The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part II: Endorsed by the Society of Interventional Radiology and the Society for Vascular Medicine.

{"article_title":"The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part II: Endorsed by the Society of Interventional Radiology and the Society for Vascular Medicine.","author":"Gloviczki P, Lawrence PF, Wasan SM, Meissner MH, Almeida J, Brown KR, Bush RL, Di Iorio M, Fish J, Fukaya E, Gloviczki ML, Hingorani A, Jayaraj A, Kolluri R, Murad MH, Obi AT, Ozsvath KJ, Singh MJ, Vayuvegula S, Welch HJ","journal_title":"Journal of vascular surgery. Venous and lymphatic disorders","issn":"2213-3348","isbn":"","publication_date":"2024-01-01","volume":"12","issue":"1","first_page":"101670","page_count":"","accession_number":"37652254","doi":"10.1016\/j.jvsv.2023.08.011","publisher":"Elsevier Inc","doctype":"Meta-Analysis","subjects":"United States; Venous Insufficiency diagnostic imaging; Venous Insufficiency therapy; Venous Insufficiency etiology; Varicose Veins diagnostic imaging; Varicose Veins surgery; Cardiology; Humans; United States; Radiology, Interventional; Sclerotherapy methods; Saphenous Vein surgery; Treatment Outcome; Vascular Surgical Procedures adverse effects; Lower Extremity","interest_area":["Cardiology"," Surgery"],"abstract":"The Society for Vascular Surgery, the American Venous Forum, and the American Vein and Lymphatic Society recently published Part I of the 2022 clinical practice guidelines on varicose veins. Recommendations were based on the latest scientific evidence researched following an independent systematic review and meta-analysis of five critical issues affecting the management of patients with lower extremity varicose veins, using the patients, interventions, comparators, and outcome system to answer critical questions. Part I discussed the role of duplex ultrasound scanning in the evaluation of varicose veins and treatment of superficial truncal reflux. Part II focuses on evidence supporting the prevention and management of varicose vein patients with compression, on treatment with drugs and nutritional supplements, on evaluation and treatment of varicose tributaries, on superficial venous aneurysms, and on the management of complications of varicose veins and their treatment. All guidelines were based on systematic reviews, and they were graded according to the level of evidence and the strength of recommendations, using the GRADE method. All ungraded Consensus Statements were supported by an extensive literature review and the unanimous agreement of an expert, multidisciplinary panel. Ungraded Good Practice Statements are recommendations that are supported only by indirect evidence. The topic, however, is usually noncontroversial and agreed upon by most stakeholders. The Implementation Remarks contain technical information that supports the implementation of specific recommendations. This comprehensive document includes a list of all recommendations (Parts I-II), ungraded consensus statements, implementation remarks, and best practice statements to aid practitioners with appropriate, up-to-date management of patients with lower extremity varicose veins. Competing Interests: Disclosures J.F. is a paid speaker for Janssen Pharmaceuticals. M.L.G. has been paid a consulting fee by VitasupportMD and is on their advisory board. R.K. is a paid consultant for Abbott, Auxetics, Boston Scientific, Diachii Sankyo, Koya Medical, Medtronic, Penumbra, Philips, Surmodics, USA Therm, and VB Devices; is on DSMB\/CEC for NAMSA and Prairie Education and Research Cooperative; and is on the Board of Trustees of The VIVA Foundation, the Society for Vascular Medicine, the American Vein and Lymphatic Society, and the Intersocietal Accreditation Council | Vascular Testing. A.T.O. is a primary investigator for preclinical research grants funded by Medtronic and SurModics. K.O. is an IAC executive board member, serves on the advisory board for Medtronic and Boston Scientific, is a speaker and ultrasound course host for Medtronic, is a speaker for Boston Scientific, a quality committee member of CDPHP, and PI for W. L. Gore & Associates, and for the Savve study for enVVeno Medical. S.W. is a paid speaker for Janssen Pharmaceuticals. P.G., P.F.L., M.H.M., M.M., J.A., K.B., R.L.B., M.D., M.S. E.F., A.H., A.J., S.V., and H.J.W. have no conflicts of interest. Copyright \u00a9 2023. Published by Elsevier Inc.