Developing ways to compare and contrast for deep venous interventions

Abstract

The goal of treating patients with chronic venous insufficiency (CVI) including post-thrombotic syndrome is to improve on their morbidity. Unlike some diseases where the clinical outcomes can be reported in dichotomous values such as mortality, index events, remission, or recurrence, CVI is a spectrum of symptoms that can make for difficulty in evaluating clinical outcomes. As such, even if the provided treatments cannot achieve full resolution of the patient’s symptoms, any degree of clinical improvement may be a desirable outcome for the patient. The standard method for reporting such changes is still to be determined and in this systematic review, 1 McNally E.H. Rudd S. Mezes P. Black S.A. Hinchliffe R.J. Ozdemir B.A. A systematic review of reported outcomes in people with lower limb chronic venous insufficiency of the deep veins. J Vasc Surg Venous Lymphat Disord. 2023; 11: 422-431 Abstract Full Text Full Text PDF Google Scholar the authors set out to explore the current state of reporting on the various outcomes of interventions delivered to people with CVI attributable to deep venous pathology. Although the technical success of the procedures used should be scrutinized, the final value lies in how these treatments can improve the lives of the stakeholder, the patient themselves. How best to quantify such improvements can be challenging because the outcomes require both qualitative and a clinical symptom measure in addition to evaluation for technical success. The findings of this review highlight the significant heterogeneity of evaluated outcomes for deep venous interventions in the literature ranging from technical success, treatment durability (such as stent patency), hemodynamic measurements, and experienced symptomatic relief. A systematic review of reported outcomes in people with lower limb chronic venous insufficiency of the deep veinsJournal of Vascular Surgery: Venous and Lymphatic DisordersVol. 11Issue 2PreviewThe prevalence of lower limb chronic venous insufficiency (CVI) of the deep veins is increasing and presents a significant burden to patients and health care services. To improve the evaluation of interventions it is necessary to standardise their reporting. The aim of this study was to perform a systematic review of the outcomes of interventions delivered to people with CVI of the deep veins as part of the development of a novel core outcome set (COS). Full-Text PDF