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Conventional Varicose Vein Surgery: Comparison between Single versus Staged Surgery Using Patient Reported Outcomes
Nelson Wolosker1, Marcelo Passos Teivelis2, Cynthia de Almeida Mendes2
1Hospital Israelita Albert Einstein, Divisão de Cirurgia Vascular, São Paulo, São Paulo, Brazil; Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, São Paulo, Brazil; Faculdade de Medicina da Universidade de São Paulo - USP, São Paulo, São Paulo, Brazil.
Both staged and single-surgery approaches for varicose veins (VV) offer similar disease-specific quality of life (QoL) improvements. However, the staged approach may lead to a less burdensome recovery for patients.
Area of Science:
- Vascular Surgery
- Public Health
- Quality of Life Research
Background:
- Conventional surgery is the standard treatment for varicose veins (VV) in Brazil's public health system.
- A comparison between single-procedure and staged-procedure bilateral VV treatment is warranted.
Purpose of the Study:
- To compare clinical and quality of life (QoL) outcomes of bilateral varicose vein treatment using single-procedure versus staged-procedure approaches.
Main Methods:
- 111 patients with bilateral VV underwent either single-surgery or two staged procedures (minimum 30-day interval).
- Clinical symptoms and QoL were assessed pre- and post-treatment using VEINES-Sym/QoL and EQ5D-5L scores.
- Outcomes were compared between the single-surgery and staged-procedure groups.
Main Results:
- Both treatment approaches resulted in general QoL improvements.
- Disease-specific QoL and VV symptoms improved similarly in both groups (VEINES-Sym/QoL P > 0.3).
- The staged-procedure group showed significantly greater improvement in general QoL (EQD5-5L) compared to the single-surgery group (P = 0.007).
Conclusions:
- Both staged and single-surgery methods for VV treatment yield comparable improvements in disease-specific QoL.
- The staged approach may offer a less burdensome recovery for patients undergoing bilateral varicose vein treatment.
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