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CompletedNCT03098290IDOMENEOUpdated Dec 22, 2022

IDOMENEO - Is Treatment Reality in Vascular Medicine Evidence-based and Follows Guideline Recommendations? A Project for Quality Development Exemplified by Peripheral Arterial Disease (PAD)

An observational study in Symptomatic Peripheral Arterial Disease, Occlusive Disease of Artery of Lower Extremity and Quality of Life, sponsored by Universitätsklinikum Hamburg-Eppendorf. Completed at 35 sites in Germany. Per ClinicalTrials.gov, last updated 2022-12-22.

Sponsored by Universitätsklinikum Hamburg-Eppendorf · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
5,608
Sex
All
01

Study summary

The prevalence of peripheral arterial disease (PAD) and the proportion of endovascular procedures for treatment are increasing worldwide. For many cases of treatment or procedures no randomized controlled trials (RCT) or results from meta-analyses are so far available. The decision for treatment and selection of procedure is therefore not uncommonly left up to the personal expertise of the physician. The IDOMENEO study represents a multistage multimethodological project for healthcare research and quality assurance in interdisciplinary vascular medicine, which undertakes a comprehensive examination of this topic. Various methods and data sources (even routine data) are linked in a meaningful way. The essential components of the total project are implementation of a register platform (GermanVasc), which conforms to data protection and data security as well as the development of instruments for valid measurement of the quality of life of patients with PAD. The data protection-conform linking of primary data in the register and routine data of the consortium partner BARMER should also enable validation of the data sources.

02

Conditions studied

  • Symptomatic Peripheral Arterial Disease
  • Occlusive Disease of Artery of Lower Extremity
  • Quality of Life

Keywords

  • GermanVasc
  • Peripheral Arterial Disease
  • IDOMENEO
  • Routine Data
  • Registry Data
  • Data Validity
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In context

Peripheral Arterial Disease

1,573 studies on the registry are indexed under Peripheral Arterial Disease; 284 are open to participants now.

This study's enrollment of 5,608 is above the median of 190 across 427 observational studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

Universitätsklinikum Hamburg-Eppendorf is the lead sponsor of 415 studies on the registry; 85 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with symptomatic peripheral artery disease (PAD) treated invasively at certified multidisciplinary vascular centres in Germany.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Symptomatic peripheral artery disease (intermittent claudication or critical limb ischemia)
  • Invasive treatment (open-surgical or endovascular)
  • Informed consent was obtained

Exclusion criteria

Exclusion Criteria:

  • No informed consent was obtained
  • Acute limb ischemia without any chronic symptomatic PAD
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
5,608 participants (actual)
Target follow-up
12 Months
Patient registry
Yes

Groups and cohorts

  • Intermittent Claudication

    Mild to severe claudication

    Procedure: Catheter-based endovascular revascularization · Procedure: Bypass-Surgery · Procedure: Endarterectomy

  • Ischaemic Rest Pain

    Procedure: Catheter-based endovascular revascularization · Procedure: Bypass-Surgery · Procedure: Endarterectomy

  • Critical Limb Threatening Ischaemia

    Ulcers, Necrosis, Gangrene

    Procedure: Catheter-based endovascular revascularization · Procedure: Bypass-Surgery · Procedure: Endarterectomy

Interventions

  • ProcedureCatheter-based endovascular revascularization

    (e.g. PTA-alone, Bare-Metal or Drug-Eluting-Stent, Covered Stent, Atherectomy, Mechanical Thrombectomy, Scoring Ballon, Cutting Ballon)

    Also known as: ER

  • ProcedureBypass-Surgery

    Venous or alloplastic or comparable Bypass

    Also known as: Bypass

  • ProcedureEndarterectomy

    Endarterectomy, Patchplasty

    Also known as: TEA

06

What researchers measure

Primary outcomes

  1. All-cause Mortality

    Death from any reason

    Time frame: 12 Months

  2. Lower Extremity Amputation

    Amputation of lower extremity

    Time frame: 12 Months

  3. Amputation-free Survival

    Long-term-survival without any major amputation

    Time frame: 12 Months

  4. Patency of Revascularization

    Patency of treated vessel

    Time frame: 12 Months

  5. Quality of Life (SF12, WIQ)

    Combined questionnaire including 26 questions using QoL-SF12 and Walking Impairment Questionnaire

