Development of a Minimum Data Set Registry for Chronic Venous Insufficiency of the Lower Limbs

Abstract

The purpose of this study was to develop a minimum data set (MDS) registry for the prevention, diagnosis and treatment of chronic venous insufficiency (CVI) of the lower limbs. We designed the instrument in two phases, comprising a literature review and an e-Delphi study to validate the content. We obtained a total of 39 documents that we used to develop a registry with 125 items grouped in 7 categories, as follows: Patient examination, venous disease assessment methods, diagnostic tests to confirm the disease, ulcer assessment, treatments to manage the disease at all its stages, patient quality of life, and patient health education. The instrument content was validated by 25 experts, 88% of whom were primary healthcare and hospital nurses and 84% had more than 10 years’ experience in wound care. Using a two-round Delphi approach, we reduced the number of items in the MDS-CVI to 106 items. The categories remained unchanged. We developed an MDS for CVI with seven categories to assist healthcare professionals in the prevention, early detection, and treatment history of CVI. This tool will allow the creation of a registry in the primary care setting to monitor the venous health state of the population.

Validity of Chronic Venous Disease Diagnoses and Epidemiology Using Validated Electronic Health Records From Primary Care: A Real‐World Data Analysis

“…Prevention, diagnostic, and treatment tools exist for CVI, such as the Minimum Data Set Registry for Chronic Venous Insufficiency of the Lower Limbs (MDS‐CVI; Homs‐Romero & Romero‐Collado, 2019). Integrating such tools in electronic records would further aid the diagnosis and medical record quality of this disease.…”

Tissue remodelling and increased DNA damage in patients with incompetent valves in chronic venous insufficiency

“…Chronic venous insufficiency (CVI), in which blood return to the heart is impaired, has a high prevalence and incidence worldwide. 1 , 2 There is a higher incidence of CVI in women than men, 3 and CVI has been related to factors such as pregnancy, hormones, lifestyle, family history, metabolic abnormalities and ageing. 4 , 5 In western Europe, medical care costs for CVI patients have been estimated at 600‐900 million Euros, accounting for 2% of total expenditures.…”

Elementos esenciales para elaborar un estudio con el método (e)Delphi

“…Para la construcción del cuestionario inicial una opción muy utilizada es la realización de una revisión bibliográfica 2 , 3 que incluya aspectos de la literatura gris 6 , 11 . La información obtenida nos debe permitir crear ítems; el número y la idoneidad deben consensuarse entre el grupo investigador en consonancia con el objetivo inicial.…”

“…Para conseguir captar a los expertos tenemos diversas opciones: enviar una invitación a diversas organizaciones científicas relacionadas con la temática de estudio solicitando hagan un llamamiento a sus afiliados 1 , 3 , 12 , 13 , realizar una búsqueda en las bases de datos de la salud, identificando los autores con publicaciones relevantes en el campo de estudio en los últimos años 9 , 13 , aunque a veces puede ser necesario utilizar el formato bola de nieve, cuando no se tiene un acceso tan fácil a la población de estudio.…”

“…¿Cómo puedo realizar un protocolo, basado en la mejor evidencia disponible, de los cuidados a una persona que padece un quiste pilonidal que debe cicatrizar por segunda intención 2 ? ¿Cuál es el mejor método para elaborar un conjunto mínimo básico de datos para prevenir, diagnosticar y tratar la enfermedad venosa de las extremidades inferiores en la población adulta 3 ?…”