Abstract:
:Objectives Venous leg ulcers (VLU) are the most severe clinical sequelae of venous reflux and post thrombotic syndrome. There is a consensus that ablation of refluxing vein segments and treatment of significant venous obstruction can heal VLUs. However, there is wide disparity in the use and choice of adjunctive therapies for VLUs. The purpose of this study was to assess these practice patterns among members of the American Venous Forum. Methods The AVF Research Committee conducted an online survey of its own members, which consisted of 16 questions designed to determine the specialty of physicians, location of treatment, treatment practices and reimbursement for treatment of VLUs Results The survey was distributed to 667 practitioners and a response rate of 18.6% was achieved. A majority of respondents (49.5%) were vascular specialists and the remaining were podiatrists, dermatologists, primary care doctors and others. It was found that 85.5% were from within the USA, while physicians from 14 other countries also responded. Most of the physicians (45%) provided adjunctive therapy at a private office setting and 58% treated less than 5 VLU patients per week. All respondents used some form of compression therapy as the primary mode of treatment for VLU. Multilayer compression therapy was the most common form of adjunctive therapy used (58.8%) and over 90% of physicians started additional modalities (biologics, negative pressure, hyperbaric oxygen and others) when VLUs failed compression therapy, with a majority (65%) waiting less than three months to start them. Medicare was the most common source of reimbursement (52.4%). Conclusions Physicians from multiple specialties treat VLU. While most physicians use compression therapy, there is wide variation in the selection and point of initiation for additional therapies once compression fails. There is a need for high-quality data to help establish guidelines for adjunctive treatment of VLUs and to disseminate them to physicians across multiple specialties to ensure standardized high-quality treatment of patients with VLUs.
journal_name
Phlebologyjournal_title
Phlebologyauthors
Aziz F,Raffetto JD,Diaz JA,Myers DD Jr,Ozsvath KJ,Carman TL,Lal BK,American Venous Forum (AVF) Research Committee.doi
10.1177/0268355515625526subject
Has Abstractpub_date
2017-02-01 00:00:00pages
19-26issue
1eissn
0268-3555issn
1758-1125pii
0268355515625526journal_volume
32pub_type
杂志文章相关文献
PHLEBOLOGY文献大全abstract:PURPOSE:The aim of the study was to assess the inferior vena cava filter (IVCF) utilization in patients with venous thromboembolism (VTE) in tertiary care. METHODS:We performed a retrospective analysis of database of a tertiary hospital in 2016-2017. All the records of patients admitted for VTE or diagnosed with VTE b...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1177/0268355520975582
更新日期:2020-12-13 00:00:00
abstract:OBJECTIVES:The purpose of this study is to better understand the anatomy of the venous network of the lower limbs by using new imaging techniques, particularly the three-dimensional modelling by computerized tomographic (CT) venography. This new tool is combined with anatomical dissection techniques and the results of ...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1258/026835507782101717
更新日期:2007-01-01 00:00:00
abstract:AIMS:On the one hand, the survey aims at the development and validation of an auto-administered questionnaire designed to measure the everyday burden caused by chronic venous disorders (CVDs). On the other hand, it aims at reporting initial epidemiological and demographic data in CVD patients and their correlations. M...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1258/phleb.2010.010039
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:To test if intermittent pneumatic compression (IPC) used with a short cycle could reproduce and confirm the 30 min vasoconstriction effect observed after a long cycle of pressure. METHODS:Eighteen subjects took part in the study, 12 with venous insufficiency (VI) and six without VI (NonVI). Duplex scanner w...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1258/phleb.2007.007021
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:To investigate the effectiveness of bipolar radiofrequency-induced thermal therapy (RFITT) in a multicentre non-randomized study. METHODS:Some 672 incompetent saphenous veins (85% great saphenous varicose vein, 15% short saphenous vein) in 462 patients (56.5% CEAP [clinical, aetiological, anatomical and pat...
journal_title:Phlebology
pub_type: 杂志文章,多中心研究
doi:10.1258/phleb.2012.012013
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to evaluate chronic venous disease symptoms by using the Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms (VEINES-QoL/Sym) questionnaire in varicocele patients. MATERIAL AND METHODS:The study was designed as a prospective, case controlled study and con...
