Noninvasive Peripheral Artery Disease Screening Tools: A Deficient Knowledge among French Vascular Residents from 4 Medical Schools

Stivalet, Olivier; Omarjee, Loukman; Chaudru, Ségolène; Hoffmann, Clément; Bressollette, L; Cohoon, Kevin P.; Jaquinandi, Vincent

doi:10.1016/j.avsg.2017.07.040

Cited by 5 publications

(5 citation statements)

References 22 publications

(44 reference statements)

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“…This is the first time that such data about the use of Doppler waveforms is published demonstrating the issue of the homogenization of the teaching on a whole country. Similar issues were found for ABI and pressures measurements in France ( 16 , 17 ).…”

Section: Discussionsupporting

confidence: 76%

Inter-rater Reliability of a 13-Category Arterial Doppler Waveform Classification and Practice of French Vascular Physicians

Lanéelle

Guillaumat

Trihan

et al. 2021

Front. Cardiovasc. Med.

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Background: Arterial Doppler Ultrasound waveform (DW) analysis allows the detection and evaluation of lower extremity peripheral artery disease. The high heterogeneity of the reported description of DW is reduced by the use of classification. However, the reliability of these classifications is either unknown or low to moderate and practices of vascular caregivers regarding the use of these classifications remain unknown.Aims: This study aims to assess the inter-observer reliability of the Saint-Bonnet classification, a 13-category DW classification. The secondary objective was to determine the utilization rate of the most common classifications and the ability of these classifications to describe DW.Methods: A national survey was conducted among all vascular physicians of French society of vascular medicine. They were invited by email to describe on a website 20 DW without and with the display of the Saint-Bonnet classification. The reliability of this classification was estimated by Fleiss' Kappa expressed with [95% confidence interval]. A semantic analysis allowed us to classify the physicians' responses according to the terms used. Finally we have evaluated for each classification the rate of misuse, i.e., the addition of a complementary term to the defined categories.Results: One hundred and ten physicians participated and only 5% of these were familiar with Saint-Bonnet classification. Fifty-four percent of vascular physicians used no classification at all. Vascular physicians used the Spronk (four-category), Descotes (five-category) and Saint-Bonnet (13-category) classifications for respectively, 31, 10, and 5%. Kappa coefficient of Fleiss (κ) was 0.546 [0.544–0.547] (p < 0.001). Reliability by category ranges from κ of 0.075 to 0.864. In multivariate analysis, the use of a classification was associated with fewer years of experience and was dependent on geographic location. Misuse rate by classification was 88, 82, and 5% using Spronk, Descotes and Saint-Bonnet classifications respectively.Conclusion: The reliability of Saint-Bonnet classification is weak to moderate by vascular physicians who are not familiar with its use. However, unlike the other classifications, it seems to be sufficiently precise so that the user does not need to complete its description. There is a significant heterogeneity in the use of arterial Doppler classifications in France.

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Section: Discussionsupporting

confidence: 76%

Inter-rater Reliability of a 13-Category Arterial Doppler Waveform Classification and Practice of French Vascular Physicians

Lanéelle

Guillaumat

Trihan

et al. 2021

Front. Cardiovasc. Med.

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“…PAD knowledge by medical students and trainee doctors was tested using questionnaires and during formal examinations within six studies. 14,[34][35][36][37][38] Overall knowledge was rated at modest to poor for data gathering and its interpretation during practical exams. It was improved if there was a personal or family history of cardiac disease.…”

Section: Knowledge Of Pad -Trainees and Studentsmentioning

confidence: 99%

Knowledge of peripheral artery disease: What do the public, healthcare practitioners, and trainees know?

et al. 2020

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This systematic review evaluated the knowledge and awareness of peripheral artery disease (PAD) within the general public (including patients with peripheral vascular disease), nonspecialist healthcare professionals (nsHCP), and trainees (medical students and trainee doctors). Relevant articles were identified from electronic databases using key search terms: ‘peripheral artery disease’; ‘limb ischaemia’; ‘intermittent claudication’; ‘knowledge’; ‘understanding’; ‘public’; ‘medical professional’. The heterogeneous results were described narratively. A lack of knowledge and understanding of PAD (disease awareness) were identified in all groups. Among nsHCPs, factors which affect knowledge include the level of training, early clinical exposure and the presence of family members with cardiovascular/vascular disease. Within the general public, knowledge and awareness was improved if a family member/friend had a diagnosis, or following a patient-centred consultation with any HCP. Public campaigns are proven effective in improving disease knowledge/awareness in conditions such as stroke alongside sustained patient education. These may provide future avenues to improve PAD knowledge and awareness, in order to effectively manage risk factors and minimise delayed or missed diagnosis of PAD. (PROSPERO registration number: CRD42018117304)

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“…Although pressure measurement plays a major role in establishing diagnosis of PAD, little research has focused on how this measurement technique is taught(4) and the knowledge of French medical students on this subject leaves much to be desired (5,6) .…”

Section: Introductionmentioning

confidence: 99%

Proficiency of Medical Students at Obtaining Pressure Measurement Readings Using Automated Ankle and Toe Measuring Devices for Diagnosis of Lower Extremity Peripheral Artery Disease

Catillon

Tuffier²,

Guilcher

et al. 2020

Annals of Vascular Surgery

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Noninvasive Peripheral Artery Disease Screening Tools: A Deficient Knowledge among French Vascular Residents from 4 Medical Schools

Cited by 5 publications

References 22 publications

Inter-rater Reliability of a 13-Category Arterial Doppler Waveform Classification and Practice of French Vascular Physicians

Inter-rater Reliability of a 13-Category Arterial Doppler Waveform Classification and Practice of French Vascular Physicians

Knowledge of peripheral artery disease: What do the public, healthcare practitioners, and trainees know?

Proficiency of Medical Students at Obtaining Pressure Measurement Readings Using Automated Ankle and Toe Measuring Devices for Diagnosis of Lower Extremity Peripheral Artery Disease

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