The outcome of varicose vein surgery at 10 years: clinical findings, symptoms and patient satisfaction
| Autor: | A. Vijay Kumar, K. L. Allington, T. W. Collin, W. B. Campbell, J. A. Michaels |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Treatment outcome Cohort Studies Varicose Veins Patient satisfaction Recurrence Surveys and Questionnaires Varicose veins medicine Humans Saphenous Vein Aged Aged 80 and over business.industry Follow up studies General Medicine Middle Aged Surgery Varicose vein surgery Treatment Outcome Patient Satisfaction Cohort Female medicine.symptom business Research Article Follow-Up Studies Cohort study |
| Zdroj: | Annals of The Royal College of Surgeons of England. 85:52-57 |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/003588403321001462 |
| Popis: | BACKGROUND: Data on long-term outcomes of varicose vein surgery are sparse, and 'success' rates vary substantially depending on the method of assessment. This study used a variety of methods to evaluate patients 10 years after operation. METHODS: A consecutive cohort of 100 patients was identified, of whom 70 (151 operated limbs) were reviewed--50 by clinical and Doppler examination, and all by structured questionnaire. RESULTS: A few months after operation, symptoms were 'cured' or 'much better' in 89% of patients, and remained so at 10 years in 77%. Only 30% patients were completely free of recurrent varicose veins at 10 years (both by self- and clinician-assessment): 44% had 'just a few' varicosities while 26%, had varicose veins 'as badly as before'. Only 24 patients (34%) were not 'generally pleased' at 10 years, because of continuing symptoms (3), recurrent varicosities (13), and other miscellaneous reasons. CONCLUSIONS: Although some recurrence of varicose veins is frequent 10 years after operation, surgery provides long-term relief of symptoms in the great majority of patients. |
| Databáze: | OpenAIRE |
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