Expert consensus on the conservative management of patients with chronic venous disease in CEAP clinical classes C0s-C3 in Italy

Phlebology. 2020 Jun;35(5):316-324. doi: 10.1177/0268355519895669. Epub 2019 Dec 18.

Abstract

Objectives: To define a consensual approach for the conservative treatment of patients C0s-C3.

Method: The project was structured into two phases. The first one involved a group of Italian specialists in angiology and/or vascular surgery with the aim to compare their therapeutic choices in the management of patients in CEAP C0s-C3. The second phase used a Delphi consensus in order to elaborate practical statements on the conservative management of these patients.

Results: The first phase involved a group of 166 Italian specialists while the second phase involved a Steering Committee of 6 specialists and a panel of 20 specialists. At the end of the third round, a consensus >80% was reached on seven assertions.

Conclusion: Seven statements have been drafted by a group of Italian specialists to provide physicians with practical guidance for the conservative treatment of C0s-C3 patients. Outstanding issues on the management of these patients were identified, confirming the urgent need of further research.

Keywords: CEAP clinical class; chronic venous disease; venous medicine.

Publication types

  • Practice Guideline

MeSH terms

  • Cardiovascular Agents / adverse effects
  • Cardiovascular Agents / therapeutic use*
  • Chronic Disease
  • Consensus
  • Conservative Treatment / adverse effects
  • Conservative Treatment / standards*
  • Delphi Technique
  • Diet, Healthy
  • Exercise
  • Healthy Lifestyle*
  • Humans
  • Italy
  • Risk Reduction Behavior*
  • Smoking Cessation
  • Stockings, Compression* / adverse effects
  • Treatment Outcome
  • Vascular Diseases / diagnosis
  • Vascular Diseases / physiopathology
  • Vascular Diseases / therapy*
  • Veins / drug effects*
  • Veins / physiopathology

Substances

  • Cardiovascular Agents