{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:01:32Z","timestamp":1787018492591,"version":"build-2736575974"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T00:00:00Z","timestamp":1678924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>Best medical therapy (BMT) for peripheral arterial disease (PAD), carotid artery stenosis (CAS) and abdominal aortic aneurysm (AAA) involving concomitant use of antiplatelets, lipid-lowering agents, and blood pressure control, improves patient survival and prevents clinical cardiovascular disease (CVD). We performed a single-center cross-sectional study, over a 4-year period, describing BMT use in Western Australian patients with symptomatic PAD, CAS and AAA in the community. Overall, 45.3% of our cohort (n = 1689) were on appropriate BMT (CAS, 58.1%; PAD, 43.1%; AAA, 41.1%). There was highest uptake of blood pressure control at 93.0% (lipid-lowering agents, 65.3%; antithrombotics 63.5%). PAD was associated with highest uptake of blood pressure control (PAD 93.9%; CAS, 91.4%; AAA, 91.1%, P = .092) whilst CAS had highest uptake of antithrombotics (CAS 76.3%; PAD, 61.0%; AAA 60.4%, P &lt; .001) and lipid-lowering agents (CAS 78.7%; PAD, 63.1%; AAA, 60.4%, P &lt; .001). Our study indicates suboptimal use of BMT in patients with vascular disease in the community. The risk of CVD in CAS is likely misperceived as higher than PAD and AAA.<\/jats:p>","DOI":"10.1177\/00033197231159246","type":"journal-article","created":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T02:29:06Z","timestamp":1679020146000},"page":"288-294","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Uptake of Best Medical Therapy: Secondary Prevention of Cardiovascular Disease in Vascular Surgical Patients in Western Australia"],"prefix":"10.1177","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4013-0494","authenticated-orcid":false,"given":"Ryan","family":"Teh","sequence":"first","affiliation":[{"name":"South Metropolitan Health Service, WA Health, Fiona Stanley Hospital, Perth, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren","family":"Raymond","sequence":"additional","affiliation":[{"name":"Medical School, The University of Western Australia, Crawley, WA, Australia"},{"name":"School of Health and Medical Sciences, Edith Cowan University, Joondalup, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishore","family":"Sieunarine","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Hollywood Hospital, Perth, WA, Australia"},{"name":"Medical School, Curtin University, Bentley, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,16]]},"reference":[{"key":"bibr1-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1002\/psb.1298"},{"key":"bibr2-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2011.03.006"},{"key":"bibr3-00033197231159246","first-page":"773","volume":"50","author":"Naylor AR","year":"2009","journal-title":"J Cardiovasc Surg"},{"key":"bibr4-00033197231159246","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-134-3-200102060-00008"},{"key":"bibr5-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1161\/hc4601.099486"},{"key":"bibr6-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.17.2277"},{"key":"bibr7-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12415"},{"key":"bibr8-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.09.020"},{"key":"bibr9-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.01.051"},{"key":"bibr10-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11214"},{"key":"bibr11-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.07.031"},{"key":"bibr12-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2007.10.003"},{"key":"bibr13-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx095"},{"key":"bibr14-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.06.021"},{"key":"bibr15-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.10.044"},{"key":"bibr16-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.12.009"},{"key":"bibr17-00033197231159246","unstructured":"National Institute of Health and Care Excellence. Peripheral Arterial Disease: Diagnosis and Management. London: NICE. 2012 [updated 2020 Dec; cited 2022 Dec 21]. (Clinical guideline [CG147]). Available from: www.nice.org.uk\/guidance\/cg147"},{"key":"bibr18-00033197231159246","unstructured":"National Institute of Health and Care Excellence. Abdominal aortic aneurysm: diagnosis and management. London: NICE, 2020 [cited 2022 Dec 21]. (Clinical guideline [NG156]). Available from: www.nice.org.uk\/guidance\/ng156"},{"key":"bibr19-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000471"},{"key":"bibr20-00033197231159246","doi-asserted-by":"publisher","DOI":"10.4103\/0256-4947.83219"},{"key":"bibr21-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2019.06.722"},{"key":"bibr22-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16469"},{"key":"bibr23-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-1433.2003.02675.x"},{"key":"bibr24-00033197231159246","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2009.tb02816.x"},{"key":"bibr25-00033197231159246","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.11.077"},{"key":"bibr26-00033197231159246","unstructured":"The Royal Australian College of General Practitioners. General Practice: Health of the Nation 2018. East Melbourne, Vic: RACGP, 2018. Available from: https:\/\/www.racgp.org.au\/download\/Documents\/Publications\/Health-of-the-Nation-2018-Report.pdf"}],"container-title":["Angiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00033197231159246","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00033197231159246","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00033197231159246","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:21:09Z","timestamp":1777371669000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00033197231159246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,16]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1177\/00033197231159246"],"URL":"https:\/\/doi.org\/10.1177\/00033197231159246","relation":{},"ISSN":["0003-3197","1940-1574"],"issn-type":[{"value":"0003-3197","type":"print"},{"value":"1940-1574","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,16]]}}}