title: [Diagnostics and treatment of lower extremity peripheral arterial disease; guideline and registry].
abstract: - Revision of the 2005 guideline 'Diagnostics and treatment of lower extremity peripheral arterial disease' and the development of an audit have instigated a degree of efficiency and transparency for the treatment of patients with peripheral arterial disease (PAD). - The key recommendations are that first-line treatment of patients, who - preferably by means of a consultation in a vascular laboratory - are diagnosed with intermittent claudication, is supervised exercise therapy and secondary prevention. Referral for second-line treatment only needs to occur when invasive therapy is considered, for example when there is insufficient improvement in symptoms or in patients who have or are developing critical ischemia. - In case of endovascular treatments it is not necessary to insert stents routinely; this can be reserved for cases where the angiographic result of the angioplasty is insufficient. - All patients with PAD are registered on the DAPA register ('Dutch audit for peripheral arterial disease'), which has two unique characteristics: patient reported outcome measures (PROMs) are recorded and a case mix correction is incorporated for the PROMs and amputation-free survival through linkage with the health insurance database.
authors.affiliation: OLVG, afd. Chirurgie, Amsterdam.
authors.forename: A
authors.initials: A
authors.lastname: Vahl
authors.forename: B
authors.initials: B
authors.lastname: Elsman
authors.forename: A
authors.initials: A
authors.lastname: van Enst
mesh_terms: D014943:Global Health; D006801:Humans; D015994:Incidence; D035002:Lower Extremity / Q000098:blood supply*; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012042:Registries; D012307:Risk Factors; D014656:Vascular Surgical Procedures / Q000379:methods*