456 Palliative Care Interventions for Peripheral Vascular Disease: A Systematic Review

Abstract Objective Identify and evaluate palliative care interventions used in peripheral vascular disease (PVD). Background PVD encompasses conditions with poor outcome severe suffering, both mentally physically, yet utilisation research into remain sparse. Method A systematic review of all study designs published between January 1991 2020 which people received at least one patient reported was recorded. Results total eight studies involving 87037 unique patients met inclusion criteria (four cohort four cross sectional studies). There were no randomised controlled studies; The small number heterogeneity precluded meta-analysis. Only two papers recorded outcomes. Five found an association reduction health utilisation. Most the that likely underused. included non-hospital patients. methodological quality ranged from low to moderate. Conclusions Despite high mortality morbidity associated PVD, evidence effectiveness this group is lacking. are only a handful on surgery majority small, methodologically flawed lack Randomised trials needed determine optimal treatment