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Treatment of Peripheral Arterial Occlusive Disease around the Globe: Malta

Introduction: Malta is a small island in the middle of the Mediterranean with a population of 514,564 inhabitants and is served by one public tertiary hospital, Mater Dei Hospital. The Vascular unit was set up in 2007. The aim of this review is to analyse the work related to peripheral arterial occl...

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Autores principales: Dimech, Anthony Pio, Galea, Samuel Anthony, Cassar, Kevin, Grima, Matthew Joe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8705027/
https://www.ncbi.nlm.nih.gov/pubmed/34945042
http://dx.doi.org/10.3390/jcm10245747
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author Dimech, Anthony Pio
Galea, Samuel Anthony
Cassar, Kevin
Grima, Matthew Joe
author_facet Dimech, Anthony Pio
Galea, Samuel Anthony
Cassar, Kevin
Grima, Matthew Joe
author_sort Dimech, Anthony Pio
collection PubMed
description Introduction: Malta is a small island in the middle of the Mediterranean with a population of 514,564 inhabitants and is served by one public tertiary hospital, Mater Dei Hospital. The Vascular unit was set up in 2007. The aim of this review is to analyse the work related to peripheral arterial occlusive disease (PAOD) in Malta with an in-depth focus on amputations and revascularisation procedures since the introduction of the Vascular unit. Method: Various sources of data have been interrogated to address this subject. Population and prevalence data on obesity and type II diabetes mellitus from 2003 to 2019 was obtained from the National Statistics Office, the World Health Organization, and the International Diabetes Federation, respectively. The Maltese Vascular Register (MaltaVasc), and in-hospital reports from 2003 to 2019 was used to obtain data on revascularisation procedures, major amputations and minor amputation rates in Malta. Results: Malta has one of the highest rates of obesity in Europe. In 2015, the prevalence rate was 30.6%. Similarly, data from the International Diabetes Federation Atlas showed that the prevalence rate of T2DM among adults was 14% in 2017. There was a mean of 33 open/hybrid procedures per 100,000 population (28–38, 95% confidence interval) between 2005 and 2009 and a mean of 57 endovascular procedures per 100,000 population (46–68, 95% confidence interval) during the same time-period. From 2009 to 2019, there was a mean of 16 major amputations and 78 minor amputations per 100,000 population. Conclusion: A significant reduction in major amputation rates with an increase in minor amputation rates and revascularisation rates has been noted since the establishment of the vascular unit in Malta. During this period, there has been an increase in prevalence in obesity and T2DM together with an aging population.
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spelling pubmed-87050272021-12-25 Treatment of Peripheral Arterial Occlusive Disease around the Globe: Malta Dimech, Anthony Pio Galea, Samuel Anthony Cassar, Kevin Grima, Matthew Joe J Clin Med Review Introduction: Malta is a small island in the middle of the Mediterranean with a population of 514,564 inhabitants and is served by one public tertiary hospital, Mater Dei Hospital. The Vascular unit was set up in 2007. The aim of this review is to analyse the work related to peripheral arterial occlusive disease (PAOD) in Malta with an in-depth focus on amputations and revascularisation procedures since the introduction of the Vascular unit. Method: Various sources of data have been interrogated to address this subject. Population and prevalence data on obesity and type II diabetes mellitus from 2003 to 2019 was obtained from the National Statistics Office, the World Health Organization, and the International Diabetes Federation, respectively. The Maltese Vascular Register (MaltaVasc), and in-hospital reports from 2003 to 2019 was used to obtain data on revascularisation procedures, major amputations and minor amputation rates in Malta. Results: Malta has one of the highest rates of obesity in Europe. In 2015, the prevalence rate was 30.6%. Similarly, data from the International Diabetes Federation Atlas showed that the prevalence rate of T2DM among adults was 14% in 2017. There was a mean of 33 open/hybrid procedures per 100,000 population (28–38, 95% confidence interval) between 2005 and 2009 and a mean of 57 endovascular procedures per 100,000 population (46–68, 95% confidence interval) during the same time-period. From 2009 to 2019, there was a mean of 16 major amputations and 78 minor amputations per 100,000 population. Conclusion: A significant reduction in major amputation rates with an increase in minor amputation rates and revascularisation rates has been noted since the establishment of the vascular unit in Malta. During this period, there has been an increase in prevalence in obesity and T2DM together with an aging population. MDPI 2021-12-08 /pmc/articles/PMC8705027/ /pubmed/34945042 http://dx.doi.org/10.3390/jcm10245747 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Dimech, Anthony Pio
Galea, Samuel Anthony
Cassar, Kevin
Grima, Matthew Joe
Treatment of Peripheral Arterial Occlusive Disease around the Globe: Malta
title Treatment of Peripheral Arterial Occlusive Disease around the Globe: Malta
title_full Treatment of Peripheral Arterial Occlusive Disease around the Globe: Malta
title_fullStr Treatment of Peripheral Arterial Occlusive Disease around the Globe: Malta
title_full_unstemmed Treatment of Peripheral Arterial Occlusive Disease around the Globe: Malta
title_short Treatment of Peripheral Arterial Occlusive Disease around the Globe: Malta
title_sort treatment of peripheral arterial occlusive disease around the globe: malta
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8705027/
https://www.ncbi.nlm.nih.gov/pubmed/34945042
http://dx.doi.org/10.3390/jcm10245747
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