    Time frame: 12 Months

  6. Ambulation

    Time frame: 12 Months

  7. Myocardial infarction

    Time frame: 12 Months

  8. Stroke or TIA

    Time frame: 12 Months

  9. Stent or Graft Thrombosis

    Time frame: 12 Months

  10. Functional Status

    Time frame: 12 Months

  11. Modified Rutherford Classification

    Time frame: 12 Months

  12. Foot Infection

    Time frame: 12 Months

  13. Tissue Loss

    Time frame: 12 Months

  14. New Revascularization

    Time frame: 12 Months

  15. Major Adverse Cardiovascular Events (MACE, MACCE)

    Time frame: 12 Months

  16. Major Adverse Limb Events (MALE)

    Time frame: 12 Months

  17. Surgical Site Infection

    Time frame: 12 Months

  18. Major Bleeding Complication

    Time frame: 12 Months

  19. Acute kidney injury (AKI) requiring hemodialysis

    As defined by the National Kidney Foundation.

    Time frame: At time of discharge (in-hospital period)

  20. Ankle-Brachial-Index

    Time frame: 12 Months

  21. Occurrence of target vessel dissection

    Any new dissection of the target vessel related to the procedure

    Time frame: At time of discharge (in-hospital period)

  22. Compartment Syndrome

    Time frame: At time of discharge (in-hospital period)

  23. Graft or Device Failure

    Time frame: At time of discharge (in-hospital period)

  24. Distal Embolisation

    Time frame: At time of discharge (in-hospital period)

07

Study locations

35 sites
  • Zentralklinik Bad Berka GmbH
    Bad Berka, Germany
  • Herz- und Gefäßzentrum Bad Bevensen
    Bad Bevensen, Germany
  • Universitäts-Herzzentrum Freiburg - Bad Krozingen (UHZ)
    Bad Krozingen, Germany
  • Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin
    Berlin, Germany
  • HELIOS Klinikum Berlin-Buch
    Berlin, Germany
  • Asklepios Klinik Birkenwerder
    Birkenwerder, Germany
  • St. Josef Hospital I Katholisches Klinikum der Ruhr-Universität Bochum
    Bochum, Germany
  • Gemeinschaftskrankenhaus Bonn, Haus St. Petrus
    Bonn, Germany
  • GFO Kliniken Bonn, Betriebsstätte St. Marien
    Bonn, Germany
  • Klinikum Chemnitz gGmbH
    Chemnitz, Germany
  • Carl-Thiem-Klinikum Cottbus
    Cottbus, Germany
  • Klinikum Darmstadt GmbH
    Darmstadt, Germany
  • Städtisches Klinikum Dresden Friedrichstadt
    Dresden, Germany
  • University Medical Center Düsseldorf
    Düsseldorf, Germany
  • HELIOS Klinikum Erfurt
    Erfurt, Germany
  • Elisabeth-Krankenhaus Essen
    Essen, Germany
  • Universitäts-Herzzentrum Freiburg - Bad Krozingen (UHZ)
    Freiburg im Breisgau, Germany
  • Klinikum Fulda
    Fulda, Germany
  • University Heart Center Hamburg
    Hamburg, 20246, Germany
  • Agaplesion Diakonieklinikum Hamburg
    Hamburg, Germany
  • SRH-Klinikum-Karlsbad-Langensteinbach
    Karlsbach, Germany
  • Klinikum Karlsruhe
    Karlsruhe, Germany
  • Agaplesion Diakonie Kliniken Kassel
    Kassel, Germany
  • St. Bonifatius Hospital Lingen
    Lingen, Germany
  • Universitätsklinikum Schleswig-Holstein, Campus Lübeck
    Lübeck, Germany
  • Klinikum Magdeburg gGmbH
    Magdeburg, Germany
  • Theresienkrankenhaus Mannheim
    Mannheim, Germany
  • Kliniken Maria Hilf GmbH
    Mönchengladbach, Germany
  • Ev. Krankenhaus Mühlheim an der Ruhr
    Mühlheim, Germany
  • Isarklinikum München
    München, Germany
  • Klinikum Peine
    Peine, Germany
  • Imland Kliniken Rendsburg
    Rendsburg, Germany
  • Klinikum Rheine I Mathias Spital
    Rheine, Germany
  • Klinikum Stadt Soest
    Soest, Germany
  • Klinikum Mutterhaus der Borromäerinnen gGmbH (Mitte)
    Trier, Germany
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References and documents

