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Published on: August 9, 2024
Multidisciplinary Approach to Venous Disease: Enhancing Patient Care and Trainee Education Through Collaboration
Mario Dervishi1, Mohamed Al-Natour1, Jones P Thomas2
1Division of Interventional Radiology, Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland OH.
Insights
Venous diseases, including chronic venous insufficiency and deep vein thrombosis (DVT), significantly impact quality of life. Comprehensive management, early diagnosis, and multidisciplinary collaboration are crucial for improving patient outcomes.
Area of Science:
- Vascular Medicine
- Health Services Research
Background:
- Venous diseases present a global health burden, affecting quality of life and healthcare systems.
- Pathologies include nonthrombotic (reflux/obstructive) and thrombotic causes, often stemming from chronic venous insufficiency or deep vein thrombosis (DVT).
- Abdominal and pelvic venous conditions are often underdiagnosed and undertreated due to a lack of specialized expertise.
Purpose of the Study:
- To emphasize the importance of multidisciplinary collaboration in managing complex venous diseases.
- To detail the establishment of an institutional venous team and share lessons learned.
Main Methods:
- The paper discusses the establishment and operationalization of a multidisciplinary institutional venous team.
- It highlights the challenges and successes encountered in building this specialized team.
Main Results:
- Multidisciplinary collaboration is essential for comprehensive venous disease management.
- Early diagnosis, appropriate treatment, and integrated patient/provider education are key components.
Conclusions:
- Building a dedicated venous team enhances the understanding and treatment of diverse venous conditions.
- Further research and collaboration are vital for advancing venous disease therapies and patient outcomes.
Abstract:
The full spectrum of venous disease poses a significant burden on individuals and health-care systems globally. Venous disease can lead to a wide range of symptoms based on the level of disease and underlying pathology. In general, underlying pathologies are due to nonthrombotic (reflux/obstructive) and thrombotic causes. Most conditions are a sequela of the long-term effects of chronic venous insufficiency, deep vein thrombosis (DVT), or nonthrombotic deep vein obstruction. The prevalence of venous disease is substantial, impacting the quality of life of a considerable proportion of the adult population. Untreated and progressive lower extremity venous disease can lead to venous ulceration and other complications. Additionally, poorly recognized and poorly understood venous conditions of the abdomen and pelvis leave many patients "orphaned" in health-care systems that lack expertise in complex venous conditions. Addressing the burden and breadth of venous disease requires comprehensive management approaches, early diagnosis, appropriate treatment interventions, and provider and patient education. Multidisciplinary collaborations and further research are essential to enhance our understanding, develop innovative therapies, and improve patient outcomes in the field of venous disease. In this paper, we highlight the importance of multidisciplinary collaboration and our journey to building an institutional venous team, as well as lessons learned.
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