Global guidelines trends and controversies in lower limb venous and lymphatic disease

Author:

Gianesini Sergio1ORCID,Obi Andrea2,Onida Sarah3,Baccellieri Domenico4,Bissacco Daniele5,Borsuk Denis6,Campisi Corradino7,Campisi Cesare Corrado8,Cavezzi Attilio9,Chi Yung-wei10ORCID,Chunga Juan11,Corda Domenico12,Crippa Angelo13,Davies Alun3ORCID,De Maeseneer Marianne14,Diaz Josè15,Ferreira Julio16,Gasparis Antonios17,Intriago Ernesto18,Jawien Arkadiusz19,Jindal Ravul20,Kabnick Lowell21,Latorre Alejandro22,Lee Byung-Boong23ORCID,Liew NC24,Lurie Fedor25,Meissner Mark26,Menegatti Erica1,Molteni Mauro27,Morrison Nick28ORCID,Mosti Giovanni29ORCID,Narayanan Sryram30,Pannier Felizitas31,Parsi Kurosh32ORCID,Partsch Hugo33ORCID,Rabe Eberhard34,Raffetto Joseph35,Raymond-Martimbeau Pauline36,Rockson Stanley37,Rosukhovski Dmitry38,Santiago Fabricio R39,Schul Alyssa26,Schul Marlin40,Shaydakov Evgeny38,Sibilla Maria Grazia1,Tessari Lorenzo41,Tomaselli Fulvio42,Urbanek Tomasz43,van Rijn Marie Josee14,Wakefield Thomas2,Wittens Cees4445,Zamboni Paolo1,Bottini Oscar46

Affiliation:

1. University of Ferrara, Ferrara, Italy

2. University of Michigan, Ann Arbor, MI, USA

3. Imperial College London, London, UK

4. San Raffaele Scientific Institute, Milan, Italy

5. University of Milan, Milan, Italy

6. Clinic of Phlebology and Laser Surgery, ‘Vasculab’ Ltd, Chelyabinsk, Russia

7. CLAS -- GVM Care & Research, Rapallo, Genoa, Italy

8. University of Catania, Catania, Italy

9. Eurocenter Venalinfa, San Benedetto del Tronto (AP), Italy

10. University of California, Davis Vascular Center, Sacramento, CA, USA

11. Glomach Medic, Lima, Perù

12. Corda Clinic, Pavia, Italy

13. Crippa Clinic, Milan, Italy

14. Erasmus Medical Center, Rotterdam, Netherlands

15. Vanderbilt University Medical Center, Nashville, TN, USA

16. Instituto Brasilerio de Flebologia, Sao Paulo, Brazil

17. Stony Brook University, New York, NY, USA

18. Espiritu Santo University, Guayaquil, Ecuador

19. Collegium Medicum, University of Nicolaus Copernicus, Bydgoszcz, Poland

20. Punjab University, Chandigarh, India

21. Kabnick Vein Center, Morristown, NJ, USA

22. Universidad Autonoma de Bucaramanga, Bucaramanga, Colombia

23. George Washington University, Washington, DC, USA

24. Putra University, Serdang, Malaysia

25. Jobst Vascular Institute, Toledo, OH, USA

26. University of Washington, Seattle, WA, USA

27. UOC Cure Subacute, IRCCS Maugeri Milano, Italy

28. Center for Vein Restoration, Mesa, AZ, USA

29. Barbantini Clinic, Lucca, Italy

30. The Harley Street Heart and Vascular Center, Singapore

31. University of Cologne, Cologne, Germany

32. St. Vincent's Hospital, University of NSW, Sydney, Australia

33. University of Wien, Wien, Austria

34. University of Bonn, Bonn, Germany

35. Harvard University, Boston, MA, USA

36. Dallas Noninvasive Vascular Laboratory, USA

37. Stanford University School of Medicine, Stanford, CA, USA

38. Vascular Surgery Clinic, Saint-Petersburg, Russia

39. Venous and Lymphatics Disease Institute, Goiás, Brazil

40. Indiana University, Lafayette, IN, USA

41. Bassi-Tessari Foundation, Peschiera del Garda, Italy

42. University Consortium Humanitas Roma, Italy

43. Medical University of Silesia, Krakow, Poland

44. Maastricht University Medical Center, Maastricht, Netherlands

45. Uniklinik Aachen, Aachen, Germany

46. Universidad de Buenos Aires, Buenos Aires, Argentina

Abstract

Guidelines are fundamental in addressing everyday clinical indications and in reporting the current evidence-based data of related scientific investigations. At the same time, a spatial and temporal issue can limit their value. Indeed, variability in the recommendations can be found both among the same nation different scientific societies and among different nations/continents. On the other side, Garcia already published in 2014 data showing how, after three years in average, one out of five recommendations gets outdated (Martinez Garcia LM, Sanabria AJ, Garcia Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ 2014;186(16):1211–1219). The present document reports a narrative literature revision on the major international recommendations in lower limb venous and lymphatic disease management, focusing on the different countries’ guidelines, trends and controversies from all the continents, while identifying new evidence-based data potentially influencing future guidelines. World renowned experts’ opinions are also provided. The document has been written following the recorded round tables scientific discussions held at the vWINter international meeting (22–26 January 2019; Cortina d’Ampezzo, Italy) and the pre- and post-meeting literature search performed by the leading experts.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine

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