Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement.
Identifieur interne : 000017 ( France/Analysis ); précédent : 000016; suivant : 000018Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement.
Auteurs : Eberhard Rabe [Allemagne] ; Hugo Partsch [Autriche] ; Juerg Hafner [Suisse] ; Christopher Lattimer [Royaume-Uni] ; Giovanni Mosti [Italie] ; Martino Neumann [Pays-Bas] ; Tomasz Urbanek [Pologne] ; Monika Huebner [Suisse] ; Sylvain Gaillard [Suisse] ; Patrick Carpentier [France]Source :
- Phlebology [ 1758-1125 ] ; 2017.
Abstract
Objective Medical compression stockings are a standard, non-invasive treatment option for all venous and lymphatic diseases. The aim of this consensus document is to provide up-to-date recommendations and evidence grading on the indications for treatment, based on evidence accumulated during the past decade, under the auspices of the International Compression Club. Methods A systematic literature review was conducted and, using PRISMA guidelines, 51 relevant publications were selected for an evidence-based analysis of an initial 2407 unrefined results. Key search terms included: 'acute', CEAP', 'chronic', 'compression stockings', 'compression therapy', 'lymph', 'lymphatic disease', 'vein' and 'venous disease'. Evidence extracted from the publications was graded initially by the panel members individually and then refined at the consensus meeting. Results Based on the current evidence, 25 recommendations for chronic and acute venous disorders were made. Of these, 24 recommendations were graded as: Grade 1A (n = 4), 1B (n = 13), 1C (n = 2), 2B (n = 4) and 2C (n = 1). The panel members found moderately robust evidence for medical compression stockings in patients with venous symptoms and prevention and treatment of venous oedema. Robust evidence was found for prevention and treatment of venous leg ulcers. Recommendations for stocking-use after great saphenous vein interventions were limited to the first post-interventional week. No randomised clinical trials are available that document a prophylactic effect of medical compression stockings on the progression of chronic venous disease (CVD). In acute deep vein thrombosis, immediate compression is recommended to reduce pain and swelling. Despite conflicting results from a recent study to prevent post-thrombotic syndrome, medical compression stockings are still recommended. In thromboprophylaxis, the role of stockings in addition to anticoagulation is limited. For the maintenance phase of lymphoedema management, compression stockings are the most important intervention. Conclusion The beneficial value of applying compression stockings in the treatment of venous and lymphatic disease is supported by this document, with 19/25 recommendations rated as Grade 1 evidence. For recommendations rated with Grade 2 level of evidence, further studies are needed.
DOI: 10.1177/0268355516689631
PubMed: 28549402
Affiliations:
- Allemagne, Autriche, France, Italie, Pays-Bas, Pologne, Royaume-Uni, Suisse
- Angleterre, Auvergne-Rhône-Alpes, District de Cologne, Grand Londres, Hollande-Méridionale, Rhénanie-du-Nord-Westphalie, Rhône-Alpes
- Bonn, Grenoble, Londres, Rotterdam
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Rabe</name><affiliation wicri:level="3"><nlm:affiliation>1 Department of Dermatology, University of Bonn, Bonn, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>1 Department of Dermatology, University of Bonn, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author><author><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name><affiliation wicri:level="1"><nlm:affiliation>2 Department of Dermatology, Medical University of Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>2 Department of Dermatology, Medical University of Vienna</wicri:regionArea><wicri:noRegion>Medical University of Vienna</wicri:noRegion></affiliation></author><author><name sortKey="Hafner, Juerg" sort="Hafner, Juerg" uniqKey="Hafner J" first="Juerg" last="Hafner">Juerg Hafner</name><affiliation wicri:level="1"><nlm:affiliation>3 Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>3 Department of Dermatology, University Hospital of Zurich, Zurich</wicri:regionArea><wicri:noRegion>Zurich</wicri:noRegion></affiliation></author><author><name sortKey="Lattimer, Christopher" sort="Lattimer, Christopher" uniqKey="Lattimer C" first="Christopher" last="Lattimer">Christopher Lattimer</name><affiliation wicri:level="3"><nlm:affiliation>4 Josef Pflug Vascular Laboratory, West London Vascular and Interventional Centre, Ealing Hospital & Imperial College, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>4 Josef Pflug Vascular Laboratory, West London Vascular and Interventional Centre, Ealing Hospital & Imperial College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Mosti, Giovanni" sort="Mosti, Giovanni" uniqKey="Mosti G" first="Giovanni" last="Mosti">Giovanni Mosti</name><affiliation wicri:level="1"><nlm:affiliation>5 Angiology Department, Clinica MD Barbantini, Lucca, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>5 Angiology Department, Clinica MD Barbantini, Lucca</wicri:regionArea><wicri:noRegion>Lucca</wicri:noRegion></affiliation></author><author><name sortKey="Neumann, Martino" sort="Neumann, Martino" uniqKey="Neumann M" first="Martino" last="Neumann">Martino Neumann</name><affiliation wicri:level="3"><nlm:affiliation>6 Department of Dermatology, Erasmus University Hospital, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>6 Department of Dermatology, Erasmus University Hospital, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Urbanek, Tomasz" sort="Urbanek, Tomasz" uniqKey="Urbanek T" first="Tomasz" last="Urbanek">Tomasz Urbanek</name><affiliation wicri:level="1"><nlm:affiliation>7 Medical University of Silesia Department of General Surgery, Vascular Surgery, Angiology and Phlebology, Katowice, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>7 Medical University of Silesia Department of General Surgery, Vascular Surgery, Angiology and