Compliance with compression therapy in primary chronic venous disease: Results from a tropical country

Author:

Ayala Álvaro1,Guerra Jose D1ORCID,Ulloa Jorge H12,Kabnick Lowell3

Affiliation:

1. Faculty of Medicine, Universidad de los Andes, Bogotá, Colombia

2. Vascular Surgery Section, Hospital Universitario Fundación Santafé de Bogotá, Bogotá, Colombia

3. NYU Langone Medical Center, New York, USA

Abstract

Objectives To describe compliance rates of compression therapy in a cohort of patients with chronic venous disease and also to describe frequent causes of non-compliance. Methods A total of 889 patients with primary chronic venous disease were prescribed compression therapy after being evaluated by vascular surgeons. Subjects had a first visit during which time compression therapy was prescribed in addition to a follow-up visit. Strength of compression, type, prescription duration, and reasons of non-compliance were queried at follow-up. Results Only 31.8% of the patients reported wearing compression therapy as prescribed, 31.4% reported wearing compression most days, 28.3% reported wearing compression intermittently, and 8.5% of the patients reported not wearing compression at all. The main reasons of non-compliance were: uncomfortable (49.4%), too difficult to put on (34.5%), skin problems (itching) (21.5%), and unattractive (19.8%). Conclusions Compliance with compression therapy in chronic venous disease is still a subject of concern as most patients are not using compression therapy as prescribed.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine

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