An International Delphi Consensus on Diagnostic Criteria for Buerger's Disease
Issued Date
2022-09-01
Resource Type
ISSN
08905096
eISSN
16155947
Scopus ID
2-s2.0-85130963506
Pubmed ID
35398199
Journal Title
Annals of Vascular Surgery
Volume
85
Start Page
211
End Page
218
Rights Holder(s)
SCOPUS
Bibliographic Citation
Annals of Vascular Surgery Vol.85 (2022) , 211-218
Suggested Citation
Fazeli B., Poredos P., Schernthaner G., Stephen E., Kozak M., Catalano M., Pecsvarady Z., Patel M., Al Salman M.M., Altarazi L., Muhammad Bashar A.H., Chua B., Cvjetko I., Desai S., Erer D., Hussein E., Gaddikeri P., Ionac M., Iwai T., Karahan O., Kota A., Kroger K., Kumar P.P., Malecki R., Marcoccia A., Pandey S.R., Ravari H., Samuel V., Selvaraj D., Sermsathanasawadi N., Sharebiani H., Szuba A., Taheri H., Zor M.H., Liew A. An International Delphi Consensus on Diagnostic Criteria for Buerger's Disease. Annals of Vascular Surgery Vol.85 (2022) , 211-218. 218. doi:10.1016/j.avsg.2022.03.028 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/85613
Title
An International Delphi Consensus on Diagnostic Criteria for Buerger's Disease
Author(s)
Fazeli B.
Poredos P.
Schernthaner G.
Stephen E.
Kozak M.
Catalano M.
Pecsvarady Z.
Patel M.
Al Salman M.M.
Altarazi L.
Muhammad Bashar A.H.
Chua B.
Cvjetko I.
Desai S.
Erer D.
Hussein E.
Gaddikeri P.
Ionac M.
Iwai T.
Karahan O.
Kota A.
Kroger K.
Kumar P.P.
Malecki R.
Marcoccia A.
Pandey S.R.
Ravari H.
Samuel V.
Selvaraj D.
Sermsathanasawadi N.
Sharebiani H.
Szuba A.
Taheri H.
Zor M.H.
Liew A.
Poredos P.
Schernthaner G.
Stephen E.
Kozak M.
Catalano M.
Pecsvarady Z.
Patel M.
Al Salman M.M.
Altarazi L.
Muhammad Bashar A.H.
Chua B.
Cvjetko I.
Desai S.
Erer D.
Hussein E.
Gaddikeri P.
Ionac M.
Iwai T.
Karahan O.
Kota A.
Kroger K.
Kumar P.P.
Malecki R.
Marcoccia A.
Pandey S.R.
Ravari H.
Samuel V.
Selvaraj D.
Sermsathanasawadi N.
Sharebiani H.
Szuba A.
Taheri H.
Zor M.H.
Liew A.
Author's Affiliation
Siriraj Hospital
Alanya Alaaddin Keykubat University
Immunology Research Center
Vascular and Endovascular Surgery Research Center
Saolta University Health Care Group
Ospedale Sandro Pertini
Sultan Qaboos University Hospital
Clinical Hospital Merkur
Univerzitetni Klinični Center Ljubljana
Gazi University, Faculty of Medicine
Ain Shams University
Universitatea de Medicina si Farmacie Victor Babes din Timisoara
King Saud University
Medizinische Universität Wien
Wroclaw Medical University
Ramaiah Medical College
Tokyo Medical and Dental University
Ospedale Luigi Sacco - Polo Universitario
National Institute of Cardiovascular Diseases
Christian Medical College, Vellore
Mukund Hospital
Farabi Hospital
Slovenian Medical Academy
Apollo-CVHF Hospital
Varicose Veins and Vascular Polyclinic (VVVC)
Annapurna Hospital
Novena Specialist Center
HELIOS Klinik Krefeld
Flor Ferenc Teaching Hospital
Alanya Alaaddin Keykubat University
Immunology Research Center
Vascular and Endovascular Surgery Research Center
Saolta University Health Care Group
Ospedale Sandro Pertini
Sultan Qaboos University Hospital
Clinical Hospital Merkur
Univerzitetni Klinični Center Ljubljana
Gazi University, Faculty of Medicine
Ain Shams University
Universitatea de Medicina si Farmacie Victor Babes din Timisoara
King Saud University
Medizinische Universität Wien
Wroclaw Medical University
Ramaiah Medical College
Tokyo Medical and Dental University
Ospedale Luigi Sacco - Polo Universitario
National Institute of Cardiovascular Diseases
Christian Medical College, Vellore
Mukund Hospital
Farabi Hospital
Slovenian Medical Academy
Apollo-CVHF Hospital
Varicose Veins and Vascular Polyclinic (VVVC)
Annapurna Hospital
Novena Specialist Center
HELIOS Klinik Krefeld
Flor Ferenc Teaching Hospital
Other Contributor(s)
Abstract
Background: Buerger's disease (BD) remains a debilitating condition. Despite multiple published diagnostic criteria for BD, none is universally accepted as a gold standard. Methods: We conducted a 2-round modified Delphi consensus study to establish a consensus on the diagnostic. The questionnaire included statements from several commonly used diagnostic criteria for BD. Qualitative and quantitative analysis methods were performed. An agreement level of 70% was applied. Results: Twenty nine experts from 18 countries participated in this study. Overall, 75 statements were circulated in Round 1. Of these, 28% of statements were accepted. Following comments, 21 statements were recirculated in Round 2 and 90% were accepted. Although more than 90% of the experts did not agree that the diagnosis of BD can be based only on clinical manifestation, none of the nonclinical manifestations of BD were agreed as a part of the diagnostic criteria. There was an agreement that a history of tobacco consumption in any form, not necessarily confined to the current use, should be a part of the diagnostic criteria of BD. The history of thrombophlebitis migrans, even if not present at presentation, was accepted as a clue for BD diagnosis. It was also agreed that discoloration of the toes or fingers could be included in the diagnostic criteria of BD. Experts agreed that histology results could differentiate BD from atherosclerosis obliterans and other types of vasculitis. The presence of corkscrew collaterals on imaging and burning pain reached the agreement at the first round but not at the second. There was no consensus regarding age cut-off, the requirement of normal lipid profile, and normal blood glucose for BD diagnosis. Conclusions: The present study demonstrated discrepancies in the various published diagnostic criteria for BD and their selective utilization in routine clinical practice worldwide. We propose that all published diagnostic criteria for BD be re-evaluated for harmonization and universal use.