 0.16-0.81) or <0,5 (OR 0.04; IC95 % 0.01-0.20), being higher in >70 years (OR 3.12; IC95% 1.12-8.67).
PA underdiagnosis is high, especially in old patients. It is necessary to reach consensus criteria for the practice of the ABI in the general population.</description><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Peripheral Arterial Disease - diagnosis</subject><subject>Peripheral Arterial Disease - epidemiology</subject><subject>Spain - epidemiology</subject><issn>0025-7753</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kDtPwzAYRT2AaCn8A4S8MSX47WSsqvKQKoFKO0dfbIe6ShNjJ0P_PUHAdO-Rrs5wEbqjJKeEqsdjfnLWtD5nhJQ5pTkR6gLNCWEy01ryGbpO6fiDnOorNGNESq5KNUf7fWddtB4-uz75hPsGBxd9OLgILYY4TDAV65OD5LDv8HBw-CNA59MBhz6MLQy-73K83O7e11uchtGeb9BlA21yt3-5QPun9W71km3enl9Xy00WqCBDRl3BLNWGNkbUoBhTnAMThnJaO2lpAQCmrLVqQGrJmC4tqQsliroBoanhC_Tw6w2x_xpdGqqTT8a1LXSuH1OlpSCTtCyn5f3fcqynr6oQ_Qniufp_gn8D30hgew</recordid><startdate>20100904</startdate><enddate>20100904</enddate><creator>Forés Raurell, Rosa</creator><creator>Alzamora Sas, M Teresa</creator><creator>Baena Díez, José Miguel</creator><creator>Pera Blanco, Guillem</creator><creator>Torán Monserrat, Pere</creator><creator>Ingla Mas, Jordi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20100904</creationdate><title>Underdiagnosis of peripheral arterial disease in the Spanish population. ARTPER study</title><author>Forés Raurell, Rosa ; Alzamora Sas, M Teresa ; Baena Díez, José Miguel ; Pera Blanco, Guillem ; Torán Monserrat, Pere ; Ingla Mas, Jordi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p140t-1e82d17c1fc4ba622633a24c131be5d18aaac9b76fa5752279d0b8648bfa471c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2010</creationdate><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Peripheral Arterial Disease - diagnosis</topic><topic>Peripheral Arterial Disease - epidemiology</topic><topic>Spain - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Forés Raurell, Rosa</creatorcontrib><creatorcontrib>Alzamora Sas, M Teresa</creatorcontrib><creatorcontrib>Baena Díez, José Miguel</creatorcontrib><creatorcontrib>Pera Blanco, Guillem</creatorcontrib><creatorcontrib>Torán Monserrat, Pere</creatorcontrib><creatorcontrib>Ingla Mas, Jordi</creatorcontrib><creatorcontrib>grupo ARTPER</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Medicina clínica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Forés Raurell, Rosa</au><au>Alzamora Sas, M Teresa</au><au>Baena Díez, José Miguel</au><au>Pera Blanco, Guillem</au><au>Torán Monserrat, Pere</au><au>Ingla Mas, Jordi</au><aucorp>grupo ARTPER</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Underdiagnosis of peripheral arterial disease in the Spanish population. ARTPER study</atitle><jtitle>Medicina clínica</jtitle><addtitle>Med Clin (Barc)</addtitle><date>2010-09-04</date><risdate>2010</risdate><volume>135</volume><issue>7</issue><spage>306</spage><epage>309</epage><pages>306-309</pages><issn>0025-7753</issn><abstract>Although peripheral arterial disease (PA) is an important clinical marker of cardiovascular morbimortality, the rate of under-diagnosis is unknown. Our aimed to know the proportion of patients underdiagnosed of PA and the associated factors.
3786 patients >49 years old, randomly selected, were studied. PA was diagnosed by means of the ankle-brachial index (ABI<0, 9). Underdiagnosed was considered when ABI<0, 9 and when they were not diagnosed of PA in the clinical record. We also determined the presence of intermittent claudication (IC) defined by Edinburgh's questionnaire.
7,6% had an ABI <0, 9 (IC95% 6.7-8.4). Of these patients 80.7%, were underdiagnosed, although the 29.3% had IC. PA underdiagnosis was low in current smokers or former smokers (OR 0.20; IC95% 0.07-0.59), if IC (OR 0.40; IC95% 0.18-0.89), if ABI between <0.7 and 0.5 (OR 0.36; IC95% 0.16-0.81) or <0,5 (OR 0.04; IC95 % 0.01-0.20), being higher in >70 years (OR 3.12; IC95% 1.12-8.67).
PA underdiagnosis is high, especially in old patients. It is necessary to reach consensus criteria for the practice of the ABI in the general population.</abstract><cop>Spain</cop><pmid>20553696</pmid><doi>10.1016/j.medcli.2009.11.046</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Cross-Sectional Studies Female Humans Male Middle Aged Peripheral Arterial Disease - diagnosis Peripheral Arterial Disease - epidemiology Spain - epidemiology |
| title | Underdiagnosis of peripheral arterial disease in the Spanish population. ARTPER study |
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