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Deep Venous Procedures Performed in the National Health Service in England between 2005 and 2015
C S Lim1, J Shalhoub1, A H Davies1
1Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, UK.
Endovenous procedures for deep venous pathology are increasing in NHS hospitals, while open surgery rates remain stable. This trend impacts patient care and healthcare resource allocation.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Health Services Research
Background:
- Advances in imaging and endovenous interventions have transformed deep venous pathology management.
- Hospital Episode Statistics (HES) data provides insights into surgical trends.
Purpose of the Study:
- To analyze trends in endovascular and open surgical procedures for deep venous pathology in England.
- To assess changes in procedure numbers between 2005 and 2015 within NHS hospitals.
Main Methods:
- Retrieved HES data for deep venous thrombosis (DVT) diagnoses and deep venous procedures.
- Analyzed trends in open surgical and percutaneous interventions from 2005-2015.
Main Results:
- Observed a declining trend in primary DVT admissions.
- Percutaneous procedures, including stenting and venoplasty, significantly increased.
- Open surgical procedures, such as thrombus removal and vena cava interventions, showed limited change or decline.
Conclusions:
- Endovenous procedures for deep venous pathology have increased, contrasting with stable open surgery rates.
- The rise in endovenous interventions has significant implications for patient care and healthcare resource management.
- HES data, despite limitations, indicates a shift towards less invasive treatments for deep venous conditions.
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