Global guidelines trends and controversies in lower limb venous and lymphatic disease

Sergio Gianesini*, Andrea Obi, Sarah Onida, Domenico Baccellieri, Daniele Bissacco, Denis Borsuk, Corradino Campisi, Cesare Corrado Campisi, Attilio Cavezzi, Yung-wei Chi, Juan Chunga, Domenico Corda, Angelo Crippa, Alun Davies, Marianne De Maeseneer, Jose Diaz, Julio Ferreira, Antonios Gasparis, Ernesto Intriago, Arkadiusz JawienRavul Jindal, Lowell Kabnick, Alejandro Latorre, Byung-Boong Lee, N. C. Liew, Fedor Lurie, Mark Meissner, Erica Menegatti, Mauro Molteni, Nick Morrison, Giovanni Mosti, Sryram Narayanan, Felizitas Pannier, Kurosh Parsi, Hugo Partsch, Eberhard Rabe, Joseph Raffetto, Pauline Raymond-Martimbeau, Stanley Rockson, Dmitry Rosukhovski, Fabricio R. Santiago, Alyssa Schul, Marlin Schul, Evgeny Shaydakov, Maria Grazia Sibilla, Lorenzo Tessari, Fulvio Tomaselli, Tomasz Urbanek, Marie Josee van Rijn, Thomas Wakefield, Cees Wittens, Paolo Zamboni, Oscar Bottini

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

18 Citations (Web of Science)

Abstract

Guidelines are fundamental in addressing everyday clinical indications and in reporting the current evidence-based data of related scientific investigations. At the same time, a spatial and temporal issue can limit their value. Indeed, variability in the recommendations can be found both among the same nation different scientific societies and among different nations/continents. On the other side, Garcia already published in 2014 data showing how, after three years in average, one out of five recommendations gets outdated (Martinez Garcia LM, Sanabria AJ, Garcia Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ 2014;186(16):1211-1219). The present document reports a narrative literature revision on the major international recommendations in lower limb venous and lymphatic disease management, focusing on the different countries' guidelines, trends and controversies from all the continents, while identifying new evidence-based data potentially influencing future guidelines. World renowned experts' opinions are also provided. The document has been written following the recorded round tables scientific discussions held at the vWINter international meeting (22-26 January 2019; Cortina d'Ampezzo, Italy) and the pre- and post-meeting literature search performed by the leading experts.

Original languageEnglish
Pages (from-to)4-66
Number of pages63
JournalPhlebology: The Journal of Venous Disease
Volume34
DOIs
Publication statusPublished - Sep 2019

Keywords

  • CATHETER-DIRECTED THROMBOLYSIS
  • DEEP-VEIN THROMBOSIS
  • ENDOVENOUS LASER-ABLATION
  • GRADE
  • GRADUATED COMPRESSION STOCKINGS
  • GREAT SAPHENOUS-VEIN
  • GUIDED FOAM SCLEROTHERAPY
  • INTERMITTENT PNEUMATIC COMPRESSION
  • ND-YAG LASER
  • Phlebology
  • RANDOMIZED CLINICAL-TRIAL
  • TELANGIECTATIC LEG VEINS
  • evidence
  • guidelines
  • lymphology
  • recommendation
  • CLINICAL-PRACTICE-GUIDELINES
  • RANDOMIZED CONTROLLED-TRIAL
  • MECHANOCHEMICAL ENDOVENOUS ABLATION

Cite this