Reza Mofidi , Peng Wong , Tracey Gatenby , Simon Milburn
{"title":"Value based healthcare and delivery of vascular surgery services in the United Kingdom","authors":"Reza Mofidi , Peng Wong , Tracey Gatenby , Simon Milburn","doi":"10.1016/j.rvm.2016.06.001","DOIUrl":"10.1016/j.rvm.2016.06.001","url":null,"abstract":"<div><p>Attaining value captures the essence of economic activity organizations. Since inception of the concept, value chains have enhanced value creation in the physical world and resulted in new business opportunities in the virtual domain. Healthcare requires transformational change, in order to achieve the best outcomes. Value based healthcare is an adaptation of structures and processes which are designed to capture value in delivery of healthcare services.</p><p>The specialty of vascular surgery in the United Kingdom has been undergoing transformational change in the last 5 years, in terms of training structure, how the services are delivered and funded. This paper discusses the concept of value based healthcare and how it can be adapted to enhance the quality of vascular surgical services provided in the United Kingdom in light of the recent structural changes in vascular surgical services.</p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"6 ","pages":"Pages 1-9"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2016.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77557966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reza Mofidi , Hanafiah Harunarashid , Peng Wong , Simon Milburn
{"title":"Assessment of quality of care in vascular surgery and the emergence of quality improvement programs","authors":"Reza Mofidi , Hanafiah Harunarashid , Peng Wong , Simon Milburn","doi":"10.1016/j.rvm.2016.08.001","DOIUrl":"10.1016/j.rvm.2016.08.001","url":null,"abstract":"<div><p>A commitment to continuously improve the quality of services provided lies at the heart of clinical practice in the 21st century. Vascular surgery has been going through significant changes through the introduction of new technologies and expanding evidence-base for timing and efficacy of vascular surgical interventions. Consequently, there has been a necessity to improve quality, safety, effectiveness and cost efficiency of systems of care which deliver vascular surgical services. This review discusses the theories relevant to quality improvement in healthcare and how they have been used in vascular surgery to improve outcomes and quality of care following vascular intervention.</p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"6 ","pages":"Pages 29-36"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2016.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89871059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Vasculab manoeuvre: simulating walking in venous investigations","authors":"F. Passariello , M. Cappelli , S. Ermini","doi":"10.1016/j.rvm.2016.08.002","DOIUrl":"10.1016/j.rvm.2016.08.002","url":null,"abstract":"<div><p>The Vasculab manoeuvre (VA) is a dynamic manoeuvre, specifically designed to study the physio-pathology of the venous calf muscle pump (CMP). It could be defined a simulated “<em>in situ</em><span><span>” step and adopts a simplified scheme of the walking step. The patient rolls forward on the leading foot, standing on the toes<span> of both feet (systole, S) and can remain in this position to perform a sustained systole (SS) or can relax, shifting the weight on the other side (diastole, D). VA observations require a training period, while the patient must be provided a set of simple instructions, in order to get the knee extension and the spontaneous rolling on the foot plant. BMode ultrasound shows that in all examined cases MGVs are compressible in systole. A set of CMP specific measurements can be performed, like the refilling time and the stroke volume. VA is the only manoeuver to perform an ultrasound venous investigation in movement. In diastole the refill occurs by capillary inflow (vis a tergo) while reflux comes from incompetent veins. MGVs are taken as a model for the CMP, while the endo-venous compartment of the calf is used as a volumetric model of the leg. VA is a simply executable manoeuvre, which however hides a complex physiopathology, providing the estimation of the CMP parameters. In addition, VA can be used also in several types of </span></span>plethysmography.</span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"6 ","pages":"Pages 20-28"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2016.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84012663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Silva , G. Teixeira , M. Bertão , R. Almeida , A. Mansilha , C. Vasconcelos
{"title":"Raynaud phenomenon","authors":"I. Silva , G. Teixeira , M. Bertão , R. Almeida , A. Mansilha , C. Vasconcelos","doi":"10.1016/j.rvm.2016.03.001","DOIUrl":"https://doi.org/10.1016/j.rvm.2016.03.001","url":null,"abstract":"<div><p><span>Raynaud's phenomenon<span> is a common clinical disorder characterized by recurrent vasospasm episodes of </span></span>digital arteries<span>, arterioles, pre-capillary and post-capillary venules triggered by exposure to cold or emotional stress. RP can be classified as primary (idiopathic), or secondary to several diseases or conditions. The pathogenesis of RP is still not entirely clear or understood, but recent insights into the pathogenic mechanisms underlying Raynaud's phenomenon include vascular, neuronal and intravascular abnormalities which may identify crucial key points and potential targets for therapeutic intervention.</span></p><p>In this review we summarize the epidemiology, pathogenesis, clinical manifestations and assessments as well as the recent advances in therapeutic approaches.</p><p><span><span>An extensive review of recent literature was conducted, according to the guidelines proposed at the PRISMA statement. MEDLINE database (PubMed) and Thomson Reuters Web of Knowledge platform were searched for articles published in peer-reviewed journals and published in English language. The keyword search terms included: Raynaud phenomenon, epidemiology, pathogenesis, thermoregulation, </span>endothelium dysfunction, risk factors, clinical features, nailfold videocapillaroscopy and </span>treatment.</p><p><span>Inclusion criteria were: (1) Randomized controlled trials (2) Reviews, </span>systematic reviews<span> and meta-analysis of randomized controlled trials (3) English language. Studies lacking clinical end points of relief, case reports and open label trials were excluded.</span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"4 ","pages":"Pages 9-16"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2016.