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A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
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Few UK vascular centres offer a fully NICE-compliant supervised exercise programme: a national audit
1University of Manchester, UK.
Annals of the Royal College of Surgeons of England
|January 4, 2022
Summary
Supervised exercise training (SET) for peripheral arterial disease (PAD) is not widely available in UK Vascular Centres. Insufficient funding and resources limit SET provision, hindering optimal patient management.
Area of Science:
- Vascular Medicine
- Exercise Physiology
- Healthcare Provision
Background:
- Supervised exercise training (SET) is crucial for managing peripheral arterial disease (PAD).
- Pre-COVID-19 data is needed to assess current SET availability in the UK.
- Understanding provision gaps is essential for improving patient care.
Purpose of the Study:
- To audit the provision of SET for PAD patients in UK Vascular Centres before COVID-19.
- To evaluate compliance with NICE guidelines for existing SET programmes.
- To identify barriers to SET implementation and delivery.
Main Methods:
- Online questionnaire distributed to UK Hospital Trusts providing vascular care.
- Data collected from the National Vascular Registry to identify eligible centres.
- Analysis of SET programme compliance and reported delivery challenges.
Main Results:
- 59 out of 78 (76%) UK vascular centres responded to the audit.
- Only 46% of centres offered SET, with 36% able to offer it to all PAD patients.
- Just 6.8% of SET programmes fully complied with NICE guidelines due to funding, resources, and patient compliance issues.
Conclusions:
- SET availability for PAD patients in the UK is inadequate despite established benefits.
- Identified barriers to SET provision remain significant.
- Prioritizing research into novel delivery methods like remote home exercise is recommended.
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