A randomized trial of class 2 and class 3 elastic compression in the prevention of recurrence of venous ulceration

Milić, Dragan; Živić, Saša; Bogdanović, Dragan; Golubović, Mlađjan; Lazarević, Milan; Lazarević, Konstansa

doi:10.1016/j.jvsv.2018.06.009

Cited by 23 publications

(43 citation statements)

References 18 publications

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“…[188][189][190] Hosiery may be used for posthealing prevention of recurrence and higher compression is more effective than lower. 191 Long-term follow-up outcomes from the EVRA trial, evaluated in the ESCHAR trial, shows that recurrence was reduced in patients who underwent EVRA. 192 For an uninfected DFU, the standard is offloading and management of diabetes.…”

Section: Address/manage the Underlying Pathologymentioning

confidence: 99%

Implementing TIMERS: the race against hard-to-heal wounds

et al. 2019

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Section: Address/manage the Underlying Pathologymentioning

confidence: 99%

Implementing TIMERS: the race against hard-to-heal wounds

et al. 2019

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“… 46 Case series Compression hosiery kits Nurse training Improved adherence for the cases studied Hampton, S. 47 Case study Ready-wrap stockings Carer training Improved adherence for the case studied Heal, D. 67 Case series Soft-fit addition Nil Improved adherence for the cases studied Heinen, M., et al 61 RCT Education program versus usual care Nil No significant difference between groups Kapp, S., et al 58 RCT Class 2 versus class 3 Nil Adherence higher in class 2 Krijnan, R.M.A., et al 62 RCT Rubber mat versus stocking Nil No significant difference between groups Lindsay, E and Hawkins, J. 30 Case study Collaboration with patient Various compression styles Improved adherence for the case studied Lurie, F. and Schwatz, M. 63 RCT Pump versus stocking Nil No significant difference between groups Milic, D.J., et al 45 RCT Class 2 versus class 3 Nil Adherence higher in class 2 (not statistically significant) Milic, D.J., et al 64 …”

Section: Resultsmentioning

confidence: 99%

“…c) Fourteen articles 45–58 reported on the participant’s ability to manage the task of application or removal of stockings as an influential factor on adherence. Difficulty applying and removing compression stockings is a known barrier to adherence.…”

Section: Resultsmentioning

confidence: 99%

“…Brought together, these different study types can add more depth to an understanding of an intervention. 59 Further analysis of the 69 articles identified 23 studies attempting to directly influence adherence through modifying one or more variables, including 14 RCTs 42 , 43 , 45 , 50–53 , 57 , 58 , 60–64 and nine case studies (or case series). 30 , 32 , 46–49 , 65–67 These were categorized by study design, and by the number and type of variables that were modified.…”

Section: Resultsmentioning

confidence: 99%

“…However, Franks 52 study investigating VLU recurrence rates in patients wearing either of two different brands of stockings considered a participant adherent if they “wore their stockings all day every day”, 52 demonstrating a much more arduous wearing regime required for their study participants to be classified as “adherent”. Measurement: Eight studies 9 , 30 , 44 , 45 , 60 , 72 , 78 , 81 relied purely on observation by a clinician (nurses or physicians), while 15 studies 12 , 16 , 38 , 41 , 51 , 52 , 61 , 62 , 69 , 70 , 73 , 74 , 79 , 80 , 82 relied on patient self-report delivered either verbally or via questionnaire or journal. Three studies 57 , 71 , 77 used a combination of observation and self-report.…”

Section: Resultsmentioning

confidence: 99%

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Improving Adherence to Wearing Compression Stockings for Chronic Venous Insufficiency and Venous Leg Ulcers: A Scoping Review

Bar¹,

Brandis²,

Marks³

2021

PPA

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Purpose Patient adherence to wearing compression stockings in the management of chronic venous insufficiency (CVI) and venous leg ulcers (VLUs) is low. Poor adherence with compression stockings contributes to recurrence and impaired healing of VLUs. As such, the purpose of this review was to report on the scientific evidence related to adherence and explore modifiable factors which impact adherence with compression stockings. Methods A systematic search was conducted from inception to 31 October 2019. Following the PRISMA-ScR Checklist, PubMed, Medline, CINAHL, Cochrane, Embase, OT Seeker and Web of Science were explored using search terms: compression/compression stocking/compression garment/compression sock/stockings/garments and adherence/compliance/concordance. Results We identified 2613 papers of which 125 full text papers were assessed for eligibility and 69 met inclusion criteria. Papers were grouped and charted by concepts relevant to the research questions and narratively synthesized. Several dominant themes emerged, and a conceptual framework was developed incorporating modifiable variables, adherence itself, and outcomes related to adherence. Specifically considering interventions to improve adherence, only five of 14 randomized controlled trials were able to demonstrate improvements in adherence through unidimensional approaches. All nine of the case studies/series demonstrated a positive impact on adherence, eight of which described a personalized multidimensional approach. A lack of consensus around defining, measuring, and quantifying adherence with compression stockings was identified, resulting in wide variation in reported adherence rates. Conclusion Inconsistency in the definition and measurement of adherence limits meaningful interpretation of the literature. No individual intervention has consistently demonstrated improved adherence. Multidimensional interventions show promise but require further investigation with high-quality trials. Improving adherence appears to improve health outcomes in VLU /CVI populations but there is a lack of information directly linking improved adherence with cost outcomes. Trial Registration Open Science Framework: ACTRN12620000544976p.

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Scientific Surgery June 2019 BJS

2019

British Journal of Surgery

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et al. Efficacy and safety of one anastomosis gastric bypass versus Roux-en-Y gastric bypass for obesity (YOMEGA): a multicentre, randomised, open-label, non-inferiority trial. Lancet 2019; 393: 1299-1309. In this study that included 253 procedures, mean excess BMI weight loss was similar after the one anastomosis method (-87⋅9 per cent) compared to standard Roux-en-Y (-85⋅8 per cent). There were higher rates of diarrhoea, steatorrhoea and nutritional complications after the new procedure. Sallinen V, Di Saverio S, Haukijärvi E, Juusela R, Wikström H, Koivukangas V et al. Laparoscopic versus open adhesiolysis for adhesive small bowel obstruction (LASSO): an international, multicentre, randomised, open-label trial.

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A randomized trial of class 2 and class 3 elastic compression in the prevention of recurrence of venous ulceration

Cited by 23 publications

References 18 publications

Implementing TIMERS: the race against hard-to-heal wounds

Implementing TIMERS: the race against hard-to-heal wounds

Improving Adherence to Wearing Compression Stockings for Chronic Venous Insufficiency and Venous Leg Ulcers: A Scoping Review

Scientific Surgery June 2019 BJS

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