journal_title:Phlebology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1177/0268355518777110
更新日期:2019-03-01 00:00:00
abstract::Objective To highlight current practice patterns in management of superficial vein thrombosis. Methods An electronic survey was conducted using the mailing lists of the Mediterranean League of Angiology and Vascular Surgery and European Venous Forum regarding superficial vein thrombosis diagnosis, investigation, and t...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1177/0268355516641003
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:We assessed the incidence of venous thromboembolism following treatment of great saphenous insufficiency by endovenous thermal ablation or foam sclerotherapy using meta-analysis of published randomized controlled trials and case series. METHODS:Medline, Embase, Cochrane, and Clinical Trials Registry database...
journal_title:Phlebology
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0268355514529948
更新日期:2015-06-01 00:00:00
abstract::Recently published evidence-based guidelines of the Society for Vascular Surgery (SVS) and the American Venous Forum (AVF) include recommendations for evaluation, classification, outcome assessment and therapy of patients with varicose veins and more advanced chronic venous insufficiency (CVI). The need for such guide...
journal_title:Phlebology
pub_type: 杂志文章,评审
doi:10.1258/phleb.2012.012s28
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION:Venous balloon dilation and stent therapy have been proposed as effective treatments for chronic iliofemoral thrombosis. In this study, we report our experience and describe the one-year outcome and efficacy of balloon angioplasty and stenting for the treatment of post-thrombotic syndrome (PTS) in iliofemo...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1177/0268355513477641
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the heredity factor of the chronic venous disorders and odds ratio linked to maternal or paternal heredity. METHODS:Cross-sectional epidemiological study conducted in daily practice of medical practitioners on all patients consulting them. The practitioners described the venous status of all pati...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1177/0268355514560601
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVES:The ClariVein® system is an endovenous technique that uses mechano-chemical ablation to treat incompetent truncal veins. This study was conducted to identify the ideal Polidocanol dosage and form for mechano-chemical ablation in order to occlude the great saphenous vein. When adhering to safe dosage levels, ...
journal_title:Phlebology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0268355515599692
更新日期:2016-04-01 00:00:00
abstract::Many female patients are affected by chronic pelvic pain and a significant number of referrals to the gynecology department result in a clinical suspicion of pelvic congestion syndrome. Additionally, patients referred to the vascular surgery department for venous disease can also present with complaints of a persisten...
journal_title:Phlebology
pub_type: 杂志文章,评审
doi:10.1177/0268355514568063
更新日期:2015-03-01 00:00:00
abstract:UNLABELLED:Based on the recommendations of experts, and supported by a low level of proof, compression after sclerotherapy is applied all over the world. OBJECTIVE:Investigating the practice of French vascular physicians for sclerotherapy and the use of post-sclerotherapy compression. METHODS:A questionnaire concerni...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1177/0268355514554024
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:This study aims to describe a technique for catheter-directed foam sclerotherapy (CDS) of great saphenous vein (GSV) insufficiency and report occlusion rate and patient satisfaction after a single treatment. METHODS:About 100 patients were included. The GSV was accessed at knee level. With the method of Tes...
journal_title:Phlebology
pub_type: 临床试验,杂志文章
doi:10.1258/phleb.2011.011136
更新日期:2013-03-01 00:00:00
abstract:AIM:To assess the current evidence, controversies and technologies behind the various approaches and steps in the management of Paget-Schroetter syndrome. MATERIALS AND METHODS:We performed a narrative review based on a literature search in Embase, Medline, Pubmed and Google Scholar through keyword searching related t...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1177/0268355519898920
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:To describe an uncommon complication after endovenous laser ablation (EVLA) of the saphenous veins and its percutaneous management. METHODS:Symptomatic greater saphenous vein reflux was successfully treated by EVLA using standard technique. Local pain, redness and swelling around the prior percutaneous acce...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1258/phleb.2007.007041
更新日期:2008-01-01 00:00:00
abstract::Twenty-one patients with varicose vein incompetence of the legs have been treated with the TriVex system (Smith & Nephew, Andover, MA, USA). The technique is designed for treatment of local varicosities to provide a good cosmetic result (remaining varicosities and pigmentation) and less morbidity (pain and loss of wor...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1258/phleb.2008.008003
更新日期:2008-01-01 00:00:00
abstract::The assessment of outcomes following treatment for chronic venous disease has been greatly improved over the last three decades. The personal opinion of the physician based on assessment of his own results has been replaced by more objective assessment based on well-defined criteria. The author describes and compares ...
