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Published on: December 9, 2022
Venous disease and chronic oedema: treatment and patient concordance
1Lymphoedema Clinical Nurse Specialist at the Specialist Lymphoedema Service, Glasgow.
Insights
Compression therapy is crucial for managing chronic venous disease and leg ulcers. A preventive approach can significantly reduce costs and patient suffering from these conditions.
Area of Science:
- Vascular Medicine
- Dermatology
- Public Health
Background:
- Compression therapy is the primary treatment for chronic venous disease, venous leg ulceration (VLU), and chronic oedema.
- Venous leg ulceration management incurs substantial costs, estimated at £400 million annually, and consumes significant district nursing resources.
- An aging, obese, and chronically ill population will exacerbate the strain on healthcare resources.
Purpose of the Study:
- To highlight the significant financial and patient burden of chronic venous and lymphovenous diseases.
- To advocate for a preventive strategy in managing these conditions.
Main Methods:
- Literature review and cost analysis of current management practices.
- Projection of future resource demands based on demographic trends.
Main Results:
- Chronic venous diseases, particularly VLU, represent a major healthcare cost and resource drain.
- Increasing prevalence of risk factors (age, obesity, chronic illness) will intensify the problem.
- Current management approaches are resource-intensive and place a significant burden on patients.
Conclusions:
- A shift towards preventive measures is essential to mitigate the escalating financial, workload, and symptomatic impacts of chronic venous and lymphovenous diseases.
- Preventive strategies offer a sustainable solution to reduce healthcare expenditure and improve patient outcomes.
Abstract:
Compression therapy is the mainstay in the management of chronic venous disease, venous leg ulceration (VLU) and chronic oedema. The management of VLU alone is thought to cost a staggering £400 million per year and accounts for 13% of all district nursing visits. The predicted increase in elderly, obese and chronically ill patients will pose a further strain on already stretched resources. The impact of chronic venous and lymphovenous disease is also costly in terms of physical and psychological terms for patients. Adopting a preventive approach would reduce the financial, workload and symptomatic aspects of this condition.
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