LymphedemaV1, Main, Exploration, bibRecord, 006F93

Indications for compression therapy in venous and lymphatic disease Consensus based on experimental data and scientific evidence Under the auspices of the IUP

Identifieur interne : 006F93 ( Main/Exploration ); précédent : 006F92; suivant : 006F94

Indications for compression therapy in venous and lymphatic disease Consensus based on experimental data and scientific evidence Under the auspices of the IUP

Auteurs : H. Partsch ; M. Flour ; P. Coleridge Smith ; J. P. Benigni ; A. Cornu-Thenard ; K. Delis ; M. Gniadecka ; F. Mariani ; G. Mosti ; H. A. M. Neumann ; E. Rabe ; J. F. Uhl ; A. C. Benhamou ; J. P. Benigni ; D. Brandjes ; A. Cavezzi ; M. Clark ; M. Flour ; J. Schuren ; M. Abel ; R. Bot ; S. Briskorn ; C. Gardon-Mollard ; J. Hafner ; J. Hutchinson ; K. Issberner ; D. Kolbach ; E. Küppers ; K. Lutter ; S. Leaphart ; U. Meyer ; J. Leal Monedero ; C. Moffatt ; H. Schepers ; S. Shaw ; N. Velazquez ; A. Virkus

Source :

International angiology [ 0392-9590 ] ; 2008.

RBID : Pascal:08-0360737

Descripteurs français

English descriptors

Abstract

Aim. The aim of this study was to review published literature concerning the use of compression treatments in the management of venous and lymphatic diseases and establish where reliable evidence exists to justify the use of medical compression and where further research is required to address areas of uncertainty. Methods. The authors searched medical literature databases and reviewed their own collections of papers, monographs and books for papers providing information about the effects of compression and randomized clinical trials of compression devices. Papers were classified in accordance with the recommendations of the GRADE group to categorize their scientific reliability. Further classification was made according to the particular clinical problem that was addressed in the papers. The review included papers on compression stockings, bandages and intermittent pneumatic compression devices. Results. The International Compression Club met once in Vienna and corresponded by email in order to reach an agreement of how the data should be interpreted. A wide range of compression levels was reported to be effective. Low levels of compression 10-30 mmHg applied by stockings are effective in the management of telangiectases after sclerotherapy, varicose veins in pregnancy, the prevention of edema and deep vein thrombosis (DVT). High levels of compression produced by bandaging and strong compression stockings (30-40 mmHg) are effective at healing leg ulcers and preventing progression of post-thrombotic syndrome as well as in the management of lymphedema. In some areas no reliable evidence was available to permit recommendations of level of compression or duration of treatment. These included: management of varicose veins to prevent progression, following surgical treatment or sclerotherapy for varicose veins, and the level of compression required to treat acute DVT. Conclusion. This review shows that whilst good evidence for the use of compression is available in some clinical indications, there is much still to be discovered. Little is know about dosimetry in compression, for how long and at what level compression should be applied. The differing effects of elastic and short-stretch compression are also little understood.

Affiliations:

Le document en format XML

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<author><name sortKey="Cavezzi, A" sort="Cavezzi, A" uniqKey="Cavezzi A" first="A." last="Cavezzi">A. Cavezzi</name>
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<author><name sortKey="Gardon Mollard, C" sort="Gardon Mollard, C" uniqKey="Gardon Mollard C" first="C." last="Gardon-Mollard">C. Gardon-Mollard</name>
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<author><name sortKey="Hutchinson, J" sort="Hutchinson, J" uniqKey="Hutchinson J" first="J." last="Hutchinson">J. Hutchinson</name>
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<author><name sortKey="Leal Monedero, J" sort="Leal Monedero, J" uniqKey="Leal Monedero J" first="J." last="Leal Monedero">J. Leal Monedero</name>
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<affiliation><wicri:noCountry>no AF</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Schepers, H" sort="Schepers, H" uniqKey="Schepers H" first="H." last="Schepers">H. Schepers</name>
<affiliation><wicri:noCountry>no AF</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Shaw, S" sort="Shaw, S" uniqKey="Shaw S" first="S." last="Shaw">S. Shaw</name>
<affiliation><wicri:noCountry>no AF</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Velazquez, N" sort="Velazquez, N" uniqKey="Velazquez N" first="N." last="Velazquez">N. Velazquez</name>
<affiliation><wicri:noCountry>no AF</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Virkus, A" sort="Virkus, A" uniqKey="Virkus A" first="A." last="Virkus">A. Virkus</name>
<affiliation><wicri:noCountry>no AF</wicri:noCountry>
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<series><title level="j" type="main">International angiology</title>
<title level="j" type="abbreviated">Int. angiol.</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bandage</term>
<term>Cardiovascular disease</term>
<term>Edema (therapy)</term>
<term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Indication</term>
<term>Intermittent</term>
<term>Intermittent Pneumatic Compression Devices</term>
<term>Lymphatic Diseases (therapy)</term>
<term>Lymphatic system</term>
<term>Lymphedema</term>
<term>Patient Selection</term>
<term>Postthrombotic Syndrome (therapy)</term>
<term>Pressure</term>
<term>Stockings, Compression</term>
<term>Telangiectasis (therapy)</term>
<term>Treatment</term>
<term>Treatment Outcome</term>
<term>Varicose Veins (therapy)</term>
<term>Vascular Diseases (therapy)</term>
<term>Vascular disease</term>
<term>Venous Insufficiency (therapy)</term>
<term>Venous Thrombosis (therapy)</term>
<term>Venous disease</term>
<term>Venous thrombosis</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Bas de contention</term>
<term>Dispositifs à compression pneumatique intermittente</term>
<term>Humains</term>
<term>Insuffisance veineuse ()</term>
<term>Maladies lymphatiques ()</term>
<term>Maladies vasculaires ()</term>
<term>Médecine factuelle</term>
<term>Oedème ()</term>
<term>Pression</term>
<term>Résultat thérapeutique</term>
<term>Syndrome post-thrombotique ()</term>
<term>Sélection de patients</term>
<term>Thrombose veineuse ()</term>
<term>Télangiectasie ()</term>
<term>Varices ()</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Edema</term>
<term>Lymphatic Diseases</term>
<term>Postthrombotic Syndrome</term>
<term>Telangiectasis</term>
<term>Varicose Veins</term>
<term>Vascular Diseases</term>
<term>Venous Insufficiency</term>
<term>Venous Thrombosis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Intermittent Pneumatic Compression Devices</term>
<term>Patient Selection</term>
<term>Pressure</term>
<term>Stockings, Compression</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Bas de contention</term>
<term>Dispositifs à compression pneumatique intermittente</term>
<term>Humains</term>
<term>Insuffisance veineuse</term>
<term>Maladies lymphatiques</term>
<term>Maladies vasculaires</term>
<term>Médecine factuelle</term>
<term>Oedème</term>
<term>Pathologie des veines</term>
<term>Pathologie des vaisseaux sanguins</term>
<term>Lymphoedème</term>
<term>Pression</term>
<term>Résultat thérapeutique</term>
<term>Syndrome post-thrombotique</term>
<term>Sélection de patients</term>
<term>Thrombose veineuse</term>
<term>Pathologie de l'appareil circulatoire</term>
<term>Indication</term>
<term>Traitement</term>
<term>Système lymphatique</term>
<term>Bandage</term>
<term>Intermittent</term>
<term>Télangiectasie</term>
<term>Varices</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Aim. The aim of this study was to review published literature concerning the use of compression treatments in the management of venous and lymphatic diseases and establish where reliable evidence exists to justify the use of medical compression and where further research is required to address areas of uncertainty. Methods. The authors searched medical literature databases and reviewed their own collections of papers, monographs and books for papers providing information about the effects of compression and randomized clinical trials of compression devices. Papers were classified in accordance with the recommendations of the GRADE group to categorize their scientific reliability. Further classification was made according to the particular clinical problem that was addressed in the papers. The review included papers on compression stockings, bandages and intermittent pneumatic compression devices. Results. The International Compression Club met once in Vienna and corresponded by email in order to reach an agreement of how the data should be interpreted. A wide range of compression levels was reported to be effective. Low levels of compression 10-30 mmHg applied by