title: What is the present situation of vascular surgery? Considerations and reflections based on real practice.
abstract: "For the best vascular care to every patient, every day" is the goal of our practice, but is it a possible goal? Where are we now? The general idea is that we are pursuing the right way. The evolution of our discipline in the last two decades has been extraordinary and we reaffirm that we are the leaders in diagnose and treatment of the arterial pathology. Unfortunately, we can find some cases in which reality has to be faced as hardly as it can be, remembering us that we still have to go further with our job. The delay in the diagnose and treatment could lead to a permanent deficit and a money loss for the national health system due to prolonged hospitalization, multiple re-hospitalizations, loss of working capacity. This must be avoided. We strongly suggest that a vascular surgeon should be present in all the Emergency Room and should be routinely involved in the management of patients. The routine use of dedicated interdisciplinary protocols should be strongly advocated. Vascular surgery, as medical specialty, should be recognized as single specialty in all countries and as "peculiar" by the National Authority as well as Neurosurgery and Cardiac Surgery.
authors.affiliation: Vascular and Endovascular Surgery Unit Department of Medical, Surgical and Neurological Sciences School of Medicine, University of Siena, Siena, Italy. sirignanop@alice.it
authors.forename: P
authors.initials: P
authors.lastname: Sirignano
authors.forename: F
authors.initials: F
authors.lastname: Setacci
authors.forename: G
authors.initials: G
authors.lastname: Galzerano
authors.forename: A
authors.initials: A
authors.lastname: Sirignano
authors.forename: V
authors.initials: V
authors.lastname: Fineschi
authors.forename: C
authors.initials: C
authors.lastname: Setacci
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003299:Cooperative Behavior; D057210:Delayed Diagnosis; D019033:Delivery of Health Care, Integrated / Q000191:economics; D004636:Emergency Service, Hospital; D017721:Hospital Costs; D006801:Humans; D033183:Interdisciplinary Communication; D007558:Italy; D016365:Liability, Legal / Q000191:economics; D008297:Male; D019300:Medical Errors / Q000191:economics / Q000517:prevention & control*; D010043:Outcome and Process Assessment, Health Care / Q000191:economics; D010348:Patient Care Team; D011785:Quality Assurance, Health Care / Q000191:economics; D013997:Time Factors; D061665:Time-to-Treatment; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000191:economics; D057772:Vascular System Injuries / Q000175:diagnosis / Q000601:surgery*