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The management of venous leg ulceration post the EVRA (early venous reflux ablation) ulcer trial: Management of venous ulceration post EVRA
- Source :
- Phlebology
- Publication Year :
- 2020
- Publisher :
- SAGE Publications, 2020.
-
Abstract
- Objectives This survey study evaluates current management strategies for venous ulceration and the impacts of the EVRA trial results. Methods An online survey was disseminated to approximately 15000 clinicians, through 12 vascular societies in 2018. Survey themes included: referral times, treatment times and strategies, knowledge of the EVRA trial and service barriers to managing venous ulceration. Data analysis was performed using Microsoft Excel and SPSS. Results 664 responses were received from 78 countries. Respondents were predominantly European (55%) and North American (23%) vascular surgeons (74%). Responses varied between different countries. The median vascular clinic referral time was 6 weeks and time to be seen in clinic was 2 weeks. This was significantly higher in the UK (p ≤ 0.02). 77% of respondents performed surgical/endovenous interventions prior to ulcer healing, the median time to intervention was 4 weeks. 31% of participants changed their practice following EVRA. Frequently encountered barriers to implementing change were a lack of operating space/time (18%). Conclusion Venous ulcers are not managed as quickly as they should be. An evaluation of local resource requirements should be performed to improve service provision for venous ulceration. When interpreting the results of this survey consideration should be given to the response rate.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
surgical ablation
Ethinyl Estradiol
Varicose Ulcer
medicine
Humans
EVRA
1102 Cardiorespiratory Medicine and Haematology
Ulcer
Leg
Wound Healing
Science & Technology
business.industry
Leg Ulcer
Norgestrel
Endovenous ablation
endovenous ablation
Survey research
General Medicine
Original Articles
Ablation
Surgery
Drug Combinations
Venous ulceration
Current management
Peripheral Vascular Disease
Cardiovascular System & Hematology
Trial management
Venous reflux
Cardiovascular System & Cardiology
Cardiology and Cardiovascular Medicine
business
Life Sciences & Biomedicine
Surgical ablation
Subjects
Details
- Language :
- English
- ISSN :
- 17581125 and 02683555
- Volume :
- 36
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Phlebology
- Accession number :
- edsair.doi.dedup.....0ac2a5ec44523bb7bbeb63dbd11b28ab