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Titolo:
Lower-extremity peripheral arterial disease among patients with end-stage renal disease
Autore:
OHare, A; Johansen, K;
Indirizzi:
Univ Calif San Francisco, Dept Med, San Francisco, CA USA Univ Calif San Francisco San Francisco CA USA Med, San Francisco, CA USA Univ Calif San Francisco, Dept Biostat & Epidemiol, San Francisco, CA USA Univ Calif San Francisco San Francisco CA USA iol, San Francisco, CA USA Vet Affairs Med Ctr, Dept Med, San Francisco, CA 94121 USA Vet Affairs MedCtr San Francisco CA USA 94121 an Francisco, CA 94121 USA
Titolo Testata:
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
fascicolo: 12, volume: 12, anno: 2001,
pagine: 2838 - 2847
SICI:
1046-6673(200112)12:12<2838:LPADAP>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
C-REACTIVE PROTEIN; INFRAINGUINAL BYPASS GRAFT; CHRONIC DIALYSIS PATIENTS; BLOOD-PRESSURE INDEX; ANKLE-BRACHIAL INDEX; VASCULAR-DISEASE; HEMODIALYSIS-PATIENTS; LIMB SALVAGE; INTERMITTENT CLAUDICATION; CARDIOVASCULAR-DISEASE;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
90
Recensione:
Indirizzi per estratti:
Indirizzo: O'Hare, A 4150 Clement St, San Francisco, CA 94121 USA 4150 Clement St San Francisco CA USA 94121 ncisco, CA 94121 USA
Citazione:
A. O'Hare e K. Johansen, "Lower-extremity peripheral arterial disease among patients with end-stage renal disease", J AM S NEPH, 12(12), 2001, pp. 2838-2847

Abstract

Peripheral arterial occlusive disease (PAOD) accounts for significant morbidity and mortality among end-stage renal disease (ESRD) patients but has not been as extensively studied as other kinds of atherosclerotic disease inthis population. The current epidemiology and management of PAOD in ESRD patients is here reviewed and target areas for future research are identified. The prevalence of PAOD appears to be much higher among ESRD patients than in the general population. Risk factors for disease among ESRD patients are not well understood but probably include both conventional and dialysis or uremia-associated risk factors. Standard diagnostic techniques used to identify PAOD in the general population may not be as helpful in ESRD patients because many of these tests are inaccurate in the settings of vascular calcification and small-vessel disease. Despite the fact that this is a common disease in ESRD patients, most of these patients are not screened for PAOD. Interventions that have proven effective in the prevention and treatment of PAOD in the general population, such as smoking cessation, preventive foot care, and exercise, have not been systematically applied to ESRD patients. Furthermore, the optimal management of ischemic ulceration and gangrene in ESRD patients is quite controversial and better algorithms for the prevention and management of PAOD in ESRD patients are needed. In conclusion, PAOD is common in ESRD patients. Future research should identify risk factors for disease in this population, and efforts should be made to develop strategies for the effective prevention and management of limb ischemia in this population.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 15:32:51