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92058159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison of thermal and non-thermal ablation","authors":"Roshan Bootun, Tristan R.A. Lane, Alun H. Davies","doi":"10.1016/j.rvm.2016.02.001","DOIUrl":"10.1016/j.rvm.2016.02.001","url":null,"abstract":"<div><p><span>Varicose vein disease<span> is common and has an adverse effect on patients. Treatment of the condition has been demonstrated to improve patients' physical well-being and </span></span>quality of life<span><span><span>. Surgical treatment has for a long time been the ‘gold standard’ method until the launch of endovenous thermal ablation towards end of the twentieth century. Indeed, being less invasive and offering the possibility of day-case local anaesthetic procedures, they have gradually become the mainstay of contemporary varicose vein treatment. Vein ablation using steam and microwave are new additions to thermal methods, but there is currently insufficient evidence as to their effectiveness and place in the management of varicose veins. The superiority of thermal ablation is now being challenged by endovenous non-thermal methods. Foam </span>sclerotherapy, until recently the only endovenous non-thermal technique available, has been joined by mechanochemical ablation and </span>cyanoacrylate<span> glue as viable alternatives to thermal ablation. It is believed that these new non-thermal methods will be able to offer additional benefits to patients. This review of thermal and non-thermal ablation techniques assesses their respective merit in the management of varicose veins.</span></span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"4 ","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2016.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84703044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of quality of life tools in superficial venous disease","authors":"S. Zappadu, S. Onida, A.H. Davies, T.R.A. Lane","doi":"10.1016/j.rvm.2016.04.002","DOIUrl":"10.1016/j.rvm.2016.04.002","url":null,"abstract":"<div><p><span>Superficial venous disease (SVD) is a common condition in the Western world, with recognized, negative effects on mood and </span>quality of life<span> (QoL) in those affected. Numerous tools exist to assess QoL in patients<span> with SVD. The aim of this article is to review the literature on the role of QoL assessment tools in this disease group, describing the most commonly used instruments and their relevance, assessing the relationship between clinical and functional assessment tools, delineating the correlation among physician and patient reports and discussing the importance of translation.</span></span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"4 ","pages":"Pages 17-22"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2016.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73732240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Sonal Sekhar , M.K. Unnikrishnan , Gabriel Sunil Rodrigues , Navya Vyas
{"title":"Chelating agents and antioxidants: Pragmatic approaches for management of Buerger's disease","authors":"M. Sonal Sekhar , M.K. Unnikrishnan , Gabriel Sunil Rodrigues , Navya Vyas","doi":"10.1016/j.rvm.2016.04.003","DOIUrl":"10.1016/j.rvm.2016.04.003","url":null,"abstract":"<div><p><span><span>Buerger's disease (BD) is a </span>peripheral vascular disease<span>, the etiology of which was largely unknown until recently. Currently, various studies demonstrated the involvement of heavy metals in tobacco and other source as one of the causative factors. Heavy metals induce vascular dysfunction by inducing high oxidative stress<span>, reducing the activities of endothelial nitric oxide synthase and enhancing the phosphorylation of </span></span></span>myosin light chain kinases<span>. Targeting and modulating these pathological mechanisms may provide novel pharmacological intervention to halt the progression of the BD. Hence, we hypothesized that chelating agents and antioxidants alone or combination therapy can help manage BD.</span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"4 ","pages":"Pages 23-25"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2016.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86680350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"WITHDRAWN: Bilateral absence of common iliac artery: Abnormal internal iliac artery during ligation in conservative surgical management of placenta accreta","authors":"A. El-Agwany","doi":"10.1016/J.RVM.2016.04.001","DOIUrl":"https://doi.org/10.1016/J.RVM.2016.04.001","url":null,"abstract":"","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76915324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Common features of atherosclerosis and venous disease","authors":"Jan Piťha","doi":"10.1016/j.rvm.2015.11.001","DOIUrl":"10.1016/j.rvm.2015.11.001","url":null,"abstract":"<div><p>Atherosclerosis<span><span><span> and venous diseases<span> exert substantial burden on human population including high prevalence and incidence of mortality and disabling morbidity caused by these disorders. In contrast to the traditional belief, current evidence based on physiological and epidemiological findings indicates that atherosclerotic and venous disease share many common features. Pathophysiological mechanisms underlying both diseases is immune system represented by monocytes/macrophages which interact with endothelial layer of arteries and veins and cause atherosclerotic process and venous insufficiency. From epidemiological point of view, both diseases also share manageable risk factors including obesity, </span></span>dyslipidemia, and hypertension. In addition, there is evidence for significant and causal association between atherosclerosis and </span>venous thrombosis<span><span>. Several management strategies including pharmacoherapy are proposed to be effective for prevention and treatment of atherosclerosis and venous disease. However, detailed knowledge of the </span>pathophysiology connecting atherosclerosis and venous disease is still incomplete including data regarding “complex” treatment. The aim of this review is to present available evidence of pathophysiological and epidemiological aspects in common mechanisms of atherosclerotic and venous disease and to summarize clinical implications based on current knowledge.</span></span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"3 4","pages":"Pages 35-39"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2015.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75675092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}