基层医疗对慢性静脉疾病的管理。

Management of chronic venous disease by primary care.

作者信息

Lane T R A, Sritharan K, Herbert J R, Franklin I J, Davies A H

机构信息

Academic Section of Vascular Surgery, Division of Surgery and Cancer, Imperial College School of Medicine, Charing Cross Hospital, London, UK.

出版信息

Phlebology. 2013 Sep;28(6):299-304. doi: 10.1258/phleb.2012.012012. Epub 2013 May 6.

DOI:10.1258/phleb.2012.012012

PMID:22989936

Abstract

OBJECTIVE

To assess the patterns of referral for chronic venous disease (CVD).

METHOD

General practitioners (GPs) were invited by an email to complete a validated online survey evaluating the referral and community management of CVD.

RESULTS

A total of 138 participants were recruited. Most GPs (85%) saw fewer than 50 patients with CVD a year. Thirty-one percent were aware of National Institute for Clinical Excellence referral guidelines for CVD and 36% were aware of and agreed with local referral guidelines. Eleven percent were aware of clinical venous scoring systems. Sixty-three percent believed mild CVD would progress and 84% believed treatment would improve the quality of life. Sixteen referred C3 disease, 43% C4, 37% C5 and 65% C6 disease. Forty-one percent would refer on request. Pain symptoms increased referral in C2 disease. Endothermal ablation was believed available to 33% and traditional stripping to 62% and 27% were unaware of the treatment options. Forty-five percent were happy to provide postoperative care.

CONCLUSIONS

Despite national guidelines, the management of CVD in the UK is variable.

摘要

目的

评估慢性静脉疾病（CVD）的转诊模式。

方法

通过电子邮件邀请全科医生（GPs）完成一项经过验证的在线调查，评估CVD的转诊和社区管理情况。

结果

共招募了138名参与者。大多数全科医生（85%）每年诊治的CVD患者少于50例。31%的人知晓国家临床优化研究所（National Institute for Clinical Excellence）关于CVD的转诊指南，36%的人知晓并认同当地的转诊指南。11%的人了解临床静脉评分系统。63%的人认为轻度CVD会进展，84%的人认为治疗会改善生活质量。16%转诊C3期疾病患者，43%转诊C4期，37%转诊C5期，65%转诊C6期疾病患者。41%会应要求进行转诊。疼痛症状会增加C2期疾病的转诊率。33%的人认为可采用腔内热消融治疗，62%的人认为可采用传统剥脱术，27%的人不了解治疗选择。45%的人愿意提供术后护理。