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Peripheral arterial disease: a cardiovascular time bomb

Peripheral arterial disease: a cardiovascular time bomb
Peripheral arterial disease: a cardiovascular time bomb
Peripheral arterial disease (PAD) is a reliable marker of future vascular disease and is a substantial public health issue. In Europe and North America, 27 million people are estimated to have PAD, and in the UK around 100,000 people are diagnosed every year. People with PAD are six times more likely to die from cardiovascular disease within 10 years than people without PAD. Evidence suggests that aggressive risk factor management will prevent many premature deaths and associated morbidity. Therefore, it is vital to identify patients and initiate effective management strategies swiftly. However, whilst 40% of PAD patients have symptomatic disease ranging from intermittent claudication to critical limb ischaemia, around 60% are asymptomatic. As a result of the low rates of detection PAD is underdiagnosed and undertreated in the UK. The gravity of the problem has prompted the formation of professional bodies to address this situation through the development of national clinical guidelines. Indeed, with the focus of general practitioners' work covered by the quality and outcomes framework in the General Medical Services (GMS) contract, many consider that the inclusion of PAD in the GMS contract is critical to raising awareness and improving the management of PAD in primary care.
cardiovascular disease, peripheral arterial disease, quality and outcomes framework
1474-6514
236-239
Belch, Jill
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Stansby, Gerry
f34e4433-4217-455a-8063-de5cb25e8436
Shearman, Cliff
cf4d6317-f54d-4ab3-ba49-c6797897bbcf
Brittenden, Julie
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Dugdill, Shiela
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Fowkes, Gerry
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Jarvis, Sarah
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McCann, Terrie
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Minnagh, Andrew
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Monkman, David
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Morrell, Jonathan
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Belch, Jill
42943ec0-b3f6-4d42-8894-3292607aa5b6
Stansby, Gerry
f34e4433-4217-455a-8063-de5cb25e8436
Shearman, Cliff
cf4d6317-f54d-4ab3-ba49-c6797897bbcf
Brittenden, Julie
86060404-945c-4719-a21e-80976d2645ca
Dugdill, Shiela
47360bcc-1515-4e8c-bdc4-61e739355949
Fowkes, Gerry
04c182e6-6b94-4af5-b124-6f5ecfdb8873
Jarvis, Sarah
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McCann, Terrie
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Minnagh, Andrew
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Monkman, David
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Morrell, Jonathan
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Belch, Jill, Stansby, Gerry, Shearman, Cliff, Brittenden, Julie, Dugdill, Shiela, Fowkes, Gerry, Jarvis, Sarah, McCann, Terrie, Minnagh, Andrew, Monkman, David and Morrell, Jonathan (2007) Peripheral arterial disease: a cardiovascular time bomb. British Journal of Diabetes & Vascular Disease, 7 (5), 236-239. (doi:10.1177/14746514070070050701).

Record type: Article

Abstract

Peripheral arterial disease (PAD) is a reliable marker of future vascular disease and is a substantial public health issue. In Europe and North America, 27 million people are estimated to have PAD, and in the UK around 100,000 people are diagnosed every year. People with PAD are six times more likely to die from cardiovascular disease within 10 years than people without PAD. Evidence suggests that aggressive risk factor management will prevent many premature deaths and associated morbidity. Therefore, it is vital to identify patients and initiate effective management strategies swiftly. However, whilst 40% of PAD patients have symptomatic disease ranging from intermittent claudication to critical limb ischaemia, around 60% are asymptomatic. As a result of the low rates of detection PAD is underdiagnosed and undertreated in the UK. The gravity of the problem has prompted the formation of professional bodies to address this situation through the development of national clinical guidelines. Indeed, with the focus of general practitioners' work covered by the quality and outcomes framework in the General Medical Services (GMS) contract, many consider that the inclusion of PAD in the GMS contract is critical to raising awareness and improving the management of PAD in primary care.

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More information

Published date: September 2007
Keywords: cardiovascular disease, peripheral arterial disease, quality and outcomes framework

Identifiers

Local EPrints ID: 60904
URI: https://eprints.soton.ac.uk/id/eprint/60904
ISSN: 1474-6514
PURE UUID: baa9d05e-aa98-463d-94a4-cafe15fdf728

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Date deposited: 23 Sep 2008
Last modified: 13 Mar 2019 20:29

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Contributors

Author: Jill Belch
Author: Gerry Stansby
Author: Cliff Shearman
Author: Julie Brittenden
Author: Shiela Dugdill
Author: Gerry Fowkes
Author: Sarah Jarvis
Author: Terrie McCann
Author: Andrew Minnagh
Author: David Monkman
Author: Jonathan Morrell

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