PHLEB-ortho survey
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Answer the following survey and win an
EXTRAORDINARY EDUCATIONAL RAFFLE PRIZE
(flight stipend+registration+accommodation to one of the vWIN foundation international event)
The following questionnaire is an initiative of the venous-lymphatics World International Network foundation (vWIN) ONLUS (www.vwinfoundation.com), an international NOT FOR PROFIT organization dedicated to the advancement in Venous & Lymphatics care.
Aim of the present survey is providing a picture of the current indication to graduated compression stockings (GCS) in the Orthopaedics patient management.
The first 6 answers are related to evidence based data present in the literature: by giving the answer the software provides the related reference automatically.
The last 4 questions are related just to the Orhtopaedics clinical habits.
The survey is addressed to Orthopaedics and in any way the name of the physician filling in the questionnaire is associated to the result. All the data are managed according to the current regulation on data protection.
All the people filling in the survey will be eligible for a flight stipend with registration and accommodation to one of the international educational events of the vWIN foundation. The same vWIN foundation meetings host a session dedicated to Phlebology & Orthopaedics synergy, where the winner of the raffle prize is also invited to present his data.
El siguiente cuestionario es una iniciativa de venous-lymphatics World International Network foundation (vWIN) ONLUS (www.vwinfoundation.com), una organización internacional sin fines de lucro dedicada a la investigación y al mejoramiento de la atención de las enfermedades Venosos y Linfáticos.
El objetivo de la presente encuesta es analizar las indicaciones actuales de las medias de compresión graduada (graduated compression stockings GCS en inglés) en la gestión de pacientes de Ortopedia.
Las primeras 6 preguntas están relacionadas con los datos basados en la evidencia que se encuentran en la literatura: al seleccionar su respuesta, el software proporcionará la referencia relacionada automáticamente y otorgará una respuesta correcta.
Las últimas 4 preguntas están relacionadas con lo que el traumatólogo-ortopedista realiza habitualmente con sus pacientes.
La encuesta está dirigida al área de Traumatología y Ortopedia y de cualquier forma el nombre del médico que completa el cuestionario estará asociado al resultado. Todos los datos se gestionan de acuerdo con la normativa vigente sobre protección de datos.
Todas las personas que completen la encuesta serán elegibles para una beca que consiste en: estipendio de vuelo con registro y alojamiento en uno de los eventos educativos internacionales de la fundación vWIN. Las reuniones de la Fundación vWIN albergan una sesión dedicada a la sinergia de la Flebología y Ortopedia, donde también se invita al ganador del premio de la rifa a presentar una conferencia u trabajo de acuerdo a su experiencia.
Il questionario a seguire è iniziativa della venous-lymphatics World International Network foundation (vWIN) ONLUS, organizzazione NO profit internazionale dedicata all’educazione in campo venoso e linfatico.
Scopo della presente indagine è fornire una fotografia della corrente pratica elastocompressiva nel management del paziente ortopedico.
Le prime 6 domande sono correlate a dati riportati in letteratura: per ogni risposta il software riporta automaticamente la relative citazione scientifica.
Le ultime 4 domande sono relative giusto ad un sondaggio circa le abitudini cliniche ortopediche.
Il questionario è indirizzato a specialisti ortopedici ed in nessun modo il nome del partecipante all’iniziativa viene associato al risultato ottenuto. Tutti i dati raccolti sono conservati secondo normativa vigente.
Tutti i partecipanti al sondaggio sono eligibili per la vincita di un flight stipend con registrazione ed accommodation in occasione di uno dei meeting internazionali della vWIN foundation. Lo stesso meeting ospita una sessione dedicata alle sinergie fra mondo ortopedico e flebologico: in tale setting il vincitore dell’estrazione può presentare i suoi dati clinici.
“Thromboembolism: an under appreciated cause of death”
Lancet 2015; (2);393
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An extraordinary raffle prize will be given among all the participants once a year: flight stipend and accommodation to attend one of the International educational events of the vWIN foundation in USA, Latin America, Europe or Asia, based on the winner choice.Info: https://www.vwinfoundation.com/education
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Question 1 of 10
1. Question
Do you think that the lack of patient compliance toward GCS is associated with a wrong prescription? Cree que la falta de cumplimiento del paciente con el uso GCS se asocia con una prescripción incorrecta? Ritiene che la mancata compliance del paziente all’utilizzo della compressione elastica sia associata ad una sbagliata prescrizione ?Correct
Raju S. Use of compression stockings in chronic venous disease: patient compliance and efficacy. Ann Vasc Surg 2007;21:790-5.
