Treatment of varicose veins, international consensus on which major complications to discuss with the patient: A Delphi study

被引：8

作者：

de Mik, Sylvana M. L. ^{[1
]}

Stubenrouch, Fabienne E. ^{[1
]}

Legemate, Dink A. ^{[1
]}

Balm, Ron ^{[1
]}

Ubbink, Dirk T. ^{[1
]}

Black, S. A. ^{[2
]}

Boyle, J. R. ^{[3
]}

Gibson, K. ^{[4
]}

Gohel, M. S. ^{[3
]}

Lawson, J. A. ^{[5
]}

Meissner, M. H. ^{[6
]}

Mooij, M. C. ^{[5
]}

Welch, H. J. ^{[7
]}

机构：

[1] Acad Med Ctr, Dept Surg, Amsterdam, Netherlands

[2] Guys & St Thomas Hosp, Dept Vasc Surg, London, England

[3] Addenbrookes Hosp, Dept Vasc Surg, Cambridge, England

[4] Lake Washington Vasc Surg, Bellevue, WA USA

[5] Ctr Oosterwal, Alkmaar, Netherlands

[6] Univ Washington, Med Ctr, Dept Surg, Seattle, WA 98195 USA

[7] Lahey Hosp & Med Ctr, Dept Vasc Surg, Burlington, MA USA

来源：

PHLEBOLOGY | 2019年 / 34卷 / 03期

关键词：

Varicose veins; complications; major; consensus; Delphi; shared decision-making; informed consent; ENDOVENOUS LASER-ABLATION; RANDOMIZED CLINICAL-TRIAL; GREAT SAPHENOUS-VEIN; REPORTING STANDARDS; RADIOFREQUENCY ABLATION; FOAM SCLEROTHERAPY; HIGH LIGATION; SURGERY; SOCIETY; OBLITERATION;

D O I：

10.1177/0268355518785482

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective To reach consensus on which complications of varicose vein treatments physicians consider major or minor, in order to standardize the informed consent procedure and improve shared decision-making. Methods Using the e-Delphi method, expert physicians from 10 countries were asked to rate complications as "major" or "minor" on a 5-point Likert scale. Reference articles from a Cochrane review on varicose veins were used to compose the list of complications. Results Participating experts reached consensus on 12 major complications: allergic reaction, cellulitis requiring intravenous antibiotics/intensive care, wound infection requiring debridement, hemorrhage requiring blood transfusion/surgical intervention, pulmonary embolism, skin necrosis requiring surgery, arteriovenous fistula requiring repair, deep venous thrombosis, lymphocele, thermal injury, transient ischemic attack/stroke, and permanent discoloration. Conclusion An international consensus was reached about what physicians consider to be major complications of varicose vein treatments. This consensus may assist in standardizing the information physicians discuss with patients prior to varicose vein treatment.

引用

页码：201 / 207

页数：7

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