Evidence map›Paper›PMID 33004283›Full record

ArticleEuropean journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery2020

Editor's Choice - International Variations and Sex Disparities in the Treatment of Peripheral Arterial Occlusive Disease: A Report from VASCUNET and the International Consortium of Vascular Registries.

Christian-Alexander Behrendt, Birgitta Sigvant, Jenny Kuchenbecker, Matthew J Grima, Marc Schermerhorn, Ian A Thomson, Martin Altreuther, Carlo Setacci, Alexei Svetlikov, Elin H Laxdal and 8 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 12 institutions in 10 countries.

Christian-Alexander BehrendtDepartment of Vascular Medicine, Research Group GermanVasc, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. Electronic address: behrendt@hamburg.de.
Birgitta SigvantDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Jenny KuchenbeckerDepartment of Vascular Medicine, Research Group GermanVasc, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Matthew J GrimaDepartment of Surgery, Vascular Unit, Mater Dei Hospital, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.
Marc SchermerhornDivision of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Centre, Boston, MA, USA.
Ian A ThomsonDepartment of Surgical Sciences, University of Otago, Dunedin, New Zealand.
Martin AltreutherDepartment of Vascular Surgery, St. Olavs Hospital, Trondheim, Norway.
Carlo SetacciUniversità degli Studi di Siena, Vascular and Endovascular Surgery, Siena, Italy.
Alexei SvetlikovDepartment of Cardiovascular Surgery, The I.I. Mechnikov North-Western State Medical University, St. Petersburg, Russia.
Elin H LaxdalDepartment of Vascular Surgery, Landspitali University Hospital, Reykjavik, Iceland.
Frederico Bastos GoncalvesCHULC/NOVA Medical School, Lisbon, Portugal.
Eric A SecemskyDivision of Cardiology, Beth Israel Deaconess Medical Centre, Boston, MA, USA.
E Sebastian DebusDepartment of Vascular Medicine, Research Group GermanVasc, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Kevin CassarDepartment of Surgery, Vascular Unit, Mater Dei Hospital, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.
Barry BeilesAustralian and New Zealand Society for Vascular Surgery, Melbourne, Australia.
Adam W BeckDivision of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, AB, USA.
Kevin ManiDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Daniel BertgesDivision of Vascular Surgery, University of Vermont Medical Centre, Burlington, VT, USA.
Universität Hamburg · DEBeth Israel Deaconess Medical Center · USUniversity of Malta · MTUppsala University · SENorth-Western State Medical University named after I.I. Mechnikov · RUReykjavík University · ISSt Olav's University Hospital · NOUniversidade Nova de Lisboa · PTUniversity of Alabama at Birmingham · USUniversity of Otago · NZUniversity of Siena · ITUniversity of Vermont Medical Center · US

Funding

Shared Decision-Making to Improve the Health Status of Patients with Claudication: Developing and Implementing Strategies to Individualize Treatment DecisionsK23HL150290 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SECEMSKY, ERIC ALEXANDER · 2020 to 2024
$851k
NHLBI NIH HHS K23 HL150290
6 · The paper itself

Abstract

objectiveThe aim of this study was to determine sex specific differences in the invasive treatment of symptomatic peripheral arterial occlusive disease (PAOD) between member states participating in the VASCUNET and International Consortium of Vascular Registries.

methodsData on open surgical revascularisation and peripheral vascular intervention (PVI) of symptomatic PAOD from 2010 to 2017 were collected from population based administrative and registry data from 11 countries. Differences in age, sex, indication, and invasive treatment modality were analysed.

resultsData from 11 countries covering 671 million inhabitants and 1 164 497 hospitalisations (40% women, mean age 72 years, 49% with intermittent claudication, 54% treated with PVI) in Europe (including Russia), North America, Australia, and New Zealand were included. Patient selection and treatment modality varied widely for the proportion of female patients (23% in Portugal and 46% in Sweden), the proportion of patients with claudication (6% in Italy and 69% in Russia), patients' mean age (70 years in the USA and 76 years in Italy), the proportion of octogenarians (8% in Russia and 33% in Sweden), and the proportion of PVI (24% in Russia and 88% in Italy). Numerous differences between females and males were observed in regard to patient age (72 vs. 70 years), the proportion of octogenarians (28% vs. 15%), proportion of patients with claudication (45% vs. 51%), proportion of PVI (57% vs. 51%), and length of hospital stay (7 days vs. 6 days).

conclusionRemarkable differences regarding the proportion of peripheral vascular interventions, patients with claudication, and octogenarians were seen across countries and sexes. Future studies should address the underlying reasons for this, including the impact of national societal guidelines, reimbursement, and differences in health maintenance.

Indexed as

Patient SelectionAgedAged, 80 and overAge FactorsAustraliaEuropeFemaleHealthcare DisparitiesHumansIntermittent ClaudicationInternationalityLength of StayMaleNew ZealandPeripheral Arterial DiseaseRegistriesAdministrative dataDiabetic foot syndrome (DFS)EpidemiologyLower extremity artery diseasePeripheral arterial occlusive disease (PAOD)Registries

Identifiers

PMID33004283
PMCPMC8080993
OpenAlexW3090408554

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.