• Atencion primaria · Sep 2022

    [Evolution of the prevalence of peripheral artery disease in clinical practice: A descriptive population study with real databases (SIDIAP-CMBD)].

    • Rosa Forés, María Teresa Alzamora, Ester Boixadera-Planas, Ana Vázquez, Guillem Pera, and Pere Torán.
    • Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Mataró, Barcelona, España; Departamento de Medicina, Universidad de Girona, Girona, España. Electronic address: rosafores2011@gmail.com.
    • Aten Primaria. 2022 Sep 1; 54 (9): 102437.

    ObjectiveTo evaluate, with real world data (SIDIAP and CMBD), the evolution of the prevalence of peripheral arterial disease (PAD) in the Catalan population and the cardiovascular risk factors present in people with this pathology.DesignLongitudinal descriptive population study. SITE: Primary health care.ParticipantsPatients listed in SIDIAP and CMBD with a diagnosis of peripheral artery disease between 2008 and 2018 ≥ 35 years, as well as those without a diagnosis, but with an ABI < 0.9 in SIDIAP.Interventions And Main MeasurementsMain variable AP (ICD-9, ICD-10). Sociodemographic data, risk factors and cardiovascular disease, drug use and prevalent cardiovascular events at the time of diagnosis.Results141,520 patients were studied. 75% had hypertension, 58% were smokers or former smokers, and 23% had a myocardial infarction. The global prevalence increased from 1.15% in 2008 to 3.10% in 2018. The prevalence of PAD increased with age, with a moderate increase at younger ages, and more pronounced in > 55 years, exceeding 10% in > 85 years.ConclusionThis is a population study where it is observed that the evolution of the prevalence of peripheral artery disease has presented a constant increase during the years 2008-2018, being higher in men, especially from 55 years of age. Studies with large databases can facilitate the design and implementation of new policies in national health systems.Copyright © 2022 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved.

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