Indicators of outcome quality in peripheral arterial disease                     revascularisations – a Delphi expert consensus

Rieß, Henrik; Debus, Eike Sebastian; Schwaneberg, Thea; Hischke, Sandra; Maier, Julius; Bublitz, Maria K; Kriston, Levente; Härter, Martin; Marschall, Ursula; Zeller, Thomas; Schellong, Sebastian; Behrendt, Christian‐Alexander

doi:10.1024/0301-1526/a000720

Cited by 33 publications

(7 citation statements)

References 20 publications

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“…Several previous studies looked at the effect of the use of quality indicators in various areas of care. 6,7,[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] A recent study compared SINAS quality indicators for ambulatory surgery with international-used indicators. 10 The authors concluded that, although SINAS is generally well adapted to current international practices, it would be useful/advisable to take into account two additional variables/factors, namely patient satisfaction and surgery cancellations during the scheduled day.…”

Section: Discussionmentioning

confidence: 99%

SINAS: Effective Impact in the Quality Improvement of Ambulatory Surgery at an Ambulatory Centre

Alves¹,

Correia²,

Brandão³

et al. 2020

Acta Med Port

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Introduction: The National Health Assessment System is a system designed by the Portuguese Health Regulatory Entity in order to evaluate the overall quality of the health care institutions. One of the key areas evaluated by the National Health Assessment System is ambulatory surgery. The aim of this study is to demonstrate that the introduction of the National Health Assessment System evaluation at our ambulatory centre not only improved the overall quality of ambulatory surgery but also the quality of the clinical record entries.Material and Methods: A retrospective analysis was performed from the hospital’s clinical database. The study was carried out at the ambulatory centre of the Hospital and University Centre of Porto, and included 100 consecutive surgical procedures, across all surgical specialties, previously selected by the National Health Assessment System audit performed in 2015 in our ambulatory surgery centre and other 46 surgical procedures performed in 2008 at our hospital, before the National Health Assessment System was implemented. The main outcome measure was the validation and record of the seven indicators of National Health Assessment System for ambulatory surgery.Results: We have seen an improvement in all indicators after the National Health Assessment System implementation, except for criterion 4.Discussion: Our study demonstrates that the introduction of the National Health Assessment System in our ambulatory centre resulted in the improvement in the quality of both of clinical practice, and clinical record keepingConclusion: We can conclude that the application of evaluation of quality indicators and benchmarking practices can be used to enhance healthcare outcomes.

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Section: Discussionmentioning

confidence: 99%

SINAS: Effective Impact in the Quality Improvement of Ambulatory Surgery at an Ambulatory Centre

Alves¹,

Correia²,

Brandão³

et al. 2020

Acta Med Port

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“…A normal ABI ranges between 0.9 and 1.3, and an ABI of <0.9 indicates LE-PAD, with lower values indicating more severe obstruction [ 14 ]. The Rutherford classification is a system used to categorize the severity of LE-PAD by correlating clinical symptoms with the severity of LE-PAD, with higher categories indicating more severe obstruction and ischemia [ 15 ]. All predictor variables were derived from clinical data obtained during the patients' initial visit.…”

Section: Methodsmentioning

confidence: 99%

Construction of a novel lower-extremity peripheral artery disease subtype prediction model using unsupervised machine learning and neutrophil-related biomarkers

Zhang,

Ma,

et al. 2024

Heliyon

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“…We performed a retrospective cohort study of patients undergoing PVI for PAD using prospectively collected data in the VQI registry. The VQI is an Agency for Healthcare Research and Quality‐listed Patient Safety Organization 16 that collects more than 120 patient and procedure characteristics that were predefined by both national and international consensus 17,18 on vascular procedures at over 500 participating centers in the United States and Canada 19 . We successfully linked 82% of PVI patients to fee‐for‐service Medicare claims to identify late outcomes.…”

Section: Methodsmentioning

confidence: 99%

Association between sex and long‐term outcomes of endovascular treatment for peripheral artery disease

Ramkumar

Suckow

Behrendt

et al. 2023

Cathet Cardio Intervent

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Background: Endovascular peripheral vascular intervention (PVI) has become the primary revascularization technique used for peripheral artery disease (PAD). Yet, there is limited understanding of long-term outcomes of PVI among women versus men. In this study, our objective was to investigate sex differences in the long-term outcomes of patients undergoing PVI. Methods:We performed a cohort study of patients undergoing PVI for PAD from January 1, 2010 to September 30, 2015 using data in the Vascular Quality Initiative (VQI) registry. Patients were linked to fee-for-service Medicare claims to identify late outcomes including major amputation, reintervention, major adverse limb event (major amputation or reintervention [MALE]), and mortality. Sex differences in outcomes were evaluated using cumulative incidence curves, Gray's test, and mixed effects Cox proportional hazards regression accounting for patient and lesion characteristics using inverse probability weighted estimates.Results: In this cohort of 15,437 patients, 44% (n = 6731) were women. Women were less likely to present with claudication than men (45% vs. 49%, p < 0.001, absolute standardized difference, d = 0.08) or be able to ambulate independently (ambulatory: 70% vs. 76%, p < 0.001, d = 0.14). There were no major sex differences in lesion characteristics, except for an increased frequency of tibial artery treatment in men (23% vs. 18% in women, p < 0.001, d = 0.12). Among patients with claudication, women had a higher risk-adjusted rate of major amputation (hazard ratio [HR] = 1.72, 95% confidence interval [CI]: 1.18-2.49), but a lower risk of mortality (HR = 0.86, 95% CI: 0.75-0.99). There were no sex differences in reintervention or MALE for patients with claudication. However, among patients with chronic limb-threatening ischemia, women had a lower risk-adjusted hazard of major amputation (HR = 0.79, 95% CI: 0.67-0.93), MALE (HR = 0.86, 95% CI: 0.78-0.96), and mortality (HR = 0.86, 95% CI: 0.79-0.94). Conclusion:There is significant heterogeneity in PVI outcomes among men and women, especially after stratifying by symptom severity. A lower overall mortality in women with claudication was accompanied by a higher risk of major amputation. Men with chronic limb-threatening ischemia had a higher risk of

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Indicators of outcome quality in peripheral arterial disease revascularisations – a Delphi expert consensus

Cited by 33 publications

References 20 publications

SINAS: Effective Impact in the Quality Improvement of Ambulatory Surgery at an Ambulatory Centre

SINAS: Effective Impact in the Quality Improvement of Ambulatory Surgery at an Ambulatory Centre

Construction of a novel lower-extremity peripheral artery disease subtype prediction model using unsupervised machine learning and neutrophil-related biomarkers

Association between sex and long‐term outcomes of endovascular treatment for peripheral artery disease

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