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2017 JAPAN Critical Limb Ischemia Database (JCLIMB) Annual Report

The Japanese Society For Vascular Surgery Jclimb Committee, Ncd Jclimb Analytical Team

    Annals of Vascular Diseases
    |June 30, 2020
    PubMed

    Insights

    The JAPAN Critical Limb Ischemia Database (JCLIMB) tracks patients with critical limb ischemia (CLI). The 2017 data shows ASO as the primary cause, with detailed treatment and early outcomes reported.

    Area of Science:

    • Vascular Surgery
    • Clinical Databases
    • Patient Outcomes

    Background:

    • The Japanese Society for Vascular Surgery initiated a nationwide registry for critical limb ischemia (CLI) patients in 2013.
    • The JAPAN Critical Limb Ischemia Database (JCLIMB) was established on the National Clinical Database (NCD) platform.
    • JCLIMB collects comprehensive data on patient background, treatments, and prognosis for up to five years.

    Purpose of the Study:

    • To clarify the current medical practice for critical limb ischemia (CLI) patients.
    • To improve the quality of medical care for CLI.
    • To report on the background, ischemic status, treatment, and early prognosis of CLI limbs.

    Main Methods:

    • Nationwide registration and tracking of CLI patients treated by vascular surgeons.
    • Data collection on conservative management, surgical interventions, and endovascular therapy (EVT).
    • Analysis of data from 1137 CLI limbs registered in 2017 by 84 facilities.

    Main Results:

    • In 2017, 1137 CLI limbs were registered, with 67% affecting males.
    • Atherosclerotic obliterans (ASO) accounted for 98% of the pathogenesis.
    • The manuscript reports on background data, ischemic status, treatment modalities, and early prognosis (within 1 month).

    Conclusions:

    • The JCLIMB database provides valuable insights into the management of critical limb ischemia (CLI).
    • ASO is the predominant cause of CLI requiring vascular surgery intervention.
    • Early outcomes data from JCLIMB can inform practice improvements and patient care strategies.

    Keywords:
    CLIannual reportarterial occlusive diseaseleg ischemiaperipheral arterial disease (PAD)

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