Daily Duration of Compression Treatment in Chronic Venous Disease Patients: A Systematic Review

Sevara Mirakhmedova1, Amirkhan Amirkhanov1, Evgenii Seliverstov1

  • 1Department of Surgery, Pirogov Russian National Research Medical University, Moscow 117997, Russia.

PubMed

Insights

This review found no reliable data to support specific daily compression therapy durations for chronic venous disease patients. More research is needed to establish optimal compression regimens for various clinical scenarios.

Area of Science:

  • Vascular Medicine
  • Medical Research Methodology

Background:

  • Chronic venous disease (CVD) management lacks established guidelines for daily compression therapy duration.
  • Optimal compression treatment regimens are not well-defined for patients with venous conditions.

Purpose of the Study:

  • To systematically review and establish the optimal daily duration of compression treatment for patients with chronic venous disease.
  • To identify evidence-based recommendations for compression therapy regimens.

Main Methods:

  • A systematic search of CENTRAL and MEDLINE databases was conducted.
  • Included studies comprised RCTs, non-RCTs, reviews, systematic reviews, meta-analyses, and guidelines on compression therapy for varicose veins.
  • Study quality varied, precluding meta-analysis due to data heterogeneity.

Main Results:

  • Thirty-two RCTs and other study designs reported on compression duration and regimens for various patient groups.
  • Data were reported for post-invasive treatment, venous ulcer treatment, and venous symptoms.
  • While duration varied by clinical scenario, no precise regimen data were found.

Conclusions:

  • There is a lack of reliable data to support specific daily compression treatment regimens for different chronic venous disease patient cohorts.
  • Further high-quality research is required to define optimal compression therapy protocols.

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