Barriers to screening and diagnosis of peripheral artery disease by general practitioners

Haigh, Kate Jamilla, Bingley, John, Golledge, Jonathan and Walker, Philip J. (2013) Barriers to screening and diagnosis of peripheral artery disease by general practitioners. Vascular Medicine, 18 6: 325-330. doi:10.1177/1358863X13505673

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Author Haigh, Kate Jamilla
Bingley, John
Golledge, Jonathan
Walker, Philip J.
Title Barriers to screening and diagnosis of peripheral artery disease by general practitioners
Journal name Vascular Medicine   Check publisher's open access policy
ISSN 1358-863X
Publication date 2013-12-01
Sub-type Article (original research)
DOI 10.1177/1358863X13505673
Open Access Status Not Open Access
Volume 18
Issue 6
Start page 325
End page 330
Total pages 6
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Formatted abstract
Peripheral artery disease (PAD) is a strong predictor of cardiovascular morbidity and mortality yet it is under-recognised and undertreated. General practitioners (GPs) are best positioned to detect patients with PAD. This article investigates awareness of PAD by GPs; the prevalence of screening for PAD and tools used for screening and diagnosis, in particular the ankle–brachial index (ABI); and the barriers to PAD screening and measurement of the ABI in the general practice setting. A cross-sectional survey of primary care practitioners was conducted between September 2011 and March 2012. A mail-out survey was distributed to 1120 GPs practising in Queensland, Australia: 287 (26%) responded; 61% of GPs reported screening for PAD; 58% of GPs reported ‘never’ measuring the ABI; and 70% reported using arterial duplex ultrasound as their first-line diagnostic tool. Equipment availability, time constraints and lack of training and skills were identified as the most significant barriers to screening and ABI testing. In conclusion, there are deficits in the utilisation of guideline recommendations relating to PAD screening and diagnosis by Australian GPs. Our data suggest that earlier detection of PAD may be achieved through GP education combined with increased access to ABI equipment or the availability of a more time-efficient test.
Keyword Ankle–brachial index
Cardiovascular diseases
General practice
Peripheral artery disease
Peripheral vascular diseases
Primary care
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
Official 2014 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 7 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 7 times in Scopus Article | Citations
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Created: Wed, 11 Dec 2013, 21:58:56 EST by Roheen Gill on behalf of School of Medicine