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Delphi case: Sharing of clinical experiences for improvement in the treatment of chronic venous disease

Chronic venous disease (CVD) is a common condition with major health consequences that is associated with poor long-term prognosis, significant socioeconomic impact, disabling symptoms, and reduced quality of life. To provide a novel evidence-based approach in the management of CVD, a consensus proc...

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Autores principales: Camporese, Giuseppe, Aloi, Teresa Lucia, Santoliquido, Angelo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339892/
https://www.ncbi.nlm.nih.gov/pubmed/35924214
http://dx.doi.org/10.3389/fcvm.2022.921235
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author Camporese, Giuseppe
Aloi, Teresa Lucia
Santoliquido, Angelo
author_facet Camporese, Giuseppe
Aloi, Teresa Lucia
Santoliquido, Angelo
author_sort Camporese, Giuseppe
collection PubMed
description Chronic venous disease (CVD) is a common condition with major health consequences that is associated with poor long-term prognosis, significant socioeconomic impact, disabling symptoms, and reduced quality of life. To provide a novel evidence-based approach in the management of CVD, a consensus process (“Delphi Case”) following a first Delphi Consensus was conceived. With a real-life fashion analysis, a steering committee formed by 3 expert leaders on chronic venous disease drove a panel of 77 expert Italian angiologists/vascular surgeons along a collegial discussion, integrating data coming from the guidelines recommendations of different Vascular Scientific Societies with the consensus agreement statements gathered from the first Delphi Consensus, and with data coming from the discussion of few statements in which there was disagreement. From July 15 to October 16, 2020, demographic, anamnestic, objective, and therapeutic data coming from a total of 2,275 patients were collected by the experts panel using a predefined case report form. The results of this second consensus provided a real-life picture of CVD management in the Italian population and clearly showed that a tailored therapeutic approach together with an appropriate lifestyle (e.g., diet, physical activity, weight loss) must be considered as the milestones for the CVD-related signs and symptoms clinical improvement in daily clinical practice. An evaluation of the adherence and of the efficacy of the prescribed pharmacological and compressive treatment in a medium-long term follow-up of the study population has been planned as the last step of this course and will be object of a future final publication.
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spelling pubmed-93398922022-08-02 Delphi case: Sharing of clinical experiences for improvement in the treatment of chronic venous disease Camporese, Giuseppe Aloi, Teresa Lucia Santoliquido, Angelo Front Cardiovasc Med Cardiovascular Medicine Chronic venous disease (CVD) is a common condition with major health consequences that is associated with poor long-term prognosis, significant socioeconomic impact, disabling symptoms, and reduced quality of life. To provide a novel evidence-based approach in the management of CVD, a consensus process (“Delphi Case”) following a first Delphi Consensus was conceived. With a real-life fashion analysis, a steering committee formed by 3 expert leaders on chronic venous disease drove a panel of 77 expert Italian angiologists/vascular surgeons along a collegial discussion, integrating data coming from the guidelines recommendations of different Vascular Scientific Societies with the consensus agreement statements gathered from the first Delphi Consensus, and with data coming from the discussion of few statements in which there was disagreement. From July 15 to October 16, 2020, demographic, anamnestic, objective, and therapeutic data coming from a total of 2,275 patients were collected by the experts panel using a predefined case report form. The results of this second consensus provided a real-life picture of CVD management in the Italian population and clearly showed that a tailored therapeutic approach together with an appropriate lifestyle (e.g., diet, physical activity, weight loss) must be considered as the milestones for the CVD-related signs and symptoms clinical improvement in daily clinical practice. An evaluation of the adherence and of the efficacy of the prescribed pharmacological and compressive treatment in a medium-long term follow-up of the study population has been planned as the last step of this course and will be object of a future final publication. Frontiers Media S.A. 2022-07-18 /pmc/articles/PMC9339892/ /pubmed/35924214 http://dx.doi.org/10.3389/fcvm.2022.921235 Text en Copyright © 2022 Camporese, Aloi and Santoliquido. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Camporese, Giuseppe
Aloi, Teresa Lucia
Santoliquido, Angelo
Delphi case: Sharing of clinical experiences for improvement in the treatment of chronic venous disease
title Delphi case: Sharing of clinical experiences for improvement in the treatment of chronic venous disease
title_full Delphi case: Sharing of clinical experiences for improvement in the treatment of chronic venous disease
title_fullStr Delphi case: Sharing of clinical experiences for improvement in the treatment of chronic venous disease
title_full_unstemmed Delphi case: Sharing of clinical experiences for improvement in the treatment of chronic venous disease
title_short Delphi case: Sharing of clinical experiences for improvement in the treatment of chronic venous disease
title_sort delphi case: sharing of clinical experiences for improvement in the treatment of chronic venous disease
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339892/
https://www.ncbi.nlm.nih.gov/pubmed/35924214
http://dx.doi.org/10.3389/fcvm.2022.921235
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