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Phlebology ; 33(7): 492-499, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28707962

RESUMO

Objective To obtain consensus on management criteria for symptomatic patients with chronic venous disease (CVD; C2-C6) and superficial venous reflux. Method We used a Delphi method by means of 36 statements sent by email to experts in the field of phlebology across the world over the course of three rounds. The statements addressed criteria for different venous treatments in patients with different characteristics (e.g. extensive comorbidities, morbid obesity and peripheral arterial disease). If at least 70% of the ratings for a specific statement were between 6 and 9 (agreement) or between 1 and 3 (disagreement), experts' consensus was reached. Results Twenty-five experts were invited to participate, of whom 24 accepted and completed all three rounds. Consensus was reached in 25/32 statements (78%). However, several statements addressing UGFS, single phlebectomies, patients with extensive comorbidities and morbid obesity remained equivocal. Conclusion Considerable consensus was reached within a group of experts but also some gaps in available research were highlighted.


Assuntos
Consenso , Obesidade Mórbida , Doença Arterial Periférica , Adulto , Doença Crônica , Feminino , Humanos , Masculino , Obesidade Mórbida/fisiopatologia , Obesidade Mórbida/terapia , Doença Arterial Periférica/fisiopatologia , Doença Arterial Periférica/terapia , Medicina de Precisão
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