Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement.
Identifieur interne : 000178 ( PubMed/Corpus ); précédent : 000177; suivant : 000179Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement.
Auteurs : Eberhard Rabe ; Hugo Partsch ; Juerg Hafner ; Christopher Lattimer ; Giovanni Mosti ; Martino Neumann ; Tomasz Urbanek ; Monika Huebner ; Sylvain Gaillard ; Patrick CarpentierSource :
- 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
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Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Lattimer, Christopher" sort="Lattimer, Christopher" uniqKey="Lattimer C" first="Christopher" last="Lattimer">Christopher Lattimer</name><affiliation><nlm:affiliation>4 Josef Pflug Vascular Laboratory, West London Vascular and Interventional Centre, Ealing Hospital & Imperial College, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Mosti, Giovanni" sort="Mosti, Giovanni" uniqKey="Mosti G" first="Giovanni" last="Mosti">Giovanni Mosti</name><affiliation><nlm:affiliation>5 Angiology Department, Clinica MD Barbantini, Lucca, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Neumann, Martino" sort="Neumann, Martino" uniqKey="Neumann M" first="Martino" last="Neumann">Martino Neumann</name><affiliation><nlm:affiliation>6 Department of Dermatology, Erasmus University Hospital, Rotterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Urbanek, Tomasz" sort="Urbanek, Tomasz" uniqKey="Urbanek T" first="Tomasz" last="Urbanek">Tomasz Urbanek</name><affiliation><nlm:affiliation>7 Medical University of Silesia Department of General Surgery, Vascular Surgery, Angiology and Phlebology, Katowice, Poland.</nlm:affiliation></affiliation></author><author><name sortKey="Huebner, Monika" sort="Huebner, Monika" uniqKey="Huebner M" first="Monika" last="Huebner">Monika Huebner</name><affiliation><nlm:affiliation>8 SIGVARIS AG, St Gallen, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Gaillard, Sylvain" sort="Gaillard, Sylvain" uniqKey="Gaillard S" first="Sylvain" last="Gaillard">Sylvain Gaillard</name><affiliation><nlm:affiliation>9 SIGVARIS Management AG, Winterthur, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Carpentier, Patrick" sort="Carpentier, Patrick" uniqKey="Carpentier P" first="Patrick" last="Carpentier">Patrick Carpentier</name><affiliation><nlm:affiliation>10 Centre de Recherche Universitaire de La Léchère, Equipe THEMAS, Université Joseph Fourier, Grenoble, France.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28549402</idno><idno type="pmid">28549402</idno><idno type="doi">10.1177/0268355516689631</idno><idno type="wicri:Area/PubMed/Corpus">000178</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000178</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement.</title><author><name sortKey="Rabe, Eberhard" sort="Rabe, Eberhard" uniqKey="Rabe E" first="Eberhard" last="Rabe">Eberhard Rabe</name><affiliation><nlm:affiliation>1 Department of Dermatology, University of Bonn, Bonn, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name><affiliation><nlm:affiliation>2 Department of Dermatology, Medical University of Vienna, Austria.</nlm:affiliation></affiliation></author><author><name sortKey="Hafner, Juerg" sort="Hafner, Juerg" uniqKey="Hafner J" first="Juerg" last="Hafner">Juerg Hafner</name><affiliation><nlm:affiliation>3 Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Lattimer, Christopher" sort="Lattimer, Christopher" uniqKey="Lattimer C" first="Christopher" last="Lattimer">Christopher Lattimer</name><affiliation><nlm:affiliation>4 Josef Pflug Vascular Laboratory, West London Vascular and Interventional Centre, Ealing Hospital & Imperial College, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Mosti, Giovanni" sort="Mosti, Giovanni" uniqKey="Mosti G" first="Giovanni" last="Mosti">Giovanni Mosti</name><affiliation><nlm:affiliation>5 Angiology Department, Clinica MD Barbantini, Lucca, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Neumann, Martino" sort="Neumann, Martino" uniqKey="Neumann M" first="Martino" last="Neumann">Martino Neumann</name><affiliation><nlm:affiliation>6 Department of Dermatology, Erasmus University Hospital, Rotterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Urbanek, Tomasz" sort="Urbanek, Tomasz" uniqKey="Urbanek T" first="Tomasz" last="Urbanek">Tomasz Urbanek</name><affiliation><nlm:affiliation>7 Medical University of Silesia Department of General Surgery, Vascular Surgery, Angiology and Phlebology, Katowice, Poland.</nlm:affiliation></affiliation></author><author><name sortKey="Huebner, Monika" sort="Huebner, Monika" uniqKey="Huebner M" first="Monika" last="Huebner">Monika Huebner</name><affiliation><nlm:affiliation>8 SIGVARIS AG, St Gallen, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Gaillard, Sylvain" sort="Gaillard, Sylvain" uniqKey="Gaillard S" first="Sylvain" last="Gaillard">Sylvain Gaillard</name><affiliation><nlm:affiliation>9 SIGVARIS Management AG, Winterthur, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Carpentier, Patrick" sort="Carpentier, Patrick" uniqKey="Carpentier P" first="Patrick" last="Carpentier">Patrick Carpentier</name><affiliation><nlm:affiliation>10 Centre de Recherche Universitaire de La Léchère, Equipe THEMAS, Université Joseph Fourier, Grenoble, France.</nlm:affiliation></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><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28549402</PMID><DateCreated><Year>2017</Year><Month>05</Month><Day>27</Day></DateCreated><DateRevised><Year>2017</Year><Month>05</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1758-1125</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jan</Month><Day>01</Day></PubDate></JournalIssue><Title>Phlebology</Title><ISOAbbreviation>Phlebology</ISOAbbreviation></Journal><ArticleTitle>Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement.</ArticleTitle><Pagination><MedlinePgn>268355516689631</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0268355516689631</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rabe</LastName><ForeName>Eberhard</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>1 Department of Dermatology, University of Bonn, Bonn, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Partsch</LastName><ForeName>Hugo</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>2 Department of Dermatology, Medical University of Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hafner</LastName><ForeName>Juerg</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>3 Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lattimer</LastName><ForeName>Christopher</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>4 Josef Pflug Vascular Laboratory, West London Vascular and Interventional Centre, Ealing Hospital & Imperial College, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mosti</LastName><ForeName>Giovanni</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>5 Angiology Department, Clinica MD Barbantini, Lucca, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Neumann</LastName><ForeName>Martino</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>6 Department of Dermatology, Erasmus University Hospital, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Urbanek</LastName><ForeName>Tomasz</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>7 Medical University of Silesia Department of General Surgery, Vascular Surgery, Angiology and Phlebology, Katowice, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huebner</LastName><ForeName>Monika</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>8 SIGVARIS AG, St Gallen, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gaillard</LastName><ForeName>Sylvain</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>9 SIGVARIS Management AG, Winterthur, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carpentier</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>10 Centre de Recherche Universitaire de La Léchère, Equipe THEMAS, Université Joseph Fourier, Grenoble, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>01</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Phlebology</MedlineTA><NlmUniqueID>9012921</NlmUniqueID><ISSNLinking>0268-3555</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Compression stockings</Keyword><Keyword MajorTopicYN="N">chronic venous disease</Keyword><Keyword MajorTopicYN="N">deep vein thrombosis</Keyword><Keyword MajorTopicYN="N">lymphoedema</Keyword><Keyword MajorTopicYN="N">post-thrombotic syndrome</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>5</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>5</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>5</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28549402</ArticleId><ArticleId IdType="doi">10.1177/0268355516689631</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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