Publications

  • Behrendt CA, Riess H, Harter M, Kriston L, Federrath H, Marschall U, Debus ES. [Guideline recommendations and quality indicators for invasive treatment of peripheral arterial disease in Germany : The IDOMENEO study for quality improvement and research in vascular medicine]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018 Feb;61(2):218-223. doi: 10.1007/s00103-017-2676-9. German. PubMed 29230514 ↗
  • Behrendt CA, Härter M, Kriston L, Federrath H, Marschall U, Straub C, Debus ES. [IDOMENEO - Does treatment reality in vascular medicine conform to guidelines and treatment?] Gefaesschirurgie. 2017;22(1):41-47.
  • Behrendt CA, Pridohl H, Schaar K, Federrath H, Debus ES. [Clinical registers in the twenty-first century : Balancing act between data protection and feasibility?]. Chirurg. 2017 Nov;88(11):944-949. doi: 10.1007/s00104-017-0542-9. German. PubMed 29079875 ↗
  • Behrendt CA, Heidemann F, Haustein K, Grundmann RT, Debus ES; PSI Collaborators. Percutaneous endovascular treatment of infrainguinal PAOD: Results of the PSI register study in 74 German vascular centers. Gefasschirurgie. 2017;22(Suppl 1):17-27. doi: 10.1007/s00772-016-0202-2. Epub 2016 Oct 28. PubMed 28715513 ↗
  • Behrendt CA, Bertges D, Eldrup N, Beck AW, Mani K, Venermo M, Szeberin Z, Menyhei G, Thomson I, Heller G, Wigger P, Danielsson G, Galzerano G, Lopez C, Altreuther M, Sigvant B, Riess HC, Sedrakyan A, Beiles B, Bjorck M, Boyle JR, Debus ES, Cronenwett J. International Consortium of Vascular Registries Consensus Recommendations for Peripheral Revascularisation Registry Data Collection. Eur J Vasc Endovasc Surg. 2018 Aug;56(2):217-237. doi: 10.1016/j.ejvs.2018.04.006. Epub 2018 May 30. PubMed 29776646 ↗
  • Riess HC, Debus ES, Schwaneberg T, Hischke S, Maier J, Bublitz M, Kriston L, Harter M, Marschall U, Zeller T, Schellong SM, Behrendt CA. Indicators of outcome quality in peripheral arterial disease revascularisations - a Delphi expert consensus. Vasa. 2018 Oct;47(6):491-497. doi: 10.1024/0301-1526/a000720. Epub 2018 Jun 1. PubMed 29856270 ↗
  • Behrendt CA, Peters F, Mani K. The Swinging Pendulum of Evidence: Is There a Reality Behind Results from Randomised Trials and Real World Data? Lessons Learned from the Paclitaxel Debate. Eur J Vasc Endovasc Surg. 2020 Apr;59(4):510-511. doi: 10.1016/j.ejvs.2020.01.029. Epub 2020 Feb 20. No abstract available. PubMed 32088069 ↗
  • Hischke S, Riess HC, Bublitz MK, Kriston L, Schwaneberg T, Harter M, Bertges D, S Debus E, Behrendt CA. Quality Indicators in Peripheral Arterial Occlusive Disease Treatment: A Systematic Review. Eur J Vasc Endovasc Surg. 2019 Nov;58(5):738-745. doi: 10.1016/j.ejvs.2019.06.029. Epub 2019 Sep 13. PubMed 31526633 ↗
  • Kaschwich M, Behrendt CA, Heydecke G, Bayer A, Debus ES, Seedorf U, Aarabi G. The Association of Periodontitis and Peripheral Arterial Occlusive Disease-A Systematic Review. Int J Mol Sci. 2019 Jun 15;20(12):2936. doi: 10.3390/ijms20122936. PubMed 31208079 ↗
  • Behrendt CA, Schwaneberg T, Hischke S, Muller T, Petersen T, Marschall U, Debus S, Kriston L. Data Privacy Compliant Validation of Health Insurance Claims Data: the IDOMENEO Approach. Gesundheitswesen. 2020 Mar;82(S 02):S94-S100. doi: 10.1055/a-0883-5098. Epub 2019 May 23. PubMed 31121613 ↗
