Treatment Patterns for Intermittent Claudication in Patients with Commercial Insurance

Using Large Scale Data Analytics to Identify Health Care Trends

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Intermittent Claudication is the most common symptomatic presentation of peripheral arterial disease in the lower extremities. It is associated with leg pain while walking that is relieved with rest. There is a low rate of progression to limb threating ischemia or limb loss. Recommended initial treatment included medical optimization, smoking cessation, and supervised exercise therapy. Interventions include endovascular treatments such as balloons and stents or open surgical options such as bypass. Recently there has been a huge increase in operative treatment of intermittent claudication, particularly by endovascular means. This is associated with an increase in outpatient surgical facilities and is thought to be a segment of highly utilized low value care in the system. Our goal was to assess the temporal trends with practice patterns and compliance with non-interventional therapy.


  • Define intermittent claudication and recommended best practices
  • Describe the temporal trends in treatment patterns
  • Analyze how often guidelines are followed

PresenterPhoto: A professional headshot of Dr. Jeffrey Siracuse

Dr. Jeffrey Siracuse is a Vascular Surgeon at Boston Medical Center and an Associate Professor of Surgery and Radiology at Boston University. Clinically his interests include treatment of peripheral arterial disease, aortic aneurysms, carotid artery disease, vascular trauma, thoracic outlet syndrome, venous disease, and creation of dialysis access. He is the medical director of the Pre-Procedure Clinic and is the Vascular Surgery Fellowship Program Director. He has received funding from the National Institutes of Health as well as Surgical Specialty Societies. He has published over 130 papers focusing on peripheral vascular disease. He is an Associate Editor of Annals of Vascular Surgery and on the editorial board of the Journal of Vascular Surgery. He is the chair of the Society for Vascular Surgery’s Appropriateness Committee as well as the Vascular Study Group of New England Research Advisory Council.

Date: February 26, 2020


  • Meet-and-greet with light lunch: 11:30AM-12PM
  • Presentation: 12PM-12:45PM
  • Moderated discussion: 12:45PM – 1:30PM

Location: Fenway Campus
Larsen Alumni Room -Floor 3, Room 355
180E Riverway
Boston, MA 02215

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