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2018 JAPAN Critical Limb Ischemia Database (JCLIMB) Annual Report

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

    Annals of Vascular Diseases
    |July 9, 2021
    PubMed

    Insights

    The JAPAN CLI Database (JCLIMB) tracks critical limb ischemia (CLI) patients in Japan. In 2018, 1,145 CLI limbs were registered, with arteriosclerosis obliterans being the primary cause.

    Area of Science:

    • Vascular Surgery
    • Clinical Databases
    • Patient Outcome Tracking

    Background:

    • The Japanese Society for Vascular Surgery initiated a nationwide critical limb ischemia (CLI) patient registry in 2013.
    • The JAPAN CLI Database (JCLIMB) collects comprehensive data on CLI patients, including demographics, treatments, and prognosis.
    • The registry encompasses conservative management, surgical, and endovascular interventions for CLI limbs.

    Purpose of the Study:

    • To elucidate the current medical practices for critical limb ischemia (CLI) in Japan.
    • To establish a national benchmark for CLI treatment quality.
    • To improve patient outcomes through data-driven insights.

    Main Methods:

    • Establishment of the JAPAN CLI Database (JCLIMB) on the National Clinical Database platform.
    • Prospective registration of CLI patients treated by vascular surgeons nationwide.
    • Data collection includes patient background, therapeutic strategies, and short-term (1 month) and long-term (up to 5 years) outcomes.

    Main Results:

    • In 2018, 1,145 CLI limbs were registered by 90 facilities.
    • Males constituted 66% (758 limbs) of the registered cases.
    • Arteriosclerosis obliterans was the underlying cause in 97% of the registered CLI limbs.

    Conclusions:

    • The JCLIMB provides valuable insights into the epidemiology and management of CLI in Japan.
    • Early data highlights the prevalence of arteriosclerosis obliterans as the main driver of CLI.
    • The registry serves as a crucial tool for quality improvement in vascular surgery for CLI patients.

    Keywords:
    annual reportarterial occlusive diseasecritical limb ischemialeg ischemiaperipheral arterial disease

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