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9%) from the Netherlands. US patients with PAD were older, with more financial barriers, higher cardiovascular risk factor burden, and lower referral rates for exercise treatment (p less then 0.001). They had significantly worse PAD-specific adjusted health status scores at presentation, 3-, 6- and 12 months of follow-up (all p less then 0.0001). Magnitude of change in 1-year health status scores was smaller in the US cohort as compared with the Netherlands. Conclusion Compared with the Dutch cohort, US patients had worse adjusted PAD-spe