2014 JAPAN Critical Limb Ischemia Database (JCLIMB) Annual Report

Area of Science:

• Vascular Surgery
• Clinical Databases
• Patient Registries

Background:

• Critical Limb Ischemia (CLI) poses a significant challenge in vascular surgery.
• The Japanese Society for Vascular Surgery (JSVS) initiated a nationwide project to address CLI management.
• A comprehensive tracking database was established to monitor CLI patient outcomes.

Purpose of the Study:

• To clarify the current status of medical practice for patients with CLI.
• To contribute to the improvement of the quality of medical care for CLI patients.
• To establish a national registry for CLI patients.

Main Methods:

• The JAPAN Critical Limb Ischemia Database (JCLIMB) was created on the National Clinical Database (NCD).
• Data collected include patient background, therapeutic measures, early results, and long-term prognosis (up to 5 years).
• Both conservatively managed limbs and those treated by surgery and/or endovascular treatment (EVT) are registered.

Main Results:

• In 2014, 1347 CLI limbs were registered by 95 facilities.
• Male patients accounted for 69% (936 limbs) of the registered cases.
• Arteriosclerosis Obliterans (ASO) was the cause of CLI in 97% of the registered limbs.

Conclusions:

• The JCLIMB provides valuable insights into the epidemiology and early prognosis of CLI.
• Understanding the background and early outcomes of CLI patients is crucial for enhancing treatment strategies.
• This database serves as a foundation for future research and quality improvement initiatives in CLI care.