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Adherence of patients with varicose veins to compression therapy

Abstract

Objective. The study was aimed at determining adherence of patients with lower limb varicose veins to medical recommendations in relation to compression therapy during a year.

Patients and methods. A prospective comparative study Patients cOMmitment to coMpression theraPy (POMP) was carried out, involving surgeons-phlebologists each of whom had for 5 weeks enrolled into the study patients presenting with varicose disease of lower limbs veins, seeking advice, and requiring compression therapy. 12 months after the consultations, an outsourcing call center performed telephone questioning of patients in order to obtain information concerning peculiarities of adherence to the recommendations given.

Results. The overall registration database of the study contained individual data on 394 patients. 12 months after the recommendations on using compression knitwear available for telephone questioning turned out to be a total of 246 patients: mean age 44 (IQR 35–55) years, including 42 (17.1%) men and 204 (82.9%) women. Of these, class C1, class C2, class C, class C4 and class C6 had 32 (13.1%), 83 (33.7%) 109 (44.3%), 20 (8.1%) and 2 (0.8%) patients, respectively. Compliant to medical recommendations turned out to be 189 (76.8%) patients: 110 patients using compression knitwear and 79 patients who stopped using them based on medical recommendations. The number of respondents reporting decreased manifestations of varicose disease turned out to be significantly higher in the group of patients using compression knitwear (p<0.001). More adherent to compression therapy were patients having had previous experience using it (p<0.001) and patients whose professional activity was related to hard physical labor and prolonged orthostasis (p=0.031). There were no significant differences in compliance of patients depending on gender and level of education.

Conclusion. We determined high adherence of patients to medical recommendations in relation to compression therapy 12 months thereafter.

Funding. The study had no sponsor support.

Conflict of interest. Telephone survey was conducted with the sponsorship of the network of orthopedic salons ORTOS. The authors declare that there are no other conflicts of interest.

For citation: Ignatovich I.N., Bontsevich D.N., Klimchuk I.P., Kornievich S.N., Maslyanskii B.A., Nebylitsyn Yu.S., Novikova N.M., Kosinets A.V., Kress D.V., Mikhnevich A.V., Pavlov A.G., Poznyakova O.V. Adherence of patients with varicose veins to compression therapy. Angiology and Vascular Surgery. 2022; 28 (1): 57–63. DOI: https://doi.org/10.33029/1027-6661-2022-28-1-57-63 (in Russian)

Keywords:varicose disease; compression therapy; compliance; adherence to recommendations; comparison of results

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Akchurin Renat Suleymanovich

Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Deputy General Director for Surgery, Head of the Department of Cardiovascular Surgery, National Medical Research Center for Cardiology named after Academician E.I. Chazov, President of the Russian Society of Angiologists and Vascular Surgeons

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.