2019 JAPAN Critical Limb Ischemia Database (JCLIMB) Annual Report

Insights

The JAPAN Critical Limb Ischemia Database (JCLIMB) tracks critical limb ischemia (CLI) patients, revealing that arteriosclerosis obliterans is the primary cause. This national registry aims to improve CLI patient care quality.

Area of Science:

  • Vascular Surgery
  • Clinical Databases
  • Patient Outcome Tracking

Background:

  • The Japanese Society for Vascular Surgery initiated a national registry for critical limb ischemia (CLI) patients in 2013.
  • The registry, JAPAN Critical Limb Ischemia Database (JCLIMB), is built upon the National Clinical Database (NCD).

Purpose of the Study:

  • To elucidate the current medical practice for CLI patients.
  • To improve the quality of medical care for individuals with critical limb ischemia.

Main Methods:

  • Data collection on patient background, treatments (conservative, surgical, endovascular), early results, and up to 5-year prognosis.
  • Registration of 1070 CLI limbs from 83 facilities in 2019.
  • Analysis of background data and early prognosis of registered CLI limbs.

Main Results:

  • Arteriosclerosis obliterans (ASO) was the cause of CLI in 98% of registered limbs.
  • In 2019, 1070 CLI limbs were registered, with 68% affecting males.
  • Early prognosis data for these limbs are reported in this manuscript.

Conclusions:

  • The JCLIMB database provides valuable insights into CLI patient demographics and treatment outcomes.
  • Findings from JCLIMB can guide improvements in clinical practice for critical limb ischemia management.

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