Leitlinienempfehlungen und Qualitätsindikatoren bei der invasiven Versorgung der peripheren arteriellen Verschlusskrankheit in Deutschland

IDOMENEO-Studie als Beitrag zur Qualitätsentwicklung und Versorgungsforschung in der Gefäßmedizin

Guideline recommendations and quality indicators for invasive treatment of peripheral arterial disease in Germany

The IDOMENEO study for quality improvement and research in vascular medicine

Zusammenfassung

Zahlreiche Empfehlungen in den verfügbaren internationalen Leitlinien zur Diagnostik und Behandlung der peripheren arteriellen Verschlusskrankheit (PAVK) kommen aufgrund fehlender unabhängiger Studiendaten über den Grad von Konsensempfehlungen nicht hinaus. Aufgrund von nicht einheitlich festgelegten Qualitätsindikatoren und fehlenden validen Daten zur Versorgungsrealität ist eine Überprüfung der Leitlinienkonformität der Behandlung zudem erschwert. Dieser Artikel gibt einen kurzen Überblick über die verfügbaren Leitlinienempfehlungen und stellt vor diesem Kontext das mehrstufige multimethodale IDOMENEO-Projekt vor, das sich mit Primärdatenerhebungen (GermanVasc-Register) und Routinedatenerhebungen (BARMER) in der PAVK-Behandlung befasst.

Abstract

Due to the paucity of independent trials, practical guidelines for the diagnosis and treatment of peripheral arterial disease (PAD) contain several recommendations developed by expert consensus. Furthermore, there is a lack of commonly defined quality indicators and valid data on real world treatment. Therefore, it remains challenging to scrutinize if treatment reality is conforming to guideline recommendations. This article aims to give a short overview on existing guideline recommendations. It further aims to introduce the multistage multimethodological IDOMENEO study, utilizing primary registry data (GermanVasc) and health insurance claims data (BARMER) in PAD treatment.

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Correspondence to Dr. med. Christian-Alexander Behrendt.

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Interessenkonflikt

C.-A. Behrendt, H. Rieß, M. Härter, L. Kriston, H. Federrath, U. Marschall und E.S. Debus geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Die Autoren dieses Artikels unterstützen die sprachliche Gleichbehandlung der Geschlechter. Aus Gründen der besseren Lesbarkeit wird stellenweise nur eine Form verwendet, obwohl beide Geschlechter gemeint sind: Ärzte und Ärztinnen, Behandler und Behandlerinnen, Patienten und Patientinnen, Teilnehmer und Teilnehmerinnen.

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Behrendt, C., Rieß, H., Härter, M. et al. Leitlinienempfehlungen und Qualitätsindikatoren bei der invasiven Versorgung der peripheren arteriellen Verschlusskrankheit in Deutschland. Bundesgesundheitsbl 61, 218–223 (2018). https://doi.org/10.1007/s00103-017-2676-9

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Schlüsselwörter

  • Kritische Extremitätenischämie
  • Claudicatio intermittens
  • Periphere arterielle Verschlusskrankheit
  • Routinedaten
  • Qualitätsindikatoren

Keywords

  • Critical limb ischemia
  • Intermittent claudication
  • Peripheral arterial disease
  • Routine data
  • Quality indicators