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01-12-2018 | Research | Uitgave 1/2018 Open Access

Journal of Foot and Ankle Research 1/2018

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

Tijdschrift:
Journal of Foot and Ankle Research > Uitgave 1/2018
Auteurs:
Pasha Normahani, Rishi Agrawal, Vasilliki Bravis, Agnieszka Falinska, Linda Bloomfield, Zaheer Mehar, Dawn Gaulton, Alex Sangster, Tracey Arkle, Corinna Gomm, Mohamed Aslam, Nigel J. Standfield, Usman Jaffer
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s13047-018-0283-0) contains supplementary material, which is available to authorized users.

Abstract

Background

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.

Methods

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.

Results

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 scientist.

Conclusion

A structured training programme, integrated into diabetic foot clinics, was effective in teaching the PAD-scan

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Extra materiaal
Additional file 1 : Figure S1. The full DUOSATS assessment tool. The last four domains (grey) concern stenosis assessment and reporting, which are not relevant to the present study. Therefore, these domains were excluded from the assessment, giving a minimum and maximum attainable DUOSATS score of 6 and 26, respectively. (PNG 558 kb)
13047_2018_283_MOESM1_ESM.png
Literatuur
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