Evidence map›Paper›PMID 42909762›Full record

ReviewIrish journal of medical science2026

Making vascular outcomes visible: an implementation framework for an Irish national vascular registry.

Morgan T McLoughlin, Siobhán Ní Neachtain, Doireann P Joyce, Stewart R Walsh

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Review in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Morgan T McLoughlinDepartment of Vascular Surgery, University Hospital Galway, Galway, Ireland. morganmcloughlin21@rcsi.com.ORCID http://orcid.org/0000-0002-6387-7200
Siobhán Ní NeachtainDepartment of Vascular Surgery, University Hospital Galway, Galway, Ireland.
Doireann P JoyceDepartment of Vascular Surgery, University Hospital Galway, Galway, Ireland.
Stewart R WalshDepartment of Vascular Surgery, University Hospital Galway, Galway, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIreland lacks a coordinated national vascular registry, despite a 2023 National Model of Care recommendation to establish one for quality improvement and implant surveillance.

aimsTo identify transferable features of established national vascular registry and audit systems and translate them into a proportionate implementation framework for Ireland.

methodsA structured narrative review and comparative implementation analysis. Five mature comparator systems, purposively selected for relevance to predefined implementation domains, were characterised using contemporary programme documentation and targeted peer-reviewed literature. Features were mapped to Irish policy objectives.

resultsTransferable functions included explicit measurement of case ascertainment, clinically granular procedure-specific modules, recurrent provider feedback, linkage to routinely collected data, and progressive development of risk-adjusted benchmarking and research capability. We propose an Irish registry beginning with infrarenal abdominal aortic aneurysm repair, carotid intervention, lower-limb arterial revascularisation, and major amputation. The initial architecture should combine a limited universal clinical core with procedure-specific modules, reconciliation against Hospital In-Patient Enquiry activity, structured implant capture, and rapid feedback to participating centres. Procedure-specific risk adjustment, longitudinal linkage, complex aortic modules, and participation in VASCUNET should follow only after completeness and data quality are established. Prospective pilot evaluation should measure denominator validity, case ascertainment, mandatory-field completion, data-entry burden, provider acceptability, staffing requirements, and cost per completed case.

conclusionsIreland does not require further proof that national vascular audit is feasible; it requires a deliberately limited, testable, and sustainably commissioned implementation model.

Indexed as

Clinical auditClinical registryImplementationIrelandQuality improvementVascular surgery

Identifiers

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Registered trials

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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.