Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease: A Science Advisory From the American Heart Association

American Heart Association Council on Peripheral Vascular Disease; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; and Council on Lifestyle and Cardiometabolic Health

Research output: Contribution to journalArticle

Abstract

Patients with lower-extremity peripheral artery disease (PAD) have greater functional impairment, faster functional decline, increased rates of mobility loss, and poorer quality of life than people without PAD. Supervised exercise therapy (SET) improves walking ability, overall functional status, and health-related quality of life in patients with symptomatic PAD. In 2017, the Centers for Medicare & Medicaid Services released a National Coverage Determination (CAG-00449N) for SET programs for patients with symptomatic PAD. This advisory provides a practical guide for delivering SET programs to patients with PAD according to Centers for Medicare & Medicaid Services criteria. It summarizes the Centers for Medicare & Medicaid Services process and requirements for referral and coverage of SET and provides guidance on how to implement SET for patients with PAD, including the SET protocol, options for outcome measurement, and transition to home-based exercise. This advisory is based on the guidelines established by the Centers for Medicare & Medicaid Services for Medicare beneficiaries in the United States and is intended to assist clinicians and administrators who are implementing SET programs for patients with PAD.

Original languageEnglish (US)
Pages (from-to)e700-e710
JournalCirculation
Volume140
Issue number13
DOIs
StatePublished - Sep 24 2019

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Exercise Therapy
Peripheral Arterial Disease
Medicare
Medicaid
Quality of Life
Administrative Personnel
Walking
Lower Extremity
Referral and Consultation
Guidelines
Exercise

Keywords

  • AHA Scientific Statements
  • exercise therapy
  • exercise, physical
  • intermittent claudication
  • peripheral artery disease
  • physical activity
  • physical functional performance
  • quality of life

Cite this

American Heart Association Council on Peripheral Vascular Disease; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; and Council on Lifestyle and Cardiometabolic Health (2019). Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease: A Science Advisory From the American Heart Association. Circulation, 140(13), e700-e710. https://doi.org/10.1161/CIR.0000000000000727

Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease : A Science Advisory From the American Heart Association. / American Heart Association Council on Peripheral Vascular Disease; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; and Council on Lifestyle and Cardiometabolic Health.

In: Circulation, Vol. 140, No. 13, 24.09.2019, p. e700-e710.

Research output: Contribution to journalArticle

American Heart Association Council on Peripheral Vascular Disease; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; and Council on Lifestyle and Cardiometabolic Health 2019, 'Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease: A Science Advisory From the American Heart Association', Circulation, vol. 140, no. 13, pp. e700-e710. https://doi.org/10.1161/CIR.0000000000000727
American Heart Association Council on Peripheral Vascular Disease; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; and Council on Lifestyle and Cardiometabolic Health. Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease: A Science Advisory From the American Heart Association. Circulation. 2019 Sep 24;140(13):e700-e710. https://doi.org/10.1161/CIR.0000000000000727
American Heart Association Council on Peripheral Vascular Disease; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; and Council on Lifestyle and Cardiometabolic Health. / Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease : A Science Advisory From the American Heart Association. In: Circulation. 2019 ; Vol. 140, No. 13. pp. e700-e710.
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