Indications, contraindications, side effects, general assessment, and outlook for the future: An International Compression Club survey.

Phlebology Pub Date : 2024-06-01 Epub Date: 2024-02-01 DOI:10.1177/02683555241228899

Mosti Giovanni, Namislo Angrit, Benigni Jean Patrick, Da Matta Eduardo, Partsch Hugo, Schmitz Martin, Abel Martin

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Abstract

Background: The effectiveness of compression therapy (CT) and the best compression modality choice are questioned in many clinical stages of chronic venous disease (CVD). This work aims to obtain information on indications, contraindications, and the best treatment option for CT in different clinical scenarios of CVD.

Method: An online survey was made among members of the International Compression Club, experts in CT.

Results: The experts apply CT in all clinical stages of CVD, even when evidence is missing. Regarding compression materials, experts use inelastic materials in the advanced stages of CVD and compression stockings in the early or chronic stages of CVD.

Conclusion: The authors highlight the gap between experts' practical use of CT and evidence-based medicine results. They also suggested that, given the cost of randomized clinical trials aimed at specifying specific indications for different devices, artificial intelligence could be used for large-scale practice surveys in the future.

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适应症、禁忌症、副作用、总体评估和未来展望：国际压力俱乐部调查。

背景：在慢性静脉疾病（CVD）的许多临床阶段，加压疗法（CT）的有效性和最佳加压方式的选择都受到质疑。本研究旨在获取有关 CT 在 CVD 不同临床情况下的适应症、禁忌症和最佳治疗方案的信息：方法：对国际压迫俱乐部成员、CT 专家进行在线调查：结果：专家们将 CT 应用于心血管疾病的所有临床阶段，即使缺乏证据。关于压力材料，专家们在心血管疾病晚期阶段使用无弹性材料，在心血管疾病早期或慢性阶段使用压力袜：作者强调了专家对 CT 的实际使用与循证医学结果之间的差距。他们还建议，考虑到旨在明确不同设备具体适应症的随机临床试验的成本，未来可将人工智能用于大规模实践调查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Phlebology

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