Aortic & peripheral vascular diseaseCross-sectional study

Community-based recruitment with ankle brachial index testing to identify peripheral artery disease participants for randomized clinical trials

Am Heart JPublished

  • retrospective, cross-sectional study

Authors' conclusion

Approximately 23% of people living in the community who underwent ABI testing as part of a clinical trial recruitment method had PAD. Compared to PAD participants from the medical center, those identified from the community included more people traditionally underrepresented in clinical trials and had greater walking impairment TRIAL REGISTRATION: ClinicalTrials.gov identifier: (NCT03743636, NCT04794530, NCT05624125, NCT02593110, NCT03054519, NCT06032065, NCT06165016, NCT03363165, NCT03871075, NCT06399900, NCT02538900, NCT01408901, NCT04228978, NCT06657976).

Study context

Population
People with peripheral artery disease (PAD) recruited for clinical trials of interventions to improve walking performance, Chicago or New Orleanspeople who responded to a postcard and underwent ankle brachial index (ABI) testing, 669 (23.4%) had ABI < 0.90
Participants
2,856 people
Exposure
PAD participants identified with community-based recruitment vs PAD participants recruited from the medical center
  • PAD participants from the communityn = 669
  • PAD patients from a medical centern = 275

Main finding

As reported in the abstract

ABI < 0.90, consistent with PAD, among people who responded to a postcard and underwent ABI testing

Had ABI < 0.90 (of 2,856 tested)

669 (23.4%)

Observational data: associations, not effects.

Further findings

Black race

Household income < $50,000

Without a college degree

6-minute walk distance

  • Black race: P < .001
  • Household income < $50,000: P = .015
  • Without a college degree: P = .016
  • 6-minute walk distance: P = .002

Original publication

Community-based recruitment with ankle brachial index testing to identify peripheral artery disease participants for randomized clinical trials. Am Heart J. Published 24 April 2026. doi:10.1016/j.ahj.2026.107450

Summarised from the published abstract; every number is checked against it