Conservative therapy significantly reduces patients’ chronic venous disease symptoms: A Caribbean insight into the VEIN Act Program

Author:

Dialsingh Isaac1,Mohammed Saeed Rashaad2,Medford Rei Sebastian2ORCID,Budhoo Emerson3,White-Gittens Ian4,Maharaj Dale5

Affiliation:

1. Department of Mathematics and Statistics, Faculty of Science and Technology, The University of the West Indies, St Augustine Campus, St Augustine, Trinidad

2. Department of Clinical Medical Sciences, Faculty of Medical Sciences, The University of the West Indies, St Augustine Campus, St Augustine, Trinidad

3. Caribbean Orthopaedic Foot and Ankle Institute, Medical Associates Hospital, St Joseph, Trinidad

4. Harlem Hospital Center, New York City, NY, USA

5. Caribbean Vascular and Vein Clinic, St Clair Medical Center, Port of Spain, Trinidad

Abstract

Objectives We sought to determine the baseline demographic and clinical characteristics of patients with Chronic Venous Disease (CVD) across the Caribbean, and to evaluate patients’ compliance to conservative therapy and the effectiveness of such therapy in reducing patients’ CVD symptoms. Method Patients were enrolled into the VEIN Act Program, and their demographic data, CVD symptoms (and their intensity) and CEAP C-classification was recorded at the first visit. Patients were prescribed conservative therapy, and symptom intensity and patient compliance and satisfaction evaluated at a follow-up visit. Results We enrolled 193 patients into the study, most of which (76%) were female, between 39–78 years (80%) and within the C2-C4a classes (56.1%). Pain (61.1%) and heaviness (58.5%) were the most common symptoms. Patient compliance to the prescribed treatment was relatively high for all modalities (>75%) and most patients (92.1%) were at least somewhat satisfied with their treatment. Conclusions Patient compliance to conservative therapy for management of CVD is high across the Caribbean, and such therapy is effective in reducing intensity of CVD symptoms.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine

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