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PAD patients being lost in QOF care gap

Patients with peripheral arterial disease are being lost in the system because it is not included in the quality and outcomes framework, say UK researchers.

An audit of patients from 42 practices treated in hospital for PAD showed low prescribing of statins and a lack of advice about exercise or monitoring of BMI. Standards of care were better for those also diagnosed with CHD.

All of those with a CHD diagnosis were on a statin if their cholesterol was above 5mmol/l compared with only 36% of those with just a PAD diagnosis.

But the researchers from the division of general practice and primary healthcare at the University of Leicester said levels of care needed to be high for all patients.

Blood pressure monitoring, antiplatelet prescription and smoking cessation advice were found to be more consistent.

Study leader Alison Dunkley, research nurse in primary care nursing, said treatment received by some patients with established PAD was ‘substandard'.

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