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Refining diagnosis and management of chronic venous disease: Outcomes of a modified Delphi consensus process
Teresa Lucia Aloi1, Giuseppe Camporese2, Marcello Izzo3
1Istituti Clinici Scientifici Maugeri IRCCS, Cardio-Angiology Unit of Montescano and Pavia Institute, Italy.
Insights
Experts reached consensus on 22 statements for diagnosing and managing chronic venous disease (CVD). Personalized therapies are favored, offering practical guidance for clinicians treating this common condition.
Area of Science:
- Vascular Medicine
- Clinical Practice Guidelines
- Medical Consensus
Background:
- Chronic venous disease (CVD) presents significant health consequences, including poor prognosis, socioeconomic impact, and reduced quality of life.
- Existing guidelines require supplementation for practical diagnosis and management of CVD.
Purpose of the Study:
- To develop practical guidance for the diagnosis and management of chronic venous disease (CVD).
- To supplement established national and international guidelines for CVD treatment.
Main Methods:
- A Delphi panel of 5 experts and 28 angiologists/vascular surgeons was convened.
- 24 statements regarding CVD diagnosis and management were voted upon in two rounds.
Main Results:
- Consensus was achieved on 22 out of 24 statements, indicating high agreement among experts.
- High consensus was reached on diagnostic aspects (7/8 statements) and management strategies (15/16 statements).
- Key recommendations focus on personalized diagnostic and management approaches for CVD patients.
Conclusions:
- The Delphi survey provides practical recommendations for clinicians managing chronic venous disease (CVD).
- Personalized therapies tailored to individual patients are recommended for optimal CVD diagnosis and management.
- Further research is needed, but current consensus offers valuable clinical insights for CVD treatment.
Abstract:
Chronic venous disease (CVD) is a common condition with major health consequences that is associated with poor long-term prognosis, significant socioeconomic impact, disabling symptoms and reduced quality of life. To provide practical guidance for diagnosis and management of CVD, a Delphi panel of 5 experts in steering committee and 28 angiologists/vascular surgeons met with the major aim of providing a supplement for established national and international guidelines. A total of 24 statements were voted upon in two rounds, of which consensus was reached on 22 statements, indicating a high level of overall agreement. Consensus was reached on 7 of 8 statements relative to diagnosis (CEAP classification, diagnostic tools, QoL assessment, diagnostic imaging) and on 15 of 16 statements on management (conservative treatments, compressive therapy, pharmacological therapy, surgical treatment). The results of the consensus reached are discussed herein from which it is clear that diagnostic and management approaches utilising personalised therapies tailored to the individual patient should be favoured. While it is clear that additional studies are needed on many aspects of diagnosis and management of CVD, the present Delphi survey provides some key recommendations for clinicians treating CVD that may be useful in daily practice.
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