Optimal duration of compression stocking therapy following endovenous thermal ablation for great saphenous vein insufficiency: A meta-analysis

Jian Hong Chou, Shiaun Yeu Chen, Yueh Ting Chen, Cheng Hsien Hsieh, Tsai Wei Huang, Ka Wai Tam

研究成果: 雜誌貢獻回顧型文獻

摘要

Background: The need for patients to wear compression stockings after varicose vein surgery and the duration of compressions tocking therapy has been debated. This study isa meta-analysis of randomized controlled trials (RCTs) to determine the optimal duration of compression stocking therapy after endovenous thermal ablation (ETA) of the great saphenous vein. Methods: The PubMed, Embase, and Cochrane Library databases were searched before January 2019. Individual effect sizes were standardized, and a meta-analysis was conducted to calculate the pooled effect size by using a random effects model. The primary outcome was the severity of pain in the postoperative period. Secondary outcomes were quality of life (QoL), leg volume, bruising scores, consumptionof analgesic agents, recovery time off work, satisfaction, and the incidence rates of postoperative complications including paresthesia and phlebitis. Results: Five RCTsinvolving775 patients were reviewed. The long-duration (1–2 weeks) group significantly reduced postoperative pain at 1 week (mean difference [MD] 1.19; 95% confidence interval [CI]: 0.58–1.80) and recovery time off work (MD: 1.01 day, 95% CI: 0.06–1.96)when compared with the short-duration (24–48 h) group. However, the mean pain scores at 2 (0.1; 95% CI: 0–0.2) and 6 weeks postoperatively (−0.3; 95% CI: −1.09-0.49) did not differ significantly between the two groups. Moreover, the incidence rates of complication, paresthesia, and phlebitis did not differ significantly between the short-duration and long-duration groups. Conclusion: The use of compression therapy for a long time (1–2 weeks) is better than short-term (24–48 h) use in terms of postoperative pain at 1 week and recovery off work. Hence, we recommend the prescription of 1-week compression stocking therapy after ETA in routine clinical practice. However, the available evidence is of variable quality, further well-structured RCTs with improved standardization of compression treatment, types of stockings, and target populations are warranted.

原文英語
頁(從 - 到)113-119
頁數7
期刊International Journal of Surgery
65
DOIs
出版狀態已發佈 - 五月 1 2019

指紋

Compression Stockings
Saphenous Vein
Meta-Analysis
Hot Temperature
Confidence Intervals
Phlebitis
Paresthesia
Postoperative Pain
Randomized Controlled Trials
Therapeutics
Pain
Job Satisfaction
Health Services Needs and Demand
Incidence
Varicose Veins
Postoperative Period
PubMed
Libraries
Prescriptions
Analgesics

ASJC Scopus subject areas

  • Surgery

引用此文

Optimal duration of compression stocking therapy following endovenous thermal ablation for great saphenous vein insufficiency : A meta-analysis. / Chou, Jian Hong; Chen, Shiaun Yeu; Chen, Yueh Ting; Hsieh, Cheng Hsien; Huang, Tsai Wei; Tam, Ka Wai.

於: International Journal of Surgery, 卷 65, 01.05.2019, p. 113-119.

研究成果: 雜誌貢獻回顧型文獻

@article{a1c3432a3a844bf59864aea7157f6700,
title = "Optimal duration of compression stocking therapy following endovenous thermal ablation for great saphenous vein insufficiency: A meta-analysis",
abstract = "Background: The need for patients to wear compression stockings after varicose vein surgery and the duration of compressions tocking therapy has been debated. This study isa meta-analysis of randomized controlled trials (RCTs) to determine the optimal duration of compression stocking therapy after endovenous thermal ablation (ETA) of the great saphenous vein. Methods: The PubMed, Embase, and Cochrane Library databases were searched before January 2019. Individual effect sizes were standardized, and a meta-analysis was conducted to calculate the pooled effect size by using a random effects model. The primary outcome was the severity of pain in the postoperative period. Secondary outcomes were quality of life (QoL), leg volume, bruising scores, consumptionof analgesic agents, recovery time off work, satisfaction, and the incidence rates of postoperative complications including paresthesia and phlebitis. Results: Five RCTsinvolving775 patients were reviewed. The long-duration (1–2 weeks) group significantly reduced postoperative pain at 1 week (mean difference [MD] 1.19; 95{\%} confidence interval [CI]: 0.58–1.80) and recovery time off work (MD: 1.01 day, 95{\%} CI: 0.06–1.96)when compared with the short-duration (24–48 h) group. However, the mean pain scores at 2 (0.1; 95{\%} CI: 0–0.2) and 6 weeks postoperatively (−0.3; 95{\%} CI: −1.09-0.49) did not differ significantly between the two groups. Moreover, the incidence rates of complication, paresthesia, and phlebitis did not differ significantly between the short-duration and long-duration groups. Conclusion: The use of compression therapy for a long time (1–2 weeks) is better than short-term (24–48 h) use in terms of postoperative pain at 1 week and recovery off work. Hence, we recommend the prescription of 1-week compression stocking therapy after ETA in routine clinical practice. However, the available evidence is of variable quality, further well-structured RCTs with improved standardization of compression treatment, types of stockings, and target populations are warranted.",
keywords = "Compression, Duration, Endovenous ablation, Varicose vein",
author = "Chou, {Jian Hong} and Chen, {Shiaun Yeu} and Chen, {Yueh Ting} and Hsieh, {Cheng Hsien} and Huang, {Tsai Wei} and Tam, {Ka Wai}",
year = "2019",
month = "5",
day = "1",
doi = "10.1016/j.ijsu.2019.03.024",
language = "English",
volume = "65",
pages = "113--119",
journal = "International Journal of Surgery",
issn = "1743-9191",
publisher = "Elsevier Science Publishers B.V.",

