Chronic Venous Insufficiency : Prevalence and Effect of Compression Stockings

Shammeri, Owayed Mohammad Al; Alhamdan, Nourah; Al-hothaly, Bushra; Midhet, Farid; Hussain, Mahboob; Al‐Mohaimeed, Abdulrahman

doi:10.12816/0023975

Cited by 37 publications

(44 citation statements)

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“…This data is not entirely consistent with other reports which suggest a significantly higher incidence of CVD. A study completed in 2014 in Saudi Arabia suggests that the incidence of CVD is at the level of 61.6% (women: 69%, men: 45%) [4]. A study by Vuylstke et al, based on the assessment of CVD symptoms by 406 GPs in Belgium and Luxembourg (a total of 6009 study patients reporting to GPs), suggests the occurrence of CVD symptoms, especially the feeling of heaviness, pain and oedema in 61.3% of respondents [5].…”

Section: Discussionmentioning

confidence: 99%

“…Tomasz Urbanek, Andrzej Dorobisz, Marcin Gabriel, Włodzimierz Hendiger, Arkadiusz Jawień, Marcin Kucharzewski, Grzegorz Madycki, Zbigniew Rybak, Walerian Staszkiewicz, Tomasz Zubilewicz, Krzysztof Ziaja introduction Chronic venous diseases (CVD) of the lower limbs belong to the most common diseases of the vascular system. Epidemiological studies related to CVD suggest that they affects 2-56% of men and 1-73% of women; the incidence in the population significantly increases with age [1][2][3][4]. Significant differences related to the extremely diverse reported incidence of CVD result from the differences between study populations and from the evaluation methods adopted by authors of these publications [1,[5][6][7].…”

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confidence: 99%

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Assessment of public awareness in the field of epidemiology, prevention and treatment of chronic venous diseases in Poland

Urbanek¹,

Dorobisz²,

Gabriel³

et al. 2015

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Aim of the study: Both prevention and treatment of chronic venous disease (CVD) are potentially related to the proper patient knowledge in this field. This paper presents the results of a study commissioned by Polish Society of Phlebology concerning the patient awareness in the field of epidemiology, prevention and treatment of CVD in Poland. Material and methods: The study was performed with the use of computer-assisted interviews conducted on a nationwide representative sample (n = 828) and additionally on a nationwide representative sample of women (n = 177). Results: The most common complaint reported by the respondents was a feeling of heaviness and fatigue in the lower limbs-62%. Thirty-seven percent reported lowerleg pain related to body posture and 33% lower limb swelling. In 27% the presence of varicose veins and in 2% crural ulcers were reported. The majority of symptomatic respondents (64%) never reported their problems to the physicians; 23% of them received assistance from a pharmacist. Among symptomatic patients, compression therapy was used by 11%, 23% took medication, and 18% received dietary supplements. The most common source of information on CVD was the knowledge obtained from friends and families (37%) and from the media (37%). Only 22% indicated the physician as a knowledge resource. As many as 7 out of 10 respondents believed that the education in the area of CVD is necessary. Conclusions: Despite the fact that CVD are widespread among patients, they are still rarely diagnosed by medical personnel and the level of patient knowledge concerning CVD remains low.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Assessment of public awareness in the field of epidemiology, prevention and treatment of chronic venous diseases in Poland

Urbanek¹,

Dorobisz²,

Gabriel³

et al. 2015

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“…The use of class 1 (10–15 mmHg) CS for four weeks significantly increased QoL compared with and placebo pressure (3–6 mmHg) stockings 27 ) . In a similar study, it was observed that a four-week use of CS increases QoL and improves symptoms of CVI 28 ) .…”

Section: Discussionmentioning

confidence: 83%

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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“…Two studies [9,10] support the use of compression stockings in the treatment of chronic venous disease in patients under 70 years old, whereas the effectiveness is not known in older populations. Systematic reviews about post-thrombotic syndrome [11][12][13][14] and pain [11] in patients with deep venous thrombosis show uncertain effects.…”

Section: Introductionmentioning

confidence: 99%

Effects of Preventive Use of Compression Stockings for Elderly With Chronic Venous Insufficiency and Swollen Legs: A Systematic Review and Meta-Analysis

Dahm

Myrhaug

Strømme

et al. 2019

Journal of Vascular Surgery: Venous and Lymphatic Disorders

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Background: Many home-dwelling elderly use medical compression stockings to prevent venous insufficiency, deep venous thrombosis, painful legs and leg ulcers. Assisting users with applying and removing compression stockings demands resources from the home based health services, but the effects are uncertain. This systematic review aims to summarize the effects of preventive use of medical compression stockings for patients with chronic venous insufficiency and swollen legs. Methods: We conducted a search in six databases (Epistemonikos, Cochrane Database of Systematic Reviews, MEDLINE, Embase, CENTRAL and CINAHL) in March 2018. Randomized controlled trials evaluating the preventive effects of European standard compression stockings class 3 or 2 for elderly with chronic venous insufficiency and swollen legs were included. Primary outcomes were thrombosis, leg ulcers and mobility. Secondary outcomes were other health related outcomes, e.g. pain, compliance. We assessed risk of bias in the included studies and used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool for evaluating the overall quality of evidence. Results: Five randomized controlled trials met the inclusion criteria. Comparing compression stockings class 2 to class 1, meta-analysis showed a reduction in leg ulcer recurrence at 12 months (RR 0.52; 95% CI 0.30 to 0.88). The quality of evidence was assessed as moderate by GRADE. One study (100 participants) did not detect a difference between compression stockings class 3 versus class 2 on ulcer recurrence after six months (RR 0.64; 95% CI 0.20 to 2.03). In another study, patients wearing class 3 compression stockings had lower recurrence risk compared with patients without stockings (RR 0.46; 95% CI 0.27 to 0.76) at six months and (RR 0.43; 95% CI 0.27 to 0.69) at 12 months. We found no difference between class 2 and class 1 stockings on subjective symptoms of chronic venous insufficiency or outcomes of vein thrombosis or mobility. Conclusion: Compression stockings class 2 probably reduce the risk of leg ulcer recurrence compared to compression stockings class 1. It is uncertain whether the use of stockings with higher compression grades is associated with a further risk reduction. More randomized controlled trials on vein thrombosis and mobility are needed.

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Chronic Venous Insufficiency : Prevalence and Effect of Compression Stockings

Cited by 37 publications

References 13 publications

Assessment of public awareness in the field of epidemiology, prevention and treatment of chronic venous diseases in Poland

Assessment of public awareness in the field of epidemiology, prevention and treatment of chronic venous diseases in Poland

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

Effects of Preventive Use of Compression Stockings for Elderly With Chronic Venous Insufficiency and Swollen Legs: A Systematic Review and Meta-Analysis

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