32% of not compliant cases are associated with a wrong prescription
El 32% de los casos de incumplimiento de la compresión están asociados a una prescripción médica inapropiada
32% dei casi di mancata compliance è associate ad un’errata prescirizioneIncorrect
Raju S. Use of compression stockings in chronic venous disease: patient compliance and efficacy. Ann Vasc Surg 2007;21:790-5.
32% of not compliant cases are associated with a wrong prescription
El 32% de los casos de incumplimiento de la compresión están asociados a una prescripción médica inapropiada
32% dei casi di mancata compliance è associate ad un’errata prescirizione -
Question 2 of 10
2. Question
In case of acute DVT what is an adequate compression improving? En caso de TVP aguda, ¿Qué mejoraría o aumentaría el uso de una compresión adecuada en el paciente? In caso di trombosi venosa acuta cosa migliora grazie ad un’adeguata compressione?Correct
Blättler W et al. Leg compression and ambulation is better than bed rest for the treatment of acute deep venous thrombosis. Int Angiol. 2003 Dec;22(4):393-400.
Compression is increasing the walking distance from 2 km (day 1) to 4 km (day 9). There is an improvement in QoL in the group with compression compared to bedrest and no compression
La compresión aumenta la distancia de caminata de 2 km (día 1) a 4 km (día 9). Hay una mejora en la calidad de vida en el grupo con compresión en comparación con el grupo de reposo en cama y sin compresión
Un’adeguata compressione aumenta la distanza del cammino e la qualità di vitaIncorrect
Blättler W et al. Leg compression and ambulation is better than bed rest for the treatment of acute deep venous thrombosis. Int Angiol. 2003 Dec;22(4):393-400.
Compression is increasing the walking distance from 2 km (day 1) to 4 km (day 9). There is an improvement in QoL in the group with compression compared to bedrest and no compression
La compresión aumenta la distancia de caminata de 2 km (día 1) a 4 km (día 9). Hay una mejora en la calidad de vida en el grupo con compresión en comparación con el grupo de reposo en cama y sin compresión
Un’adeguata compressione aumenta la distanza del cammino e la qualità di vita -
Question 3 of 10
3. Question
Is an adequate compression able to act on the evolution of a superficial venous thrombosis (SVT)? ¿Puede una compresión adecuada influenciar la evolución de una trombosis venosa superficial (TVS) Un’adeguata compressione è in grado di agire sull’evoluzione di una trombosi venosa superficiale?Correct
Rabe E. Indications for medical compression stockings in venous and lymphatic disorders:a n evidence-based consensus statement. Phlebology 2018, Vol. 33(3) 163–184
In patients with a SVT an adequate compression is able to reduce thrombus growth
En pacientes con TVS, una compresión adecuada es capaz de reducir el crecimiento del trombo
In pazienti con una trombosi venosa superficiale un’adeguata compressione è in grado di diminuire la crescita del tromboIncorrect
Rabe E. Indications for medical compression stockings in venous and lymphatic disorders:a n evidence-based consensus statement. Phlebology 2018, Vol. 33(3) 163–184
In patients with a SVT an adequate compression is able to reduce thrombus growth
En pacientes con TVS, una compresión adecuada es capaz de reducir el crecimiento del trombo
In pazienti con una trombosi venosa superficiale un’adeguata compressione è in grado di diminuire la crescita del trombo -
Question 4 of 10
4. Question
Do you think an adequate GCS is to be recommended for preventing oedema in healthy subjects at risk? ¿Cree usted que debe ser recomendada una media de compresión graduada para prevenir el edema en sujetos sanos con factores de riesgo? Ritiene un’adeguata elastocompressione sia da raccomandarsi ai fini della prevenzione dell’insorgenza di edema nei soggetti sani a rischio?Correct
Rabe E. Indications for medical compression stockings in venous and lymphatic disorders: an evidence-based consensus statement. Phlebology 2018, Vol. 33(3) 163–184
We recommend the use of MCS to prevent leg swelling in healthy individuals at risk of leg swelling (GRADE 1B)
Recomendamos el uso de medias de compresión graduadas para evitar la hinchazón de la pierna en individuos sanos con riesgo de inflamación de las piernas (GRADO 1B)
Raccomandiamo l’uswo di adeguata compressione per prevenire l’edema in soggetti sani a rischio (Grado 1B)Incorrect
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Question 5 of 10
5. Question
Do you think there is difference between 18 and 23 mmHg GCS in the patient perceived exertion? ¿Cree que hay una diferencia entre las medias de compresión graduada de 18 y 23 mmHg en el esfuerzo percibido por el paciente? Ritiene vi sia differenza tra 18 e 23 mmHg di elastocompressione per il controllo della stanchezza percepita dal paziente ?Correct
Gianesini S. Comparison between the effects of 18- and 23-mmHg elastic stockings on leg volume and fatigue in golfers. Int. Angiol 2017 Apr;36(2):129-135.
