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2 results on '"Bracale G"'

1. Position Paper on Young Vascular Surgeons Training of the Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS): State of the Art and Perspectives.

Author

Bracale UM, Ammollo RP, Hussein EA, Hoballah JJ, Taurino M, Saleem BR, Setacci C, Pecoraro F, Serra R, Bracale G, Panagrosso M, Peluso A, Petrone A, Maisto M, Del Guercio L, Dinoto E, Bajardi G, Bouayed MN, Zeebregts CJ, Pulli R, Pane B, Pratesi G, Castelli P, Setacci F, Gargiulo M, Stella A, Illario M, De Luca V, Verhoeven ELG, Riambau V, Saratzis N, Cvjetko I, Resch T, Fernandes E Fernandes J, Chiche L, and Goeau-Brissonniere O

Subjects
Clinical Competence, Curriculum, Diabetic Angiopathies diagnosis, Diabetic Angiopathies epidemiology, Humans, Learning Curve, Mediterranean Region epidemiology, Peripheral Arterial Disease diagnosis, Peripheral Arterial Disease epidemiology, Program Evaluation, Specialization, Diabetic Angiopathies surgery, Education, Medical, Graduate, Internship and Residency, Peripheral Arterial Disease surgery, Surgeons education, Vascular Surgical Procedures education
Abstract

The Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS) was founded in 2018, with the aim to promote cooperation among vascular professionals within Mediterranean countries. Due to its prominent social and economic impact on national health systems, diabetic peripheral artery was selected as the very first topic to be investigated by the federation. In this second paper, different experiences from delegates of participating countries were shared to define common strategies to harmonize, standardize, and optimize education and training in the Vascular Surgery specialty., (Copyright © 2021 Elsevier Inc. All rights reserved.)

Published
2021
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2. Managing Peripheral Artery Disease in Diabetic Patients: A Questionnaire Survey from Vascular Centers of the Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS).

Author

Bracale UM, Ammollo RP, Hussein EA, Hoballah JJ, Goeau-Brissonniere O, Taurino M, Setacci C, Pecoraro F, and Bracale G

Subjects
Amputation, Surgical adverse effects, Diabetic Foot diagnostic imaging, Diabetic Foot epidemiology, Endovascular Procedures adverse effects, Health Care Surveys, Humans, Ischemia diagnostic imaging, Ischemia epidemiology, Mediterranean Region epidemiology, Nurse's Role, Patient Care Team trends, Peripheral Arterial Disease diagnostic imaging, Peripheral Arterial Disease epidemiology, Physician's Role, Reoperation trends, Specialization trends, Treatment Outcome, Vascular Surgical Procedures adverse effects, Wound Healing, Amputation, Surgical trends, Diabetic Foot surgery, Endovascular Procedures trends, Healthcare Disparities trends, Ischemia therapy, Peripheral Arterial Disease therapy, Practice Patterns, Nurses' trends, Practice Patterns, Physicians' trends, Vascular Surgical Procedures trends
Abstract

Background: The Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS) was founded on October 1, 2018, to enhance cooperation among vascular professionals within Mediterranean countries. Due to its prominent social and economic impact on national health systems, diabetic arteriopathy has been selected as the very first topic to be investigated by the federation., Methods: MeFAVS members were asked to reply to a questionnaire on the management of diabetic ischemic foot. Results were collected and analyzed statistically. The questionnaire consisted of 15 multiple choice answers regarding diabetic foot (DF) diagnosis and treatment. The questionnaire was submitted to 21 centers on April 20, 2019., Results: Response rate was 62%. The survey revealed that vascular surgeons, diabetologists, and wound care nurses made-up the core of the diabetic teams present in 76.9%, 69.3%, and 92.3% of the centers, respectively. Diabetic teams were most often led by vascular surgeons (53.8%) and diabetologists (42.2%), but only in 7.9% of cases by nurses. Duplex ultrasonography and computed tomographic angiography were the most commonly available tools used to assess diabetic peripheral arterial disease (PAD). Surgical wound care was undertaken by vascular surgeons in the majority of cases, and only in 46.2% of the cases to orthopedic or plastic surgeons, while nonsurgical wound care was handled by specialized nurses (76.6%) and diabetologists (53.8%). First-line revascularization was preferred over conservative treatment (61.5% vs 53.8%) and endovascular strategy (45.3%) over open (33.7%) or hybrid (21.0%) surgery. Vascular surgeons and interventional radiologists were found to be the most common performers of endovascular revascularization (92.3% and 53.8%, respectively). Amputations had an overall rate of 16.6% (range 4-30%) and a mean reintervention rate of 22.5%, and were usually performed by vascular surgeons for both minor and major interventions (84.6%) followed by orthopedic surgeons (15.4% minor and 30.8% major). The availability of a DF clinic (84.6%) and endovascular (53.8%) and open surgery (46.2%) capabilities were considered fundamental to reduce amputation rates., Conclusions: Especially since the introduction and spreading of new endovascular techniques for the treatment of DF, it is a common consensus amongst vascular surgeons that a standardized approach to the discipline is necessary in order to improve outcomes such as amputation-free survival and mortality and it is with this perspective and purpose that transnational cooperation amongst vascular professionals and residents in training are aiming for greater proficiency in endovascular and open surgery., (Copyright © 2019 Elsevier Inc. All rights reserved.)

Published
2020
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