}

TY - JOUR

T1 - Optimal duration of compression stocking therapy following endovenous thermal ablation for great saphenous vein insufficiency

T2 - A meta-analysis

AU - Chou, Jian Hong

AU - Chen, Shiaun Yeu

AU - Chen, Yueh Ting

AU - Hsieh, Cheng Hsien

AU - Huang, Tsai Wei

AU - Tam, Ka Wai

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Background: The need for patients to wear compression stockings after varicose vein surgery and the duration of compressions tocking therapy has been debated. This study isa meta-analysis of randomized controlled trials (RCTs) to determine the optimal duration of compression stocking therapy after endovenous thermal ablation (ETA) of the great saphenous vein. Methods: The PubMed, Embase, and Cochrane Library databases were searched before January 2019. Individual effect sizes were standardized, and a meta-analysis was conducted to calculate the pooled effect size by using a random effects model. The primary outcome was the severity of pain in the postoperative period. Secondary outcomes were quality of life (QoL), leg volume, bruising scores, consumptionof analgesic agents, recovery time off work, satisfaction, and the incidence rates of postoperative complications including paresthesia and phlebitis. Results: Five RCTsinvolving775 patients were reviewed. The long-duration (1–2 weeks) group significantly reduced postoperative pain at 1 week (mean difference [MD] 1.19; 95% confidence interval [CI]: 0.58–1.80) and recovery time off work (MD: 1.01 day, 95% CI: 0.06–1.96)when compared with the short-duration (24–48 h) group. However, the mean pain scores at 2 (0.1; 95% CI: 0–0.2) and 6 weeks postoperatively (−0.3; 95% CI: −1.09-0.49) did not differ significantly between the two groups. Moreover, the incidence rates of complication, paresthesia, and phlebitis did not differ significantly between the short-duration and long-duration groups. Conclusion: The use of compression therapy for a long time (1–2 weeks) is better than short-term (24–48 h) use in terms of postoperative pain at 1 week and recovery off work. Hence, we recommend the prescription of 1-week compression stocking therapy after ETA in routine clinical practice. However, the available evidence is of variable quality, further well-structured RCTs with improved standardization of compression treatment, types of stockings, and target populations are warranted.

AB - Background: The need for patients to wear compression stockings after varicose vein surgery and the duration of compressions tocking therapy has been debated. This study isa meta-analysis of randomized controlled trials (RCTs) to determine the optimal duration of compression stocking therapy after endovenous thermal ablation (ETA) of the great saphenous vein. Methods: The PubMed, Embase, and Cochrane Library databases were searched before January 2019. Individual effect sizes were standardized, and a meta-analysis was conducted to calculate the pooled effect size by using a random effects model. The primary outcome was the severity of pain in the postoperative period. Secondary outcomes were quality of life (QoL), leg volume, bruising scores, consumptionof analgesic agents, recovery time off work, satisfaction, and the incidence rates of postoperative complications including paresthesia and phlebitis. Results: Five RCTsinvolving775 patients were reviewed. The long-duration (1–2 weeks) group significantly reduced postoperative pain at 1 week (mean difference [MD] 1.19; 95% confidence interval [CI]: 0.58–1.80) and recovery time off work (MD: 1.01 day, 95% CI: 0.06–1.96)when compared with the short-duration (24–48 h) group. However, the mean pain scores at 2 (0.1; 95% CI: 0–0.2) and 6 weeks postoperatively (−0.3; 95% CI: −1.09-0.49) did not differ significantly between the two groups. Moreover, the incidence rates of complication, paresthesia, and phlebitis did not differ significantly between the short-duration and long-duration groups. Conclusion: The use of compression therapy for a long time (1–2 weeks) is better than short-term (24–48 h) use in terms of postoperative pain at 1 week and recovery off work. Hence, we recommend the prescription of 1-week compression stocking therapy after ETA in routine clinical practice. However, the available evidence is of variable quality, further well-structured RCTs with improved standardization of compression treatment, types of stockings, and target populations are warranted.

KW - Compression

KW - Duration

KW - Endovenous ablation

KW - Varicose vein

UR - http://www.scopus.com/inward/record.url?scp=85063970723&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85063970723&partnerID=8YFLogxK

U2 - 10.1016/j.ijsu.2019.03.024

DO - 10.1016/j.ijsu.2019.03.024

M3 - Review article

AN - SCOPUS:85063970723

VL - 65

SP - 113

EP - 119

JO - International Journal of Surgery

JF - International Journal of Surgery

SN - 1743-9191

ER -