stockings are effective in the management of telangiectases after sclerotherapy, varicose veins in pregnancy, the prevention of edema and deep vein thrombosis (DVT). High levels of compression produced by bandaging and strong compression stockings (30-40 mmHg) are effective at healing leg ulcers and preventing progression of post-thrombotic syndrome as well as in the management of lymphedema. In some areas no reliable evidence was available to permit recommendations of level of compression or duration of treatment. These included: management of varicose veins to prevent progression, following surgical treatment or sclerotherapy for varicose veins, and the level of compression required to treat acute DVT. Conclusion. This review shows that whilst good evidence for the use of compression is available in some clinical indications, there is much still to be discovered. Little is know about dosimetry in compression, for how long and at what level compression should be applied. The differing effects of elastic and short-stretch compression are also little understood.</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Abel, M" sort="Abel, M" uniqKey="Abel M" first="M." last="Abel">M. Abel</name>
<name sortKey="Benhamou, A C" sort="Benhamou, A C" uniqKey="Benhamou A" first="A. C." last="Benhamou">A. C. Benhamou</name>
<name sortKey="Benigni, J P" sort="Benigni, J P" uniqKey="Benigni J" first="J. P." last="Benigni">J. P. Benigni</name>
<name sortKey="Benigni, J P" sort="Benigni, J P" uniqKey="Benigni J" first="J. P." last="Benigni">J. P. Benigni</name>
<name sortKey="Bot, R" sort="Bot, R" uniqKey="Bot R" first="R." last="Bot">R. Bot</name>
<name sortKey="Brandjes, D" sort="Brandjes, D" uniqKey="Brandjes D" first="D." last="Brandjes">D. Brandjes</name>
<name sortKey="Briskorn, S" sort="Briskorn, S" uniqKey="Briskorn S" first="S." last="Briskorn">S. Briskorn</name>
<name sortKey="Cavezzi, A" sort="Cavezzi, A" uniqKey="Cavezzi A" first="A." last="Cavezzi">A. Cavezzi</name>
<name sortKey="Clark, M" sort="Clark, M" uniqKey="Clark M" first="M." last="Clark">M. Clark</name>
<name sortKey="Coleridge Smith, P" sort="Coleridge Smith, P" uniqKey="Coleridge Smith P" first="P." last="Coleridge Smith">P. Coleridge Smith</name>
<name sortKey="Cornu Thenard, A" sort="Cornu Thenard, A" uniqKey="Cornu Thenard A" first="A." last="Cornu-Thenard">A. Cornu-Thenard</name>
<name sortKey="Delis, K" sort="Delis, K" uniqKey="Delis K" first="K." last="Delis">K. Delis</name>
<name sortKey="Flour, M" sort="Flour, M" uniqKey="Flour M" first="M." last="Flour">M. Flour</name>
<name sortKey="Flour, M" sort="Flour, M" uniqKey="Flour M" first="M." last="Flour">M. Flour</name>
<name sortKey="Gardon Mollard, C" sort="Gardon Mollard, C" uniqKey="Gardon Mollard C" first="C." last="Gardon-Mollard">C. Gardon-Mollard</name>
<name sortKey="Gniadecka, M" sort="Gniadecka, M" uniqKey="Gniadecka M" first="M." last="Gniadecka">M. Gniadecka</name>
<name sortKey="Hafner, J" sort="Hafner, J" uniqKey="Hafner J" first="J." last="Hafner">J. Hafner</name>
<name sortKey="Hutchinson, J" sort="Hutchinson, J" uniqKey="Hutchinson J" first="J." last="Hutchinson">J. Hutchinson</name>
<name sortKey="Issberner, K" sort="Issberner, K" uniqKey="Issberner K" first="K." last="Issberner">K. Issberner</name>
<name sortKey="Kolbach, D" sort="Kolbach, D" uniqKey="Kolbach D" first="D." last="Kolbach">D. Kolbach</name>
<name sortKey="Kuppers, E" sort="Kuppers, E" uniqKey="Kuppers E" first="E." last="Küppers">E. Küppers</name>
<name sortKey="Leal Monedero, J" sort="Leal Monedero, J" uniqKey="Leal Monedero J" first="J." last="Leal Monedero">J. Leal Monedero</name>
<name sortKey="Leaphart, S" sort="Leaphart, S" uniqKey="Leaphart S" first="S." last="Leaphart">S. Leaphart</name>
<name sortKey="Lutter, K" sort="Lutter, K" uniqKey="Lutter K" first="K." last="Lutter">K. Lutter</name>
<name sortKey="Mariani, F" sort="Mariani, F" uniqKey="Mariani F" first="F." last="Mariani">F. Mariani</name>
<name sortKey="Meyer, U" sort="Meyer, U" uniqKey="Meyer U" first="U." last="Meyer">U. Meyer</name>
<name sortKey="Moffatt, C" sort="Moffatt, C" uniqKey="Moffatt C" first="C." last="Moffatt">C. Moffatt</name>
<name sortKey="Mosti, G" sort="Mosti, G" uniqKey="Mosti G" first="G." last="Mosti">G. Mosti</name>
<name sortKey="Neumann, H A M" sort="Neumann, H A M" uniqKey="Neumann H" first="H. A. M." last="Neumann">H. A. M. Neumann</name>
<name sortKey="Partsch, H" sort="Partsch, H" uniqKey="Partsch H" first="H." last="Partsch">H. Partsch</name>
<name sortKey="Rabe, E" sort="Rabe, E" uniqKey="Rabe E" first="E." last="Rabe">E. Rabe</name>
<name sortKey="Schepers, H" sort="Schepers, H" uniqKey="Schepers H" first="H." last="Schepers">H. Schepers</name>
<name sortKey="Schuren, J" sort="Schuren, J" uniqKey="Schuren J" first="J." last="Schuren">J. Schuren</name>
<name sortKey="Shaw, S" sort="Shaw, S" uniqKey="Shaw S" first="S." last="Shaw">S. Shaw</name>
<name sortKey="Uhl, J F" sort="Uhl, J F" uniqKey="Uhl J" first="J. F." last="Uhl">J. F. Uhl</name>
<name sortKey="Velazquez, N" sort="Velazquez, N" uniqKey="Velazquez N" first="N." last="Velazquez">N. Velazquez</name>
<name sortKey="Virkus, A" sort="Virkus, A" uniqKey="Virkus A" first="A." last="Virkus">A. Virkus</name>
</noCountry>
</tree>
</affiliations>
</record>

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Indications for compression therapy in venous and lymphatic disease Consensus based on experimental data and scientific evidence Under the auspices of the IUP

Indications for compression therapy in venous and lymphatic disease Consensus based on experimental data and scientific evidence Under the auspices of the IUP

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