Chronic venous insufficiency: the effects of health-care reforms on the cost of treatment and hospitalisation -an Italian perspective

Allegra, Claudio

doi:10.1185/030079903125002559

Cited by 20 publications

(8 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nevertheless, even if all costs related to follow‐up in the surgery group are excluded from the analysis, surgery remains more costly. In Western countries, the treatment of varicose veins imposes a considerable burden on the healthcare budgets25, 26. In the Netherlands, €274 million a year is spent on the treatment of venous diseases, accounting for 6 per cent of total healthcare costs27.…”

Section: Discussionmentioning

confidence: 99%

Randomized clinical trial of ultrasound-guided foam sclerotherapy versus surgery for the incompetent great saphenous vein

Shadid

Ceulen

Nelemans

et al. 2012

British Journal of Surgery

116

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Randomized clinical trial of ultrasound-guided foam sclerotherapy versus surgery for the incompetent great saphenous vein

Shadid

Ceulen

Nelemans

et al. 2012

British Journal of Surgery

116

View full text Add to dashboard Cite

show abstract

“…The use of standardized red vine leaf extract (AS 195), standardized horse chestnut extract, and oxerutin results in significant reduction of edema. In addition, red vine leaf extract and oxerutin have been shown to lead to significant improvement of symptoms , ].…”

Section: Therapymentioning

confidence: 99%

Consensus statement on the symptom‐based treatment of chronic venous diseases

Stücker

Debus

Hoffmann³

et al. 2016

J Deutsche Derma Gesell

View full text Add to dashboard Cite

SummaryBackground: Chronic venous diseases are very common. Early symptoms such as a sensation of swelling and heaviness may occur without objectifiable findings, but are nevertheless perceived as bothersome. Progressive disease -marked by varicose veins and symptoms of chronic venous insufficiency -is associated with considerable impairment in quality of life. Methods: The present consensus recommendations are based on publications in Pubmed-listed journals as well as relevant international therapeutic guidelines on chronic venous diseases. Only conclusive randomized controlled trials (RCTs) and review articles/meta-analyses were included. Results: Symptom-based treatment of chronic venous diseases is based on three therapeutic pillars with proven efficacy: invasive therapy, compression therapy, and oral pharmacological treatment. According to current therapeutic guidelines, invasive procedures aimed at restoring unimpaired venous blood flow as well as improving or eliminating pathological changes should be the first-line approach. If an invasive approach is infeasible or undesirable, or if symptoms persist following a therapeutic intervention, optimal use of symptom-based treatment options is recommended. Compression and pharmacological therapy may each be used as sole treatment or in combination. To guarantee maximum therapeutic success, individual treatment decisions should be made on a case-by-case basis. Conclusions: Chronic venous diseases should be treated on the basis of individual pathophysiological disturbances. Symptom-based treatment of chronic venous disorders encompasses invasive therapy, compression therapy, and oral pharmacological therapy. Considerations in choosing the appropriate treatment option should include both objective signs as well as subjective symptoms.

show abstract

“…Because of the wide spectrum of factors that cause functional impairment in these patients and the high costs of treatment [2,3,8], the prevention of CVD by educational and prophylactic interventions has been shown to be clinically cost-effective, by avoiding disease progression to the last stages [49,54].…”

Section: Socioeconomic Impact Of Cvdmentioning

confidence: 99%

Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease

Crisóstomo¹,

Armada-da-Silva²

2017

Clinical Physical Therapy

View full text Add to dashboard Cite

Chronic venous disease (CVD) is a chronic condition that is associated with venous hypertension, vein's valves damage, venous obstruction, and calf muscle pump impairment. This blood circulatory condition is also characterized by important inflammatory changes affecting the skin, the subcutaneous tissue and the muscles, which are probably triggered by blood stasis and venous edema. With disease progression, severe ulcerative skin damage might occur, which when present represent the more severe stage of this condition. CVD has a significant economic, social and health impact, mostly due to raised morbidity and chronicity.The treatment of patients with CVD might focus on both the symptoms and secondary changes of the disease, such as edema, skin and subcutaneous changes or ulcers.Usually, initial treatment of CVD patients involves a non-invasive, conservative treatment to reduce symptoms, treat secondary changes, and help prevent the development of secondary complications and the progression of the disease. Complementary, some interventional or surgical treatments can be undertaken.There are several conservative treatments to treat and prevent complications associated with CVD that have been described in the literature, like manual lymphatic drainage (MLD) and compression, physical exercise, intermittent pneumatic pressure, kinesio taping, electrical muscle stimulation, transcutaneous electrical nerve stimulation, hydrotherapy, and health education. Most of these techniques are complementary to compression therapy or pharmacological treatment. This chapter will address the role of physical therapists in the management of CVD. The chapter will begin by reviewing the basic physiopathology of CVD, including the role of calf muscle pump. The CEAP classification system and the chronic venous severity score will be presented, as these are main tools for clinical assessment of CVD severity. In the remainder of the chapter will address the physiological effects and recommendations for treating CVD of MLD, based on our clinical experience and own research.

show abstract

Chronic venous insufficiency: the effects of health-care reforms on the cost of treatment and hospitalisation -an Italian perspective

Cited by 20 publications

References 23 publications

Randomized clinical trial of ultrasound-guided foam sclerotherapy versus surgery for the incompetent great saphenous vein

Randomized clinical trial of ultrasound-guided foam sclerotherapy versus surgery for the incompetent great saphenous vein

Consensus statement on the symptom‐based treatment of chronic venous diseases

Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease

Contact Info

Product

Resources

About