A scoping review on Chronic Venous Disease and the development of a Venous Leg Ulcer: The role of obesity and mobility

Meulendijks, Audrey; Franssen, Wouter M. A.; Schoonhoven, Lisette; Neumann, H. A. M.

doi:10.1016/j.jtv.2019.10.002

Cited by 26 publications

(15 citation statements)

References 63 publications

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“…VLU are classified as C6 stage of a chronic venous disorder, as per the updated Clinical (C) version of Clinical-Etiology-Anatomy-Pathophysiology (CEAP) classification ( Lurie et al, 2020 ). They are caused by chronic venous insufficiency due to persistent high blood pressure in varicose veins ( Meulendijks et al, 2019 ; Weller et al, 2019 ). Best practice management recommendations for people with VLU are compression, leg elevation, physical exercise and adequate nutrition ( Australian Wound Management Association New Zealand Wound Care Society, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

“…The consequences of non-adherence to treatment recommendations include chronicity of VLUs, increased recurrence rate ( Finlayson et al, 2018 ), infection ( Bui et al, 2019 ) and secondary squamous cell carcinoma ( Reich-Schupke et al, 2015 ). Disease progression ( Meulendijks et al, 2020 ) and associated complications exacerbate wound pain ( Leren et al, 2020 ), increase wound exudate, and reduce patients’ mobility, which in turn contributes to disease progression ( Meulendijks et al, 2019 ), leads to premature disability ( Mallick et al, 2020 ), and inadvertently influences patients’ quality of life ( Barnsbee et al, 2019 ). Management of these complications require complex interventions and highlights the need for optimal care for this underestimated condition.…”

Section: Introductionmentioning

confidence: 99%

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Patient Explanation of Adherence and Non-Adherence to Venous Leg Ulcer Treatment: A Qualitative Study

et al. 2021

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The aim of this study was to understand which factors influence patients’ adherence to venous leg ulcer treatment recommendations in primary care. We adopted a qualitative study design, conducting phone interviews with 31 people with venous leg ulcers in Melbourne, Australia. We conducted 31 semi-structured phone interviews between October and December 2019 with patients with clinically diagnosed venous leg ulcers. Participants recruited to the Aspirin in Venous Leg Ulcer Randomized Control Trial and Cohort study were invited to participate in a qualitative study, which was nested under this trial. We applied the Theoretical Domains Framework to guide the data analysis. The following factors influenced patients’ adherence to venous leg ulcer treatment: understanding the management plan and rationale behind treatment (Knowledge Domain); compression-related body image issues (Social Influences); understanding consequences of not wearing compression (Beliefs about Consequences); feeling overwhelmed because it’s not getting better (Emotions); hot weather and discomfort when wearing compression (Environmental Context and Resources); cost of compression (Environmental Context and Resources); ability to wear compression (Beliefs about Capabilities); patience and persistence (Behavioral Regulation); and remembering self-care instructions (Memory, Attention and Decision Making). The Theoretical Domains Framework was useful for identifying factors that influence patients’ adherence to treatment recommendations for venous leg ulcers management. These factors may inform development of novel interventions to optimize shared decision making and self-care to improve healing outcomes. The findings from this article will be relevant to clinicians involved in management of patients with venous leg ulcers, as their support is crucial to patients’ treatment adherence. Consultation with patients about VLU treatment adherence is an opportunity for clinical practice to be targeted and collaborative. This process may inform guideline development.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient Explanation of Adherence and Non-Adherence to Venous Leg Ulcer Treatment: A Qualitative Study

et al. 2021

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“…1,4 Obesitas meningkatkan tekanan abdomen dan sekresi adipokin yang mengakibatkan disfungsi mikrosirkulasi vena tungkai. 12 Obesitas juga memperberat kondisi HNP pasien kasus I. Oleh sebab itu, tata laksana harus meliputi penurunan berat badan dengan modifikasi gaya hidup yaitu mengatur asupan nutrisi, aktivitas fisik teratur, dan modalitas lainnya. 13 Ketiga pasien sudah dikonsulkan ke poliklinik Gizi dan disarankan untuk mengubah pola makan menjadi diet rendah kalori untuk mengurangi berat badan sehingga membantu memperbaiki aliran darah vena di tungkai dan diet rendah garam untuk membantu mengurangi edema tungkai.…”

Section: Diskusiunclassified

Tata Laksana Komprehensif Dermatitis Stasis pada Geriatri

Yusharyahya¹,

Sutanto²,

Lestari³

et al. 2022

ejki

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Dermatitis stasis merupakan penyakit kulit inflamasi yang umum terjadi di ekstremitas bawah, ditandai dengan eritema, skuama, erosi, krusta, dan terkadang juga dapat ditemukan vesikel, serta ulserasi kecil di kulit yang dikenal sebagai ulkus stasis atau ulkus venosum. Faktor risiko dermatitis statis antara lain usia di atas 50 tahun, obesitas, dan jenis kelamin perempuan. Dilaporkan tiga kasus dermatitis stasis pada pasien geriatri laki-laki yang datang ke Rumah Sakit dr.Cipto Mangunkusumo dan ketiganya disertai komorbiditas obesitas. Tata laksana pada ketiga pasien ini melibatan departemen lain (multidisiplin) dan membuahkan hasil yang baik.

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“…Accordingly, the possible cause of resistance to the conservative treatment was considered to be patient-related risk factors. These factors can cause VLU even without venous insufficiency confirmed via duplex venous scan, 5 ) and since these factors are very difficult to fix, they seemed good reasons for treatment-resistant or recurrent VLUs.…”

Section: Case Reportmentioning

confidence: 99%

Hyperbaric Oxygen Therapy Is an Effective Adjunctive Therapy to Manage Treatment-Resistant Venous Leg Ulcers

Suehiro

Fujita

Morikage

et al. 2021

Annals of Vascular Diseases

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We report five cases of venous leg ulcers (VLU) that were resistant to conservative therapy for 22-119 months and were eventually healed via hyperbaric oxygen therapy (HBOT). In one patient, VLU recurred four times and was managed using HBOT, each time. The VLU sizes ranged from 18 to 68 cm 2 before HBOT. HBOT was administered at 2.0 atmospheres absolute with 100% oxygen for 60 min per session, five sessions a week during hospitalization. All VLUs healed after 17-66 sessions of HBOT.

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A scoping review on Chronic Venous Disease and the development of a Venous Leg Ulcer: The role of obesity and mobility

Cited by 26 publications

References 63 publications

Patient Explanation of Adherence and Non-Adherence to Venous Leg Ulcer Treatment: A Qualitative Study

Patient Explanation of Adherence and Non-Adherence to Venous Leg Ulcer Treatment: A Qualitative Study

Tata Laksana Komprehensif Dermatitis Stasis pada Geriatri

Hyperbaric Oxygen Therapy Is an Effective Adjunctive Therapy to Manage Treatment-Resistant Venous Leg Ulcers

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