Cochrane · systematic review · CD013852

Duplex ultrasound for surveillance of lower limb revascularisation

Sarpe, AKP, Flumignan, CDQ, Nakano, LCU, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

VascularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
5
No studies
9
Included studies
NR
No studies 9 · 64.3%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 35.7%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) versus pulse palpation plus arterial pressure index (ABI or TBI) (short term)

Population: people who underwent a lower limb revascularisation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Limb salvage rate
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (short term)
RR 0.84 [0.49, 1.45]2 studies · 936 participantsLow
Downgraded: risk of bias, imprecision
Vessel or graft secondary patency
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (short term)
RR 0.92 [0.67, 1.26]3 studies · 1092 participantsLow
Downgraded: risk of bias, imprecision
Adverse events resulting from DUS surveillance
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (short term)
no estimate extractedNRNo studies
All‐cause mortality
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (short term)
RR 1.11 [0.7, 1.74]1 study · 594 participantsLow
Downgraded: risk of bias, imprecision
Functional walking ability
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (short term)
no estimate extractedNRNo studies
Clinical severity scales
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (short term)
no estimate extractedNRNo studies
Quality of life scores
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (short term)
no estimate extracted1 study · 594 participantsLow
Downgraded: risk of bias, imprecision

Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) versus pulse palpation plus arterial pressure index (ABI or TBI) (long term)

Population: people who underwent a lower limb revascularisation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Limb salvage rate
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (long term)
no estimate extractedNRNo studies
Vessel or graft secondary patency
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (long term)
RR 0.83 [0.19, 3.51]1 study · 156 participantsLow
Downgraded: risk of bias, imprecision
Adverse events resulting from DUS surveillance
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (long term)
no estimate extractedNRNo studies
All‐cause mortality
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (long term)
no estimate extractedNRNo studies
Functional walking ability
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (long term)
no estimate extractedNRNo studies
Clinical severity scales
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (long term)
no estimate extractedNRNo studies
Quality of life scores
Duplex ultrasound plus pulse palpation and arterial pressure index (ABI or TBI) vs pulse palpation plus arterial pressure index (ABI or TBI) (long term)
no estimate extractedNRNo studies