PortalPublikationenMultidisciplinary team decision is rare and decreasing in pe...

Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes

Standard

Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes. / Behrendt, Christian-Alexander; Kölbel, Tilo; Schwaneberg, Thea; Diener, Holger; Hohnhold, Ralf; Sebastian Debus, Eike; Christian Rieß, Henrik.

in: VASA, Jahrgang 48, Nr. 3, 05.2019, S. 262-269.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Behrendt, C-A, Kölbel, T, Schwaneberg, T, Diener, H, Hohnhold, R, Sebastian Debus, E & Christian Rieß, H 2019, 'Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes', VASA, Jg. 48, Nr. 3, S. 262-269. https://doi.org/10.1024/0301-1526/a000771

APA

Behrendt, C-A., Kölbel, T., Schwaneberg, T., Diener, H., Hohnhold, R., Sebastian Debus, E., & Christian Rieß, H. (2019). Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes. VASA, 48(3), 262-269. https://doi.org/10.1024/0301-1526/a000771

Vancouver

Behrendt C-A, Kölbel T, Schwaneberg T, Diener H, Hohnhold R, Sebastian Debus E et al. Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes. VASA. 2019 Mai;48(3):262-269. https://doi.org/10.1024/0301-1526/a000771

Bibtex

@article{45cf67c7d3734f32bcf1b066cea307f1,
title = "Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes",
abstract = " Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.",
keywords = "Aged, Cross-Sectional Studies, Germany, Humans, Ischemia, Limb Salvage, Patient Care Team, Peripheral Arterial Disease, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome",
author = "Christian-Alexander Behrendt and Tilo K{\"o}lbel and Thea Schwaneberg and Holger Diener and Ralf Hohnhold and {Sebastian Debus}, Eike and {Christian Rie{\ss}}, Henrik",
year = "2019",
month = may,
doi = "10.1024/0301-1526/a000771",
language = "English",
volume = "48",
pages = "262--269",
journal = "VASA",
issn = "0301-1526",
publisher = "Hans Huber",
number = "3",

}

RIS

TY - JOUR

T1 - Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes

AU - Behrendt, Christian-Alexander

AU - Kölbel, Tilo

AU - Schwaneberg, Thea

AU - Diener, Holger

AU - Hohnhold, Ralf

AU - Sebastian Debus, Eike

AU - Christian Rieß, Henrik

PY - 2019/5

Y1 - 2019/5

N2 - Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.

AB - Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.

KW - Aged

KW - Cross-Sectional Studies

KW - Germany

KW - Humans

KW - Ischemia

KW - Limb Salvage

KW - Patient Care Team

KW - Peripheral Arterial Disease

KW - Retrospective Studies

KW - Risk Factors

KW - Time Factors

KW - Treatment Outcome

U2 - 10.1024/0301-1526/a000771

DO - 10.1024/0301-1526/a000771

M3 - SCORING: Journal article

C2 - 30526427

VL - 48

SP - 262

EP - 269

JO - VASA

JF - VASA

SN - 0301-1526

IS - 3

ER -