Perceived Challenges to Routine Uptake of the Ankle Brachial Index within Primary Care Practice Article Swipe
Lily Y. C. Chiu
,
Muzammil H. Syed
,
Abdelrahman Zamzam
,
Ori D. Rotstein
,
Rawand Abdin
,
Nadine Laraya
,
Mohammad Qadura
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3390/jcm10194371
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3390/jcm10194371
(1) Introduction: The ankle-brachial index (ABI) is the most widely used method of diagnosing peripheral arterial disease (PAD). However, the uptake of ABIs has been reported to be low in primary care settings across different various healthcare settings; however, this is yet to be investigated within the Canadian context. (2) Objective: Therefore, we sought to assess the rates of ABI usage as well as perceived barriers among primary care practitioners (PCPs) in Toronto, Canada. (3) Methods: A modified questionnaire was electronically sent to 257 PCPs in the Greater Toronto Area (GTA). Questions pertained to frequency, feasibility, utility, and barriers associated with ABI usage in clinical practice. Responses were collected and tallied. (4) Results: A total of 52 PCPs completed the questionnaire. 79% of PCPs did not routinely perform ABIs within their clinical practice, and 56% deemed ABI usage as unfeasible. Constraints in time and staff personnel, as well as complexity of ABI result interpretation, were cited as the major perceived barriers to ABI usage. The overwhelming majority of PCPs viewed alternative forms of diagnosis, such as a blood test for PAD, as being preferable to ABI, as such an approach would enhance diagnostic simplicity and efficiency. (5) Conclusion: ABI usage rates are poor within primary care practices in Toronto, Canada. Alternative approaches for diagnosing PAD may result in greater adoption rates among PCPs and therefore improve the identification of patients with PAD.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm10194371
- https://www.mdpi.com/2077-0383/10/19/4371/pdf?version=1632976930
- OA Status
- gold
- Cited By
- 11
- References
- 16
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3203622234
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W3203622234Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm10194371Digital Object Identifier
- Title
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Perceived Challenges to Routine Uptake of the Ankle Brachial Index within Primary Care PracticeWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-09-24Full publication date if available
- Authors
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Lily Y. C. Chiu, Muzammil H. Syed, Abdelrahman Zamzam, Ori D. Rotstein, Rawand Abdin, Nadine Laraya, Mohammad QaduraList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm10194371Publisher landing page
- PDF URL
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https://www.mdpi.com/2077-0383/10/19/4371/pdf?version=1632976930Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2077-0383/10/19/4371/pdf?version=1632976930Direct OA link when available
- Concepts
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Medicine, Primary care, Context (archaeology), Clinical Practice, Ankle, Index (typography), General practice, Test (biology), Health care, Family medicine, Emergency medicine, Physical therapy, Surgery, Economics, Biology, Economic growth, Computer science, World Wide Web, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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11Total citation count in OpenAlex
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2025: 5, 2024: 1, 2023: 2, 2022: 3Per-year citation counts (last 5 years)
- References (count)
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16Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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