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April 28, 2003

Critical Issues in Peripheral Arterial Disease Detection and Management: A Call to Action

Author Affiliations

From The Prevention of Atherothrombotic Disease Network.

Arch Intern Med. 2003;163(8):884-892. doi:10.1001/archinte.163.8.884

THIS CALL-TO-ACTION document is an initiative of the Prevention of Atherothrombotic Disease Network, an international, multidisciplinary network, adjoined by the mutual goal of increasing awareness, detection, and treatment rates of peripheral arterial disease (PAD) and increasing awareness of the interrelationship between PAD and the risk of ischemic events. Although the prevalence of PAD in Europe and North America is estimated at approximately 27 million people, PAD remains a largely underdiagnosed and undertreated disease. Several recent epidemiologic studies have revealed PAD detection rates of 20% to 30% when specific at-risk populations were screened. In an effort to guide diagnostic and treatment protocols, the Prevention of Atherothrombotic Disease Network has recommended 5 action items. These are to (1) increase awareness of PAD and its consequences; (2) improve the identification of patients with symptomatic PAD; (3) initiate a screening protocol for patients at high risk for PAD; (4) improve treatment rates among patients who have been diagnosed with symptomatic PAD; and (5) increase the rates of early detection among the asymptomatic population.

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