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=37652254","isPdfLink":false,"isSAML":false,"an":"37652254","number_other":"","type_pub":"","issn_electronic":"2213-3348","languages":"English","language":"eng","date_entry":"Date Created: 20230831 Date Completed: 20231225 Latest Revision: 20231225","date_update":"20231225","titleSource":"Journal of vascular surgery. Venous and lymphatic disorders [J Vasc Surg Venous Lymphat Disord] 2024 Jan; Vol. 12 (1), pp. 101670. Date of Electronic Publication: 2023 Aug 29.","date_pub_cy":"","type_document":"","contract_publisher":"","authored_on":"2024-01-01","description":"The Society for Vascular Surgery, the American Venous Forum, and the American Vein and Lymphatic Society recently published Part I of the 2022 clinical practice guidelines on varicose veins. Recommendations were based on the latest scientific evidence researched following an independent systematic review and meta-analysis of five critical issues affecting the management of patients with lower extremity varicose veins, using the patients, interventions, comparators, and outcome system to answer critical questions. Part I discussed the role of duplex ultrasound scanning in the evaluation of varicose veins and treatment of superficial truncal reflux. Part II focuses on evidence supporting the prevention and management of varicose vein patients with compression, on treatment with drugs and nutritional supplements, on evaluation and treatment of varicose tributaries, on superficial venous aneurysms, and on the management of complications of varicose veins and their treatment. All guidelines were based on systematic reviews, and they were graded according to the level of evidence and the strength of recommendations, using the GRADE method. All ungraded Consensus Statements were supported by an extensive literature review and the unanimous agreement of an expert, multidisciplinary panel. Ungraded Good Practice Statements are recommendations that are supported only by indirect evidence. The topic, however, is usually noncontroversial and agreed upon by most stakeholders. The Implementation Remarks contain technical information that supports the implementation of specific recommendations. This comprehensive document includes a list of all recommendations (Parts I-II), ungraded consensus statements, implementation remarks, and best practice statements to aid practitioners with appropriate, up-to-date management of patients with lower extremity varicose veins.<br \/>Competing Interests: Disclosures J.F. is a paid speaker for Janssen Pharmaceuticals. M.L.G. has been paid a consulting fee by VitasupportMD and is on their advisory board. R.K. is a paid consultant for Abbott, Auxetics, Boston Scientific, Diachii Sankyo, Koya Medical, Medtronic, Penumbra, Philips, Surmodics, USA Therm, and VB Devices; is on DSMB\/CEC for NAMSA and Prairie Education and Research Cooperative; and is on the Board of Trustees of The VIVA Foundation, the Society for Vascular Medicine, the American Vein and Lymphatic Society, and the Intersocietal Accreditation Council | Vascular Testing. A.T.O. is a primary investigator for preclinical research grants funded by Medtronic and SurModics. K.O. is an IAC executive board member, serves on the advisory board for Medtronic and Boston Scientific, is a speaker and ultrasound course host for Medtronic, is a speaker for Boston Scientific, a quality committee member of CDPHP, and PI for W. L. Gore & Associates, and for the Savve study for enVVeno Medical. S.W. is a paid speaker for Janssen Pharmaceuticals. P.G., P.F.L., M.H.M., M.M., J.A., K.B., R.L.B., M.D., M.S. E.F., A.H., A.J., S.V., and H.J.W. have no conflicts of interest.<br \/> (Copyright © 2023. Published by Elsevier Inc.)","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&scope=site&db=mdl&AN=37652254&authtype=shib&custid=ns346513&group=main&profile=eds","no_of_pages":"","authored_by":"Gloviczki P, Lawrence PF, Wasan SM, Meissner MH, Almeida J, Brown KR, Bush RL, Di Iorio M, Fish J, Fukaya E, Gloviczki ML, Hingorani A, Jayaraj A, Kolluri R, Murad MH, Obi AT, Ozsvath KJ, Singh MJ, Vayuvegula S, Welch HJ"}