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A Journal on Phlebology

Official Journal of the Italian College of Phlebology
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Acta Phlebologica 2002 December;3(3):125-30


language: English, Italian

Compression theraphy improves the quality of life in patients with venous insufficiency

Arpaia G. 1, 2, Mastrogiacomo O. 1, 2, Peliccioni E. 3, Scondotto G. 3, Cimminiello C. 1

1 Vascular Unit, 2nd Department of Medicine, Civil Hospital, Vimercate-Milano, Italy; 2 Research Centre of Compression Therapy, “CIZETA Medicali”, Cuggiono-Milano, Italy; 3 Angiology Service and Day Hospital Poliambulatorio “Mengoli”, Bologna, Italy


AIM: The ­lack of com­pli­ance to com­pres­sion ther­a­py rep­re­sents one of the ­main obsta­cles to its appli­ca­tion, ­despite its ­being the ­most effec­tive med­i­cal ther­a­py for ­venous dis­or­ders. In Western soci­eties, 30% of men and 50% of wom­en can be ­defined as hav­ing ­some ­kind of ­venous dis­or­der. However, accord­ing to an Italian ­study, ­only 25% of ­patients ­with ­venous dis­or­ders are pre­scribed com­pres­sion ther­a­py; of ­these ­only 70% com­ply ­with treat­ment. A varie­ty of caus­es ­have ­been cit­ed for ­lack of com­pli­ance, includ­ing hot weath­er, dis­com­fort of wear­ing elas­tic sup­port ­hosiery, ­lack of appro­pri­ate siz­es, ­cost to the ­patient.
METHODS: In prep­ar­a­tion for a new ­line of ther­a­peu­tic ­hosiery ­designed accord­ing to GGG-RAL ­norms, meas­ure­ment was tak­en of the low­er ­limbs of ­patients attend­ing an angi­ol­o­gy out­pa­tient clin­ic. From ­this anthro­po­met­ric ­data ­pool new gar­ment ­size and ana­tom­i­cal ­tables ­were gen­er­at­ed ­based on ­which a ­line of com­pres­sion ­hosiery was devel­oped ­that incor­po­rat­ed ­advanced fea­tures of wear­abil­ity and trans­pi­ra­tion. The ­study was con­duct­ed on 50 con­sec­u­tive­ly ­enrolled ­patients ­with chron­ic ­venous insuf­fi­cien­cy (­CEAP class­es 0, 1, 2, 3). The ­patients ­were giv­en com­pres­sion ­class 1 elas­tic stock­ings and ­asked to eval­u­ate chang­es in symp­toms accord­ing to numer­i­cal and ana­log ­scales and to ­respond to qual­ity of ­life ­items (ques­tion­naire SF36); com­pli­ance to treat­ment was ­also ­assessed. The dura­tion of the ­study was 2 ­months.
RESULTS: The com­pli­ance ­rate was 80%. Results ­from the symp­toms ­scales con­firmed the clin­i­cal effi­ca­cy of treat­ment, ­which was observ­able ­after the ­first 30 ­days of ther­a­py.
CONCLUSIONS: The ­impact on qual­ity of ­life ­showed improve­ment in ­mean per­cent­age val­ues, ­which, how­ev­er, did not ­reach sta­tis­ti­cal sig­nif­i­cance.

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