Few UK vascular centres offer a fully NICE-compliant supervised exercise programme: a national audit.
Ann R Coll Surg Engl
; 104(2): 130-137, 2022 Feb.
Article
in English
| MEDLINE | ID: covidwho-1523385
ABSTRACT
INTRODUCTION:
To determine the current (pre-COVID-19) provision of supervised exercise training (SET) for patients with peripheral arterial disease (PAD) in UK Vascular Centres.METHODS:
Hospital Trusts delivering vascular care to patients with PAD were identified from the National Vascular Registry and asked to complete an online questionnaire on their provisions for SET. If a centre offered SET, they were asked questions to determine whether the programme was compliant with NICE guidelines and the difficulties they faced delivering the service. If centres did not offer SET, they were asked what obstacles prevented them implement SET.RESULTS:
Of the 78 UK vascular centres, 59 (76%) responded and were included in the audit. Of these, 27 (46%) were able to offer SET but only 21 (36%) could offer it to all their patients with PAD. Only four (6.8%) offered SET that was fully compliant with current NICE guidelines. Reasons identified included insufficient funding, lack of resource and poor patient compliance.CONCLUSIONS:
The benefits of SET are well established yet the availability of the service in the UK is poor. The reasons for this are readily identified but have not yet been overcome. Research on novel methods of delivering supervised exercise that mitigates existing barriers, such as home exercise with remote monitoring, should be prioritised to facilitate optimal management for our patients with PAD.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Peripheral Arterial Disease
/
COVID-19
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Europa
Language:
English
Journal:
Ann R Coll Surg Engl
Year:
2022
Document Type:
Article
Affiliation country:
Rcsann.2021.0126
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