为瑞典血管外科学国家注册中心（Swedvasc）添加静脉曲张模块的实施。
Implementation of a varicose vein module added to Swedvasc, the Swedish National Registry for vascular surgery.
机构信息
Karlskoga Vein Centre, Department of Cardiovascular and Thoracic Surgery, School of Medical Sciences, Örebro University, Örebro, Sweden.
出版信息
Phlebology. 2024 Feb;39(1):3-8. doi: 10.1177/02683555231201757. Epub 2023 Sep 7.
OBJECTIVES
The addition of a varicose veins (VV) module to the existing Swedish National Registry for Vascular Surgery (Swedvasc) and its impact on quality of care were evaluated.
METHODS
Vascular departments and private VV clinics were invited to enter data from 2016.
RESULTS
Registrations were approximately 10,000 yearly but dropped to 5390 in 2022 when a fee was introduced for private clinics due to reduced funding. 88% more interventions were reported to Swedvasc 2020 than to the National Board of Health and Welfare. Regions differed in interventions per 100,000 inhabitants/year from 21 to 233 and in preoperative CEAP C4-6 from 30.8%-90.4%. Follow-up was 9.4%. These data contributed to the decision to prioritize the patient group for national guidelines and pathways of care, which will be monitored by Swedvasc.
CONCLUSIONS
A national VV registry with high coverage is possible and can contribute to national quality of care. The main challenge is funding.
目的
评估在现有的瑞典血管外科学国家注册中心（Swedvasc）中增加静脉曲张（VV）模块及其对护理质量的影响。
方法
邀请血管科和私人 VV 诊所从 2016 年开始录入数据。
结果
每年的注册量约为 10000 例，但在 2022 年由于私人诊所资金减少而引入费用后，注册量下降到 5390 例。与国家卫生福利委员会相比，Swedvasc 2020 年报告的干预措施增加了 88%。每个 10 万居民/年的干预措施在各地区的差异从 21 到 233，CEAP C4-6 的术前差异从 30.8%到 90.4%。随访率为 9.4%。这些数据有助于决定为国家指南和护理路径确定患者群体的优先级，Swedvasc 将对其进行监测。
结论
高覆盖率的全国性 VV 登记是可能的，并能有助于国家的护理质量。主要的挑战是资金。
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