Systematic Review and Meta-analysis of the Impact of Surgeon–Physician Co-management Models on Short Term Outcomes for Vascular Surgery Inpatients

Foley, Megan Power; Westby, Daniel; Walsh, Stewart R.

doi:10.1016/j.ejvs.2024.05.005

European Journal of Vascular and Endovascular Surgery

2024

DOI: 10.1016/j.ejvs.2024.05.005

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Systematic Review and Meta-analysis of the Impact of Surgeon–Physician Co-management Models on Short Term Outcomes for Vascular Surgery Inpatients

Megan Power Foley,

Daniel Westby,

Stewart R. Walsh

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2024

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Cited by 3 publications

References 33 publications

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Surgeon–Physician Co-management for Vascular Surgery in Patients: In Need of Data Multiplication or Practice Implementation?

Fabre,

Bosanquet

2024

European Journal of Vascular and Endovascular Surgery

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Surgeon–Physician Co-management for Vascular Surgery in Patients: In Need of Data Multiplication or Practice Implementation?

Fabre,

Bosanquet

2024

European Journal of Vascular and Endovascular Surgery

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Why the NHS needs adult generalists: A call for single certification in general internal medicine

Estabrook,

Dhaliwal,

Bright

2024

Future Healthcare Journal

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Audit of co-morbidity patterns and 5-year survival among patients presenting to a rapid access leg ulcer service

Ahmmad,

Mansoor,

Joyce

et al. 2024

Phlebology

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Background: While leg ulceration is common, data regarding long-term is limited. Historical data indicate that approximately 50% of leg ulcer patients die within 5 years of presentation. However, little is known regarding survival outcomes in contemporary patient populations. This retrospective study aimed to assess 5-year survival in patients attending a vascular leg ulcer clinic. Objectives: To evaluate 5-year survival among patients with leg ulcers and to analyse the effect of ulcer aetiology and patient co-morbidities on survival. Methods: Over 30 months (2016 to 2018), 119 new patients were assessed at the leg ulcer clinic and followed over 5 years. Baseline co-morbidities, ulcer type, interventions performed, and 5-year survival were recorded. Survival was calculated using Kaplan-Meier curves. Co-morbid burden and survival were compared between venous and arterial/mixed patients. Results: Overall 5-year survival was 74%. Venous patients fared better than arterial/mixed patients (5-year mortality 16/88 vs 15/31; p < .01 log-rank test). Arterial/mixed patients had a greater burden of co-morbidities. In multivariate regression modelling, the presence of three or more co-morbidities at presentation was the only significant predictor of mortality. Conclusions: Overall, 5-year survival for leg ulcer patients has improved compared to historical data but remains static for arterial/mixed patients.

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Systematic Review and Meta-analysis of the Impact of Surgeon–Physician Co-management Models on Short Term Outcomes for Vascular Surgery Inpatients

Cited by 3 publications

References 33 publications

Surgeon–Physician Co-management for Vascular Surgery in Patients: In Need of Data Multiplication or Practice Implementation?

Surgeon–Physician Co-management for Vascular Surgery in Patients: In Need of Data Multiplication or Practice Implementation?

Why the NHS needs adult generalists: A call for single certification in general internal medicine

Audit of co-morbidity patterns and 5-year survival among patients presenting to a rapid access leg ulcer service

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