  • Behrendt CA, Bjorck M, Schwaneberg T, Debus ES, Cronenwett J, Sigvant B; Acute Limb Ischaemia Collaborators. Editor's Choice - Recommendations for Registry Data Collection for Revascularisations of Acute Limb Ischaemia: A Delphi Consensus from the International Consortium of Vascular Registries. Eur J Vasc Endovasc Surg. 2019 Jun;57(6):816-821. doi: 10.1016/j.ejvs.2019.02.023. Epub 2019 May 22. PubMed 31128987 ↗
  • Debus ES, Kriston L, Schwaneberg T, Hischke S, Riess HC, Harter M, Marschall U, Federrath H, Behrendt CA. Rationale and methods of the IDOMENEO health outcomes of the peripheral arterial disease revascularisation study in the GermanVasc registry. Vasa. 2018 Oct;47(6):499-505. doi: 10.1024/0301-1526/a000730. Epub 2018 Aug 16. PubMed 30113269 ↗
  • Aarabi G, Raedel M, Kreutzburg T, Hischke S, Debus ES, Marschall U, Seedorf U, Behrendt CA. Periodontal treatment and peripheral arterial disease severity - a retrospective analysis of health insurance claims data. Vasa. 2020 Mar;49(2):128-132. doi: 10.1024/0301-1526/a000846. Epub 2020 Jan 27. PubMed 31983289 ↗
  • Behrendt CA, Sedrakyan A, Peters F, Kreutzburg T, Schermerhorn M, Bertges DJ, Larena-Avellaneda A, L'Hoest H, Kolbel T, Debus ES. Editor's Choice - Long Term Survival after Femoropopliteal Artery Revascularisation with Paclitaxel Coated Devices: A Propensity Score Matched Cohort Analysis. Eur J Vasc Endovasc Surg. 2020 Apr;59(4):587-596. doi: 10.1016/j.ejvs.2019.12.034. Epub 2020 Jan 8. PubMed 31926836 ↗
  • Kreutzburg T, Peters F, Riess HC, Hischke S, Marschall U, Kriston L, L'Hoest H, Sedrakyan A, Debus ES, Behrendt CA. Editor's Choice - Comorbidity Patterns Among Patients with Peripheral Arterial Occlusive Disease in Germany: A Trend Analysis of Health Insurance Claims Data. Eur J Vasc Endovasc Surg. 2020 Jan;59(1):59-66. doi: 10.1016/j.ejvs.2019.08.006. Epub 2019 Nov 16. PubMed 31744786 ↗
  • Kotov A, Peters F, Debus ES, Zeller T, Heider P, Stavroulakis K, Remig J, Gussmann A, Hoffmann J, Friedrich O, Nolte T, Behrendt CA. The prospective GermanVasc cohort study. Vasa. 2021 Nov;50(6):446-452. doi: 10.1024/0301-1526/a000966. Epub 2021 Jul 19. PubMed 34279120 ↗
  • Peters F, Behrendt CA; IDOMENEO Collaborators. Limb Related Outcomes of Endovascular vs. Open Surgical Revascularisation in Patients with Peripheral Arterial Occlusive Disease: A Report from the Prospective GermanVasc Cohort Study. Eur J Vasc Endovasc Surg. 2023 Jul;66(1):85-93. doi: 10.1016/j.ejvs.2023.03.040. Epub 2023 Mar 25. PubMed 36972814 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03098290
Collaborators
GermanVasc, University Heart Center Hamburg, BARMER GEK Germany, University of Hamburg-Eppendorf
Responsible party
Christian-Alexander Behrendt (Assoc. Prof. Dr., Universitätsklinikum Hamburg-Eppendorf) — Principal investigator
First posted
Mar 31, 2017
Start date
May 1, 2018
Primary completion
Mar 31, 2021
Completion
Apr 1, 2021
Last update
Dec 22, 2022

Study contacts

Christian-Alexander Behrendt, Dr.
principal investigator · Universitätsklinikum Hamburg-Eppendorf

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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