[Meaningful interventions for peripheral arterial disease: Stopping primary referral to the vascular surgeon and angioplasty]. / Zinvolle interventies bij perifeer vaatlijden.
Ned Tijdschr Geneeskd
; 1652021 09 16.
Article
em Nl
| MEDLINE
| ID: mdl-34854627
ABSTRACT
Supervised exercise therapy with lifestyle counseling by a specialized physical therapist has replaced endovascular or open revascularization as primary treatment for intermittent claudication for most patients in the Netherlands. Succesful implementation of this guideline-recommended treatment strategy was achieved by warranting availability and quality of care by organizing care around a national network. Further reductions in unnecessary interventions in this population may be achieved when general practitioners and medical specialists collaborate, for instance by making in-hospital vascular diagnostic laboratories accessible for primary care. The implementation of similar interventions for other non-communicable chronic diseases such as chronic obstructive pulmonary disease or coronary heart disease in standard care is lacking, despite a solid evidence base and guideline recommendations.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença Arterial Periférica
/
Cirurgiões
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
Nl
Ano de publicação:
2021
Tipo de documento:
Article