journal_title:Phlebology
pub_type: 杂志文章,评审
doi:10.1258/phleb.2012.012s20
更新日期:2012-03-01 00:00:00
abstract::The pathophysiology of calf perforators is presented. Bidirectional flow within calf perforators with a prevailing inward, into deep veins oriented component arises during calf pump activity in varicose vein patients, as evidenced by venous pressure measurements, plethysmographic findings, duplex ultrasonography, and ...
journal_title:Phlebology
pub_type: 杂志文章,评审
doi:10.1177/0268355515610041
更新日期:2016-09-01 00:00:00
abstract::The longevity of foam made using sodium tetradecyl sulphate and gas (air or a CO2:O2 mixture) is increased significantly if silicone-free syringes are used over the normal syringes containing silicone oil lubrication. However, the plungers in silicone-free syringes start sticking after several passages when making foa...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1177/0268355514554476
更新日期:2015-10-01 00:00:00
abstract::Venous thromboembolism is one of the most common causes of morbidity and mortality in modern societies. The entirety of events involved in venous thrombus formation and resolution remains to be elucidated. Temporal relation between the initial cellular insult, thrombus formation and resolution is critical for institut...
journal_title:Phlebology
pub_type: 杂志文章,评审
doi:10.1177/0268355513476638
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:To investigate whether radiofrequency endovenous ablation (RFA) of saphenous and perforating veins increases venous leg ulcer (VLU) healing rates and prevents ulcer recurrence. METHOD:This prospective, open-label, randomized, controlled, single-center trial recruited 56 patients with VLU divided into: compr...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1177/0268355520951697
更新日期:2020-09-14 00:00:00
abstract::For centuries, compression therapy has been utilized to treat venous disease. To date it remains the mainstay of therapy, particularly in more severe forms such as venous ulceration. In addition to mechanisms of benefit, we discuss the evidence behind compression therapy, particularly hosiery, in various forms of veno...
journal_title:Phlebology
pub_type: 杂志文章,评审
doi:10.1177/0268355516633382
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To compare different duplex- and air plethysmography (APG)-derived parameters between patients with relatively early and those with advanced chronic venous insufficiency (CVI), and to investigate the indicative parameters reflecting the progression of CVI. METHODS: DESIGN:Prospective study at the University...
journal_title:Phlebology
pub_type: 临床试验,杂志文章
doi:10.1258/026835507779700635
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of creating a new specialty vein clinic within an academic-based vascular practice on clinical volume, physician workload and financial parameters. METHODS:All patients evaluated and treated for varicose vein related problems within an academic vascular surgery practice were identified...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1258/026835507781477127
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to visualize the shunt flow of arteriovenous fistulas (AVFs) passing towards the top side of the foot from the plantar artery. METHODS:Colour-flow duplex Doppler ultrasonography was performed in 112 patients who consulted an outpatient clinic with varicose veins and/or symptoms ...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1258/phleb.2009.009067
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVE:The aim of this large survey was to evaluate non-compliance with compression stockings in chronic venous disorder (CVD) patients. METHOD:A total of 16,770 CVD patients participated in this study. RESULTS:Compression stockings were used by 25.6% of CVD patients and 46.6% of the patients were never prescribed...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1258/phleb.2010.010086
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:The aim of this research was to compare the accuracy of the modified Wells, the Wells, the Kahn, the St. André, and the Constans score for the diagnosis of deep vein thrombosis of the lower limb in unselected population of outpatients and inpatients. METHOD:The pretest of probability score was employed in c...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1177/0268355514541981
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:There are many hypotheses concerning risk factors for the development of varicose veins based mostly on pathophysiological plausibility. Population studies have been carried out mostly on the middle aged with relatively few on elderly populations. OBJECTIVES:To investigate epidemiological risk factors for v...
journal_title:Phlebology
pub_type: 杂志文章
doi:10.1258/phleb.2009.009045
更新日期:2010-10-01 00:00:00