RT Journal Article
SR Electronic
T1 Targeted screening for peripheral arterial disease in general practice: a pilot study in a high risk group
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP 311
OP 315
VO 57
IS 537
A1 Neil C Campbell
A1 Caroline McNiff
A1 Jane Sheran
A1 Julie Brittenden
A1 Amanda J Lee
A1 Lewis D Ritchie
YR 2007
UL http://bjgp.org/content/57/537/311.abstract
AB Background Screening of high-risk groups for peripheral arterial disease has been advocated because the condition underdiagnosed and secondary prevention can reduce cardiovascular event rates.Aim To establish the feasibility of screening for peripheral arterial disease in people aged 60 years or over with hypertension, and to estimate the potential to improve secondary preventive treatment.Design of study Pilot study and cross-sectional survey.Setting Large general practice in north-east Scotland.Method People aged 60 years or over with hypertension but no cardiovascular disease or diabetes were identified from computer records and invited to a screening clinic. Data were collected on ankle brachial pressure index (ABPI), preventive treatment, and risk factors.Results Of 705 potentially eligible patients, 443 (63%) agreed to participate. Sixty-four were excluded and 364 of 379 patients (96%) attended screening. Thirty patients had peripheral arterial disease (ABPI of 0.9 or less), of whom 24 (7%; 95% confidence interval [CI] = 4 to 10%) were previously undiagnosed. Fifteen (50%) patients took antiplatelets, 13 (45%) had cholesterol <5mmol/l, and 16 (53%) had blood pressure below 140/85 mmHg. Twenty-two (73%) patients were non-smokers, 14 (47%) had low-fat diets, two (7%) were physically active, and three (10%) ate recommended amounts of fruit and vegetables.Conclusions It is feasible to screen for peripheral arterial disease in primary care, but its prevalence is lower than anticipated. There is room for improvement in secondary preventive treatment and lifestyle, so a structured programme could still have important benefits for survival.