The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part II

静脉曲张 医学 硬化疗法 静脉曲张 系统回顾 压力袜 科学证据 循证实践 外科 梅德林 替代医学 血栓形成 病理 内科学 哲学 政治学 法学 肝硬化 认识论
作者
Péter Gloviczki,Peter F. Lawrence,Suman Wasan,Mark H. Meissner,José I. Almeida,Kellie R. Brown,Ruth L. Bush,Michael Di Iorio,John Fish,Eri Fukaya,Monika L. Gloviczki,Anil Hingorani,Arjun Jayaraj,Raghu Kolluri,M. Hassan Murad,Andrea Obi,Kathleen J. Ozsvath,Michael J. Singh,Satish Vayuvegula,Harold J. Welch
出处
期刊:Journal of vascular surgery. Venous and lymphatic disorders [Elsevier BV]
卷期号:12 (1): 101670-101670 被引量:34
标识
DOI:10.1016/j.jvsv.2023.08.011
摘要

The Society for Vascular Surgery, the American Venous Forum, and the American Vein and Lymphatic Society recently published Part I of the 2022 clinical practice guidelines on varicose veins. Recommendations were based on the latest scientific evidence researched following an independent systematic review and meta-analysis of five critical issues affecting the management of patients with lower extremity varicose veins, using the patients, interventions, comparators, and outcome system to answer critical questions. Part I discussed the role of duplex ultrasound scanning in the evaluation of varicose veins and treatment of superficial truncal reflux. Part II focuses on evidence supporting the prevention and management of varicose vein patients with compression, on treatment with drugs and nutritional supplements, on evaluation and treatment of varicose tributaries, on superficial venous aneurysms, and on the management of complications of varicose veins and their treatment. All guidelines were based on systematic reviews, and they were graded according to the level of evidence and the strength of recommendations, using the GRADE method. All ungraded Consensus Statements were supported by an extensive literature review and the unanimous agreement of an expert, multidisciplinary panel. Ungraded Good Practice Statements are recommendations that are supported only by indirect evidence. The topic, however, is usually noncontroversial and agreed upon by most stakeholders. The Implementation Remarks contain technical information that supports the implementation of specific recommendations. This comprehensive document includes a list of all recommendations (Parts I-II), ungraded consensus statements, implementation remarks, and best practice statements to aid practitioners with appropriate, up-to-date management of patients with lower extremity varicose veins.
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