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Published on: December 9, 2022
[Chronic venous disorders and chronic venous diseases: concepts and evaluation]
1Serviço de Angiologia e Cirurgia Vascular do Hospital Pulido Valente, Lisboa.
Insights
The CEAP classification system enhances chronic venous disorder diagnosis and management. This revision adapts the CEAP system for Portuguese, emphasizing its use in assessing treatment outcomes with veno-active drugs.
Area of Science:
- Vascular Medicine
- Medical Classification Systems
Context:
- Chronic venous disorders historically lacked precise diagnostic and classification standards, leading to inconsistent research findings.
- The CEAP classification, established in 1994, provided a standardized approach, becoming an international reporting standard.
- Recent updates proposed by the American Venous Forum include refined definitions and a simplified 'basic' CEAP version.
Purpose:
- To present a revised CEAP classification adapted for the Portuguese language.
- To highlight the descriptive nature of CEAP and its association with venous severity and quality of life scores.
- To advocate for the use of CEAP-associated scores in evaluating treatment outcomes, particularly for veno-active drugs.
Summary:
- This document revises the CEAP classification for chronic venous disorders, adapting its nomenclature for Portuguese speakers.
- It incorporates recent practical changes and refinements proposed by the American Venous Forum, including a basic CEAP version.
- The revision emphasizes CEAP's role as a descriptive tool linked to validated severity and quality of life scores for research.
Impact:
- Facilitates more precise diagnosis and consistent reporting of chronic venous disorders in Portuguese-speaking regions.
- Supports standardized assessment of treatment efficacy, particularly for veno-active drugs, through validated scoring systems.
- Enhances the utility of the CEAP classification for longitudinal research and clinical practice in vascular medicine.
Abstract:
The field of chronic venous disorders suffered, in the past, from lack of precision in diagnosis and classification. These deficiencies led to conflicting reports in studies of management of specific venous problems. To solve these troubles, the CEAP classification for chronic venous disorders was created in 1994, and was incorporated into the International Reporting Standard in Venous Disorders, in 1995. Actually it is generally accepted and used. In 2004 an "ad hoc" committee of the American Venous Forum working with an international liaison committee, has recommended a number of practical changes, that include a refinement of several definitions used in describing these disorders and a simpler alternative to the full (advanced) CEAP classification, the so called basic CEAP version. The author presents a revision of this document and adapts the nomenclature used to the portuguese language. He gives special attention to the fact that CEAP classification is a descriptive one which is associated to a venous severity and a quality of life scores that are instruments for longitudinal research to assess outcomes. Finally the author advises to use of these scores specially when it is necessary to evaluate the outcomes of the treatment with veno- active drugs.
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