Peripheral arterial disease: screening in general practice

Haigh, Kate, Bingley, John, Golledge, Jonathan and Walker, Philip J. (2013) Peripheral arterial disease: screening in general practice. Australian Family Physician, 42 6: 391-395.

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Author Haigh, Kate
Bingley, John
Golledge, Jonathan
Walker, Philip J.
Title Peripheral arterial disease: screening in general practice
Journal name Australian Family Physician   Check publisher's open access policy
ISSN 0300-8495
Publication date 2013-06
Sub-type Critical review of research, literature review, critical commentary
Volume 42
Issue 6
Start page 391
End page 395
Total pages 5
Place of publication South Melbourne, VIC, Australia
Publisher Royal Australian College of General Practitioners
Collection year 2014
Language eng
Formatted abstract
Background: As a manifestation of systemic atherosclerosis, peripheral arterial disease (PAD) signifies an increased risk of cardiovascular events. Peripheral arterial disease has received less attention than other atherosclerotic diseases, leading to under-diagnosis and under-treatment. Peripheral arterial disease affects approximately 10-15% of the general population, and approximately 50% of PAD patients are asymptomatic.

Objective: This article aims to review the literature on the rationale for screening for lower extremity PAD in the general practice setting, and to identify the barriers to screening for PAD experienced by general practitioners, with a focus on the Australian context.

Discussion: Screening for asymptomatic PAD among high risk groups has been recommended by major PAD authorities to increase early diagnosis. Screening for PAD using the ankle-brachial index can detect asymptomatic patients. Research into the effect of cardiovascular risk reduction therapies for asymptomatic patients is lacking, and available evidence is inconclusive. The prevalence of screening and barriers to screening experienced by Australian GPs has not yet been studied. Available data on the benefits of PAD screening is inconclusive, and further research is required to determine a survival benefit with treatment of asymptomatic PAD.
Keyword Screening
Peripheral arterial disease
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: UQ Centre for Clinical Research Publications
Non HERDC
ERA White List Items
School of Medicine Publications
 
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Created: Tue, 19 Nov 2013, 13:03:03 EST by Professor Philip Walker on behalf of Surgery - Royal Brisbane and Women's Hospital