Rationale and design of the RECording COurses of vasculaR Diseases registry (RECCORD registry)
Nasser M Malyar1, Jürgen Stausberg2, Wulf D Ito3
11 Division of Vascular Medicine, Department of Cardiovascular Medicine, University Hospital Münster, Münster, Germany.
Insights
The RECCORD registry will collect real-world data on peripheral artery disease (PAD) revascularization to improve patient outcomes. This study aims to establish evidence-based therapeutic strategies for PAD patients.
Area of Science:
- Vascular Medicine
- Cardiovascular Research
- Clinical Trials
Background:
- Peripheral artery disease (PAD) prevalence is rising globally.
- Revascularization is key for PAD management, including intermittent claudication.
- A nationwide registry is needed to capture contemporary real-world data on PAD care.
Purpose of the Study:
- Establish a nationwide registry for vascular diseases (RECCORD).
- Collect real-life data on medical and interventional care for PAD patients.
- Assess the long-term outcomes of PAD revascularization procedures.
Main Methods:
- Prospective, multicentre, observational 'all-comers' registry.
- Inclusion of patients undergoing endovascular revascularization for lower limb PAD.
- One-year follow-up assessing demographics, comorbidities, interventions, and adverse events.
Main Results:
- The RECCORD registry will provide comprehensive real-world data on PAD care.
- Benchmarking of participating centers using predefined quality indicators.
- Identification of factors associated with favorable outcomes in PAD patients.
Conclusions:
- RECCORD will offer insights into current PAD treatment practices and outcomes.
- Findings may inform evidence-based therapeutic strategies and patient pathways.
- The registry platform can be expanded for studying other vascular diseases.
Background:
The prevalence of peripheral artery disease (PAD) is increasing worldwide. Revascularization procedures constitute a cornerstone of the therapy in PAD, not only in critical limb ischaemia but increasingly also in patients with intermittent claudication. The German Society of Angiology - Society for Vascular Medicine is establishing a nationwide, prospective, multicentre registry to address the lack of contemporary real life data regarding current practice of medical and interventional care in vascular patients and its subsequent long-term outcome.
Patients And Methods:
The RECording COurses of vasculaR Diseases registry (RECCORD registry) is an observational, prospective, multicentre, all-comers registry platform. In the initial phase, patients referred for endovascular revascularization of PAD of the lower limbs will be prospectively included and followed up for at least one year. At baseline, data on patients' demographic characteristics, comorbidities, previous peripheral interventions, medication, and clinical stage of PAD (Rutherford category), haemodynamic parameters, and procedural data including complications will be assessed. Major adverse cardiac and limb events will be recorded at planned (at six and 12 months) and at any unplanned visits. The therapeutic management will be exclusively left to the discretion of the vascular specialists.
Results And Conclusions:
The RECCORD registry will provide a comprehensive dataset depicting the current real life practice and outcome of vascular care. The seven predefined quality indicators will be used for benchmarking the participating centres. Moreover, identifying factors promoting a favourable outcome might pave the way for an evidence-based therapeutic strategy and a dedicated therapeutic pathway for patients with PAD including patient-oriented best interventional approaches. In the future, the RECCORD registry may provide a general platform to study the courses of various defined vascular diseases in order to get detailed insights into the real life current practice of health care provided to vascular patients.
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