Education and Management of PAD in Primary Care
Paraules clau
Resum
Descripció
Around 20% of people above 60 years are estimated to have PAD. The prevalence of PAD is expected to rise due to a sedentary life-style, poor dietary choices, rising prevalence of diabetes and longer life-expectancy.
The most common presentation of symptomatic PAD is intermittent claudication - pain on activity. In some cases the reduction in blood flow is so severe that it causes pain at rest, ulceration or gangrene (chronic limb threatening ischemia, CLTI). Approximately 5% of individuals between the age of 55 and 74 in the UK have IC or CLTI. Compared to age-matched individuals, these patients are more likely to suffer cardiovascular events - heart attack and strokes and cognitive impairment (10). Of those with IC, 5% will progress to CLTI. In patients with CLTI the one-year risk of limb amputation is 30% and five-year all-cause mortality is 50%, similar to various advanced forms of cancer. Recognition and management are essential to reducing the limb and life loss sequela.
Management of these high-risk individuals is shared between primary care (diagnosis, treatment of cardiovascular risk-factors, rehabilitation) and secondary care (vascular reconstruction, amputation, specialist management of cardiovascular disease).
This mutli-centre prospective cohort study will investigate the explore the educational experience of UK primary care health practitioners for peripheral arterial disease (PAD), including identification of factors that shape their preferred learning style and assess health professionals opinions of PAD recognition and management.
Dates
Darrera verificació: | 03/31/2020 |
Primer enviat: | 04/07/2020 |
Inscripció estimada enviada: | 04/09/2020 |
Publicat per primera vegada: | 04/12/2020 |
Última actualització enviada: | 04/21/2020 |
Publicació de l'última actualització: | 04/23/2020 |
Data d'inici de l'estudi real: | 06/30/2020 |
Data estimada de finalització primària: | 06/30/2021 |
Data estimada de finalització de l’estudi: | 09/30/2021 |
Condició o malaltia
Intervenció / tractament
Other: Educational Screening tool
Fase
Criteris d'elegibilitat
Edats elegibles per estudiar | 18 Years Per a 18 Years |
Sexes elegibles per estudiar | All |
Mètode de mostreig | Probability Sample |
Accepta voluntaris saludables | Sí |
Criteris | Inclusion Criteria: 1. Practising healthcare practitioners within primary care 2. Participants must be aged 18 years or older 3. Participants must be able to access the online questionnaire 4. Participants must have the capacity to consent 5. Participants should speak English Exclusion Criteria: 1. Healthcare practitioners who are not in practice. 2. Participants who do not consent 3. Participants who are unable to communicate in English |
Resultat
Mesures de resultats primaris
1. Educational exposure do primary care health practitioners experience regarding PAD [10 years]
Mesures de resultats secundaris
1. What opinions do UK primary care health practitioners have towards PAD recognition and management? [10 years]
Altres mesures de resultats
1. What factors are important when considering educational interventions to healthcare practitioners in primary care? [10 years]