Differently from the 18 mmHG graduated compression stockings (GCS), 23 mmHg GCS was able to significantly decrease the perceived exertion
A diferencia de las medias de compresión graduada de 18 mmHg, las medias de 23 mmHg fueron capaces de disminuir significativamente el esfuerzo percibido
Una compressione graduate di 23 mmHg, a differenza di 18 mmHg, è in grado di ridurre la stanchezza percepitaIncorrect
Gianesini S. Comparison between the effects of 18- and 23-mmHg elastic stockings on leg volume and fatigue in golfers. Int. Angiol 2017 Apr;36(2):129-135.
Differently from the 18 mmHG graduated compression stockings (GCS), 23 mmHg GCS was able to significantly decrease the perceived exertion
A diferencia de las medias de compresión graduada de 18 mmHg, las medias de 23 mmHg fueron capaces de disminuir significativamente el esfuerzo percibido
Una compressione graduate di 23 mmHg, a differenza di 18 mmHg, è in grado di ridurre la stanchezza percepita -
Question 6 of 10
6. Question
In patients with high risk of bleeding, in case of need, do you recommend just on compressions for thrombo-embolic prophylaxis? En pacientes con alto riesgo de hemorragia, en caso de necesidad, ¿recomienda solo la compresión para la profilaxis tromboembólica? In pazienti ad alto rischio di sanguinamento, in caso di necessità, raccomanda la sola compressione come strumento preventivo trombo-embolico?Correct
Weinberger, J. & Cipolle, M. Curr Trauma Rep (2016) 2: 35. Mechanical Prophylaxis for Post-Traumatic VTE: Stockings and Pumps.
For patients with contraindications to pharmacologic prophylaxis, mechanical prophylaxis is recommended via lower extremity compression. Los pacientes con contraindicaciones para la profilaxis farmacológica, se recomienda la profilaxis mecánica mediante la compresión de las extremidades inferiores.
Per pazienti ad alto rischio di sanguinamento, la profilassi trombo-embolica può esser eseguita anche solo con mezzi meccaniciIncorrect
Weinberger, J. & Cipolle, M. Curr Trauma Rep (2016) 2: 35. Mechanical Prophylaxis for Post-Traumatic VTE: Stockings and Pumps.
For patients with contraindications to pharmacologic prophylaxis, mechanical prophylaxis is recommended via lower extremity compression. Los pacientes con contraindicaciones para la profilaxis farmacológica, se recomienda la profilaxis mecánica mediante la compresión de las extremidades inferiores.
Per pazienti ad alto rischio di sanguinamento, la profilassi trombo-embolica può esser eseguita anche solo con mezzi meccanici -
Question 7 of 10
7. Question
Do you prescribe a GCS after an orthopaedic procedure at the lower limb or at the hip? ¿Prescribe medias de compresión graduada después de un procedimiento ortopédico en la extremidad inferior o en la cadera? Prescrive una calza elastocompressiva nel post-operatorio di arto inferiore ed anca?Correct
Incorrect
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Question 8 of 10
8. Question
In case of post-operative GCS, which compression level do you prescribe? En caso de utilizar medias de compresión para el postoperatorio, ¿qué grado de compresión prescribe usted? In caso di elastocompressione post-operatoria, quale grado di compressione prescrive?Correct
Incorrect
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Question 9 of 10
9. Question
In case why do you prescribe a post-op GCS? En caso de prescribir medias de compresión ¿por qué razón la prescribe en el postoperatorio? Per quale ragione in caso prescrive una calza compressiva nel post-operatorio?Correct
Incorrect
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Question 10 of 10
10. Question
For how long do you recommend post-operative compression use? ¿Por cuánto tiempo recomienda el uso de compresión postoperatoria? Per quanto tempo indica l’utilizzo di una calza compressiva nel post-operatorio?Correct
Incorrect
