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

Author:

Vitale Cristiana1ORCID,Lucchi Massimo2,Bissacco Daniele3,Bilancini Salvino2,D’Abate Fabrizio4,Santoliquido Angelo5

Affiliation:

1. Centre for Clinical and Basic Research, Department of Medical Sciences, IRCCS San Raffaele Pisana, Rome, Italy

2. Vascular Centre J.F.Merlen, Frosinone (VT), Italy

3. ASST Fatebenefratelli-Sacco, Vascular Surgery, Milan, Italy

4. St George’s Vascular Institute, St George’s Healthcare NHS Trust, London, UK

5. Catholic University of Sacred Heart, Gemelli Policlinic Foundation – IRCCS, Rome, Italy

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.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine

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