Effectiveness of a multicenter training programme to teach point-of-care vascular ultrasound for the detection of peripheral arterial disease in people with diabetes

Journal of Foot and Ankle Research
Pasha NormahaniU Jaffer

Abstract

The primary aim of this study was to evaluate the effectiveness of a training programme to teach a focused bedside ultrasound scan (PAD-scan; Podiatry Ankle Duplex Scan) for the detection of arterial disease in people with diabetes. Five podiatrists and one diabetologist across two hospitals were enrolled in a structured training programme consisting of a training course (1-day), supervised scanning (5-weeks), independent scanning (3-weeks) and a final evaluation of performance (1-day).Time, technical skills (Duplex Ultrasound Objective Structured Assessment of Technical Skills tool (DUOSATS); minimum score = 6, maximum score = 26) and accuracy (level of agreement with vascular scientist PAD-scan assessment) were assessed for every supervised scan and again for the final evaluation of performance. A total of 90 PAD-scans in 65 patients were performed during the supervised phase. Participants demonstrated significant improvements in median time (19 min(IQR 13.9-25.5) vs 9.3 min (IQR 7.3-10.5) ; p = 0.028) and DUOSATS scores (17.5 (IQR 16.8-21) vs 25 (IQR 24-25.3); p = 0.027). At the final evaluation, participants completed scans in 5.4 min (IQR 5.3-5.9), achieved full DUOSAT scores and perfect agreement with the vascular scienti...Continue Reading

References

Feb 1, 1989·European Journal of Vascular Surgery·D A LegemateB C Eikelboom
May 1, 1985·Ultrasound in Medicine & Biology·K A JagerD E Strandness
Feb 6, 1999·World Journal of Surgery·M LundinM Lepäntalo
Dec 13, 2000·Journal of Diabetes and Its Complications·G Ragnarson Tennvall, J Apelqvist
Aug 17, 2005·Journal of Vascular Surgery·Sandra SpronkPeter M T Pattynama
Mar 4, 2009·Family Practice·Aya BidermanAmalia Levy
Jul 9, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J P EibergT V Schroeder
Aug 12, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T ElgzyriJ Apelqvist
Sep 4, 2015·Diabetes/metabolism Research and Reviews·R J HinchliffeUNKNOWN International Working Group on the Diabetic Foot
Sep 6, 2015·Diabetes/metabolism Research and Reviews·J R W BrownriggUNKNOWN International Working Group on the Diabetic Foot
Nov 28, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K NoronenM Venermo
Dec 8, 2017·Angiology·Pasha NormahaniUsman Jaffer

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Software Mentioned

Duplex Ultrasound Objective Structured Assessment of Technical...
Statistical Package for Social Sciences ( SPSS )
DUOSATS

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