Knowledge of peripheral artery disease: What do the public, healthcare practitioners, and trainees know?

Vasc Med. 2020 Jun;25(3):263-273. doi: 10.1177/1358863X19893003. Epub 2020 Jan 30.

Abstract

This systematic review evaluated the knowledge and awareness of peripheral artery disease (PAD) within the general public (including patients with peripheral vascular disease), nonspecialist healthcare professionals (nsHCP), and trainees (medical students and trainee doctors). Relevant articles were identified from electronic databases using key search terms: 'peripheral artery disease'; 'limb ischaemia'; 'intermittent claudication'; 'knowledge'; 'understanding'; 'public'; 'medical professional'. The heterogeneous results were described narratively. A lack of knowledge and understanding of PAD (disease awareness) were identified in all groups. Among nsHCPs, factors which affect knowledge include the level of training, early clinical exposure and the presence of family members with cardiovascular/vascular disease. Within the general public, knowledge and awareness was improved if a family member/friend had a diagnosis, or following a patient-centred consultation with any HCP. Public campaigns are proven effective in improving disease knowledge/awareness in conditions such as stroke alongside sustained patient education. These may provide future avenues to improve PAD knowledge and awareness, in order to effectively manage risk factors and minimise delayed or missed diagnosis of PAD. (PROSPERO registration number: CRD42018117304).

Keywords: awareness; healthcare professional; intermittent claudication; medical education; patient education; peripheral artery disease (PAD).

Publication types

  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Attitude of Health Personnel*
  • Education, Medical*
  • Health Knowledge, Attitudes, Practice*
  • Health Personnel / education*
  • Health Promotion*
  • Humans
  • Internship and Residency
  • Patient Education as Topic*
  • Peripheral Arterial Disease* / diagnosis
  • Peripheral Arterial Disease* / physiopathology
  • Peripheral Arterial Disease* / therapy
  • Public Opinion*
  • Students, Medical