Review Article
Comparing Supervised Exercise Therapy to Invasive Measures in the Management of Symptomatic Peripheral Arterial Disease
Table 4
Supervised exercise plus invasive measures (open surgery or EVR) versus monotherapy.
| Study | Follow-up | ABPI | | MWD | | ICD | | Baseline | Endpoint | Baseline | Endpoint | Baseline | Endpoint |
| Lundgren et al. [30] | | | | | | | | | | | Surgery | 13 months | 0.55 | — | | 209 | 570 | | 85 | 405 | | SET | 0.59 | — | | 180 | 654 | | 70 | 559 | | Surgery + SET | 0.59 | — | <0.001 | 183 | 459 | 0.05 | 67 | 187 | 0.006 | Badger et al. [31] | | | | | | | | | | | Surgery | 6 months | — | — | | — | — | | — | — | — | Surgery + SET | — | — | 0.02 | — | — | 0.001 | — | — | — | Greenhalgh et al. [26] (Aortoiliac) | | | | | | | | | | | SET | 24 months | 0.66 | 0.74 | | 126 | 168 | | — | — | — | EVR + SET | 0.68 | 0.90 | 0.02 | 114 | 354 | 0.05 | — | — | — | Greenhalgh et al. [26] (Femoropopliteal) | | | | | | | | | | | SET | 24 months | 0.69 | 0.72 | | 126 | 155 | | — | — | — | EVR + SET | 0.66 | 0.83 | 0.01 | 133 | 245 | 0.4 | — | — | — | Kruidenier et al. [27] | | | | | | | | | | | EVR | 6 months | 0.71 | 0.93 | | 282 | 685 | | 343 | 547 | | EVR + SET | 0.69 | 0.88 | 0.755 | 186 | 956 | 0.001 | 293 | 842 | 0.001 | Mazari et al. [25] | | | | | | | | | | | EVR | 12 months | 0.71 | 0.9 | | 77 | 146 | | 31 | 75 | | SET | 0.72 | 0.84 | | 83 | 215 | | 42 | 97 | | EVR + SET | 0.64 | 0.92 | 0.93 | 85 | 187 | 0.259 | 43 | 99 | 0.484 | Bø et al. [28] | | | | | | | | | | | EVR | 3 months | — | — | | 213 | 427 | | 94 | 267 | | EVR + SET | — | — | <0.001 | 385 | 584 | NS | 101 | 456 | NS |
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ABPI: ankle brachial pressure index; MWD: maximal walk distance; ICD: intermittent claudication distance; EVR: endovascular revascularization; SET: supervised exercise therapy. Distances in metres unless otherwise stated. represents significant improvement favouring combined treatment. value represents statistical comparison of interventions. — represents nonreported figures.
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