Adherence to and efficacy of different compression methods for treating chronic venous insufficiency in the elderly

Suehiro, Kotaro; Morikage, Noriyasu; Yamashita, Osamu; Harada, Takasuke; Ueda, Koshiro; Samura, Makoto; Tanaka, Yuya; Takeuchi, Yuriko; Hamano, Kimikazu

doi:10.1177/0268355515608992

Cited by 13 publications

(19 citation statements)

References 15 publications

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“… 15 , 16 ) Further, elderly individuals prefer bandages because they are easy to use. 17 ) Our “no-intentional-stretch” technique rarely led to complications, such as ischemia and skin injury due to constriction, and ensured that IP and stiffness could be easily maintained and controlled. 8 ) This bandaging technique is expected to generate an IP of 40–45 mmHg and an SSI of 11–13 mmHg, and the values measured at the clinic were similar to these values.…”

Section: Discussionmentioning

confidence: 99%

Self-Care-Based Treatment Using Ordinary Elastic Bandages for Venous Leg Ulcers

Suehiro

Morikage

Harada

et al. 2017

Annals of Vascular Diseases

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Objective: We aimed to study venous leg ulcer (VLU) healing and recurrence rates of VLU using a self-care-based treatment strategy. Methods: The study included 36 patients (43 legs) who visited our clinic between April 2009 and June 2015 because of non-healing VLUs and who had been treated by us for more than a year (until June 2016). Patients or their caregivers were first provided instructions for performing the no-intentional-stretch bandaging technique using ordinary elastic bandages. Wounds were cleansed with tepid water daily, and bandages were re-applied by patients or their caregivers; this was continued until VLUs were healed. Compression was discontinued after healing, but was restarted if persistent swelling and/or dermatitis was noticed on their legs. Results: The median ulcer size was 6.5 cm 2 (range, 1-105 cm 2 ). The median number of clinic visits until healing was six (range, 3-35). The 6-and 12-month healing rates were 67% and 86%, respectively. Twenty (44%) legs required compression therapy after VLU healing. The cumulative recurrence-free rate at 60 months was 86%. Conclusion: Reasonable healing and recurrence rates were achieved by applying a self-care-based VLU treatment strategy.

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Section: Discussionmentioning

confidence: 99%

Self-Care-Based Treatment Using Ordinary Elastic Bandages for Venous Leg Ulcers

Suehiro

Morikage

Harada

et al. 2017

Annals of Vascular Diseases

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“…The difficulty in wearing CS, financial burden, discomfort of heat and tightness of stocking are responsible for low compliance of CS use in CVI patients. Suehiro et al indicated that 20% of CVI patients in all age groups refused compression treatment 23 ) . Raju et al reported that 63% of the patients failed to adapt to CS 20 ) .…”

Section: Discussionmentioning

confidence: 99%

“…There is no consensus on the duration of usage of CS 19 , 20 , 21 , 22 , 23 , 24 ) . It is known that venous hypertension increases after removing stockings.…”

Section: Discussionmentioning

confidence: 99%

The effects of short-term use of compression stockings on health related quality of life in patients with chronic venous insufficiency

et al. 2016

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[Purpose] This study was aimed to analyse the effects of short-term use of compression stockings (CS) on symptoms and QoL in patients with Chronic Venous Insufficiency (CVI). [Subjects and Methods] Based on the CEAP classification C2 and C3, 117 patients with CVI were enrolled in this study. The participants were divided into two groups. The control group refused to use CS, however, was advised to do exercises and take skin care whereas the CS group used CS and performed exercise. The data were collected by using Nottingham Health Profile (NHP), Venous Insufficiency Epidemiological and Economic Study (VEINES-QoL/Sym) and Beck Depression Inventory (BDI) at baseline and after four weeks of treatment and compared within and in between groups. [Results] The comparison of pre- and post-treatment differences between groups was statistically significant for all parameters. In the study group, pre- and post-treatment scores for each parameter were significantly different. However, elevated scores in the control group suggested worsening of the illness. [Conclusion] This study established that short-term use of CS in patients with CVI significantly improved disease specific and general QoL by reducing venous symptoms. Further studies with larger sample size are necessary to confirm these findings.

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“…Future RCTs assessing the efficacy of ECS should encourage compliance with ECS, via promoting physicians’ endorsement of ECS use, scheduling regular phone contact with the patient to reinforce compliance and improve reporting by the use of prospectively maintained diaries, which are the current “gold standard” for ECS compliance assessment 51 . However, beyond these measures, use of lighter ECS is probably one of the best and easiest ways to improve ECS compliance 52 …”

Section: Potential Limitations Of Published Rcts Assessing the Efficamentioning

confidence: 99%

Compression stockings to prevent postthrombotic syndrome: Literature overview and presentation of the CELEST trial

Galanaud

Genty-Vermorel

Rolland

et al. 2020

Research and Practice in Thrombosis and Haemostasis

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Postthrombotic syndrome (PTS) is a burdensome and costly complication of deep vein thrombosis (DVT) that develops in 20%‐40% of patients within 2 years after proximal DVT. In the absence of effective curative treatment, management of PTS relies on its prevention after DVT. The effectiveness of elastic compression stockings (ECS) to prevent PTS is uncertain. We present an overview of published studies assessing the efficacy of ECS to prevent PTS and present the protocol for the CELEST clinical trial. While previous open‐label randomized trials have reported a 50% risk reduction in PTS in patients treated with >30 mm Hg ankle pressure ECS, a large double‐blind trial reported no effect of ECS. We discuss the main potential limitations of these trials, including a placebo effect and suboptimal compliance to ECS. We present the protocol of the CELEST double‐blind randomized trial comparing 2 years of high strength (ankle pressure 35 mm Hg) versus lower strength (ankle pressure 25 mm Hg) ECS in the prevention of PTS after a first acute symptomatic, unilateral, proximal DVT. The use of lower‐strength ECS than that used in previous studies should favor compliance. CELEST may provide important evidence about the efficacy of ECS in the prevention of PTS after DVT. The results will be interpreted in the light of results from recent clinical trials assessing ECS for PTS prevention that reported that the duration of ECS use should be tailored to the individual, if ECS are efficacious in the prevention of PTS.

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Adherence to and efficacy of different compression methods for treating chronic venous insufficiency in the elderly

Cited by 13 publications

References 15 publications

Self-Care-Based Treatment Using Ordinary Elastic Bandages for Venous Leg Ulcers

Self-Care-Based Treatment Using Ordinary Elastic Bandages for Venous Leg Ulcers

The effects of short-term use of compression stockings on health related quality of life in patients with chronic venous insufficiency

Compression stockings to prevent postthrombotic syndrome: Literature overview and presentation of the CELEST trial

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