Phlebology, Katowice</wicri:regionArea><wicri:noRegion>Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Huebner, Monika" sort="Huebner, Monika" uniqKey="Huebner M" first="Monika" last="Huebner">Monika Huebner</name><affiliation wicri:level="1"><nlm:affiliation>8 SIGVARIS AG, St Gallen, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>8 SIGVARIS AG, St Gallen</wicri:regionArea><wicri:noRegion>St Gallen</wicri:noRegion></affiliation></author><author><name sortKey="Gaillard, Sylvain" sort="Gaillard, Sylvain" uniqKey="Gaillard S" first="Sylvain" last="Gaillard">Sylvain Gaillard</name><affiliation wicri:level="1"><nlm:affiliation>9 SIGVARIS Management AG, Winterthur, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>9 SIGVARIS Management AG, Winterthur</wicri:regionArea><wicri:noRegion>Winterthur</wicri:noRegion></affiliation></author><author><name sortKey="Carpentier, Patrick" sort="Carpentier, Patrick" uniqKey="Carpentier P" first="Patrick" last="Carpentier">Patrick Carpentier</name><affiliation wicri:level="3"><nlm:affiliation>10 Centre de Recherche Universitaire de La Léchère, Equipe THEMAS, Université Joseph Fourier, Grenoble, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>10 Centre de Recherche Universitaire de La Léchère, Equipe THEMAS, Université Joseph Fourier, Grenoble</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Grenoble</settlement></placeName></affiliation></author></analytic><series><title level="j">Phlebology</title><idno type="eISSN">1758-1125</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective Medical compression stockings are a standard, non-invasive treatment option for all venous and lymphatic diseases. The aim of this consensus document is to provide up-to-date recommendations and evidence grading on the indications for treatment, based on evidence accumulated during the past decade, under the auspices of the International Compression Club. Methods A systematic literature review was conducted and, using PRISMA guidelines, 51 relevant publications were selected for an evidence-based analysis of an initial 2407 unrefined results. Key search terms included: 'acute', CEAP', 'chronic', 'compression stockings', 'compression therapy', 'lymph', 'lymphatic disease', 'vein' and 'venous disease'. Evidence extracted from the publications was graded initially by the panel members individually and then refined at the consensus meeting. Results Based on the current evidence, 25 recommendations for chronic and acute venous disorders were made. Of these, 24 recommendations were graded as: Grade 1A (n = 4), 1B (n = 13), 1C (n = 2), 2B (n = 4) and 2C (n = 1). The panel members found moderately robust evidence for medical compression stockings in patients with venous symptoms and prevention and treatment of venous oedema. Robust evidence was found for prevention and treatment of venous leg ulcers. Recommendations for stocking-use after great saphenous vein interventions were limited to the first post-interventional week. No randomised clinical trials are available that document a prophylactic effect of medical compression stockings on the progression of chronic venous disease (CVD). In acute deep vein thrombosis, immediate compression is recommended to reduce pain and swelling. Despite conflicting results from a recent study to prevent post-thrombotic syndrome, medical compression stockings are still recommended. In thromboprophylaxis, the role of stockings in addition to anticoagulation is limited. For the maintenance phase of lymphoedema management, compression stockings are the most important intervention. Conclusion The beneficial value of applying compression stockings in the treatment of venous and lymphatic disease is supported by this document, with 19/25 recommendations rated as Grade 1 evidence. For recommendations rated with Grade 2 level of evidence, further studies are needed.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Autriche</li><li>France</li><li>Italie</li><li>Pays-Bas</li><li>Pologne</li><li>Royaume-Uni</li><li>Suisse</li></country><region><li>Angleterre</li><li>Auvergne-Rhône-Alpes</li><li>District de Cologne</li><li>Grand Londres</li><li>Hollande-Méridionale</li><li>Rhénanie-du-Nord-Westphalie</li><li>Rhône-Alpes</li></region><settlement><li>Bonn</li><li>Grenoble</li><li>Londres</li><li>Rotterdam</li></settlement></list><tree><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Rabe, Eberhard" sort="Rabe, Eberhard" uniqKey="Rabe E" first="Eberhard" last="Rabe">Eberhard Rabe</name></region></country><country name="Autriche"><noRegion><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name></noRegion></country><country name="Suisse"><noRegion><name sortKey="Hafner, Juerg" sort="Hafner, Juerg" uniqKey="Hafner J" first="Juerg" last="Hafner">Juerg Hafner</name></noRegion><name sortKey="Gaillard, Sylvain" sort="Gaillard, Sylvain" uniqKey="Gaillard S" first="Sylvain" last="Gaillard">Sylvain Gaillard</name><name sortKey="Huebner, Monika" sort="Huebner, Monika" uniqKey="Huebner M" first="Monika" last="Huebner">Monika Huebner</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Lattimer, Christopher" sort="Lattimer, Christopher" uniqKey="Lattimer C" first="Christopher" last="Lattimer">Christopher Lattimer</name></region></country><country name="Italie"><noRegion><name sortKey="Mosti, Giovanni" sort="Mosti, Giovanni" uniqKey="Mosti G" first="Giovanni" last="Mosti">Giovanni Mosti</name></noRegion></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Neumann, Martino" sort="Neumann, Martino" uniqKey="Neumann M" first="Martino" last="Neumann">Martino Neumann</name></region></country><country name="Pologne"><noRegion><name sortKey="Urbanek, Tomasz" sort="Urbanek, Tomasz" uniqKey="Urbanek T" first="Tomasz" last="Urbanek">Tomasz Urbanek</name></noRegion></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Carpentier, Patrick" sort="Carpentier, Patrick" uniqKey="Carpentier P" first="Patrick" last="Carpentier">Patrick Carpentier</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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