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Review
. 2022 Jul 12;12(7):1041.
doi: 10.3390/life12071041.

Epidemiology of Peripheral Artery Disease: Narrative Review

Lilla Horváth  1   2 , Noémi Németh  2 , Gergely Fehér  1   3 , Zsuzsanna Kívés  4 , Dóra Endrei  4   5 , Imre Boncz  4   6
Affiliations
Review

Epidemiology of Peripheral Artery Disease: Narrative Review

Lilla Horváth et al. Life (Basel). .

Abstract

Past decades have witnessed a major epidemiologic transition with a considerable increase in the disease burden associated with atherosclerotic cardiovascular diseases (CVDs), with low-income and middle-income countries (LMICs) experiencing substantial increase in CVDs. As the global population is aging and peripheral artery disease (PAD) is strongly age-related, it is estimated to become increasingly prevalent in the future. PAD shares risk factors with coronary and cerebrovascular risk factors, particularly diabetes mellitus and smoking, and is associated with significant CVD morbidity and mortality. Despite advances in therapeutic modalities, 236 million people were estimated to be suffering from PAD worldwide in 2015, and numbers have been rising since. The prevalence of asymptomatic PAD has remained high; PAD prevalence seems higher among women and is related to ethnicity. Although several epidemiological studies have been published on PAD during the past decades, data from LMICs are scarce. Besides providing up-to-date epidemiological data retrieved from the literature and the Global Burden of Disease (GBD) study database, this narrative review also intends to draw attention to the substantial disease burden of PAD manifesting in more Years of Life Lost (YLL), age-adjusted mortality and amputation rates, with a special focus on some European countries and especially Hungary, i.e., the country with the highest amputation rate in Europe.

Keywords: PAD prevalence; amputation; disease burden; epidemiology; peripheral artery disease (PAD).

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Prevalence of PAD per 100,000 population by age group in males, females and both sexes combined, in 2019. (Graph by authors, source: https://vizhub.healthdata.org, access date: 28 March 2022).
Figure 2
Figure 2
Age-standardised mortality due to PAD per 100,000 population in some European countries and Europe, among females, between 1990–2019. (Graph by author, source: https://vizhub.healthdata.org, access date: 28 March 2022).
Figure 3
Figure 3
Age-standardised mortality due to PAD per 100,000 population in some European countries and Europe, among males, between 1990–2019. (Graph by authors, source: https://vizhub.healthdata.org, access date: 28 March 2022).
Figure 4
Figure 4
Age-standardised YLL per 100,000 in some European countries among men, in 2019 (Graph by authors, source: https://vizhub.healthdata.org, access date: 28 March 2022).
Figure 5
Figure 5
Age-standardised YLL per 100,000 in some European countries among women, in 2019 (Graph by author, source: https://vizhub.healthdata.org, access date: 28 March 2022).
See this image and copyright information in PMC

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