In search of optimal compression therapy for venous leg ulcers: A meta-analysis of studies comparing divers bandages with specifically designed stockings

Amsler, Felix; Willenberg, Torsten; Blättler, W.

doi:10.1016/j.jvs.2009.05.018

Cited by 135 publications

(108 citation statements)

References 14 publications

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“…The meta-analysis only included one comparison with a multicomponent bandage system. 56 There is insufficient evidence on which to base a recommendation for use of compression hosiery.…”

Section: Compression Hosierymentioning

confidence: 99%

A Systematic Review and Meta-analysis of Exercise Intervention for the Treatment of Calf Muscle Pump Impairment in Individuals with Chronic Venous Insufficiency

Orr¹,

Klement²,

McCrossin³

et al. 2017

OWM

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++High quality meta-analyses, systematic reviews of RCTs, or RCTs with a very low risk of bias 1 + Well conducted meta-analyses, systematic reviews, or RCTs with a low risk of bias 1 -Meta-analyses, systematic reviews, or RCTs with a high risk of bias 2 ++ High quality systematic reviews of case control or cohort studies High quality case control or cohort studies with a very low risk of confounding or bias and a high probability that the relationship is causal 2 + Well conducted case control or cohort studies with a low risk of confounding or bias and a moderate probability that the relationship is causal 2 -Case control or cohort studies with a high risk of confounding or bias and a significant risk that the relationship is not causal 3Non-analytic studies, eg case reports, case series NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation.SIGN guidelines are produced using a standard methodology that has been equality impact assessed to ensure that these equality aims are addressed in every guideline. This methodology is set out in the current version of SIGN 50, our guideline manual, which can be found at www.sign.ac.uk/guidelines/fulltext/50/index.html. The EQIA assessment of the manual can be seen at www.sign. ac.uk/pdf/sign50eqia.pdf. The full report in paper form and/or alternative format is available on request from the NHS QIS Equality and Diversity Officer.Every care is taken to ensure that this publication is correct in every detail at the time of publication. However, in the event of errors or omissions corrections will be published in the web version of this document, which is the definitive version at all times. This version can be found on our web site www.sign.ac.uk.This document is produced from elemental chlorine-free material and is sourced from sustainable forests.

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“…The meta-analysis only included one comparison with a multicomponent bandage system. 56 There is insufficient evidence on which to base a recommendation for use of compression hosiery.…”

Section: Compression Hosierymentioning

confidence: 99%

A Systematic Review and Meta-analysis of Exercise Intervention for the Treatment of Calf Muscle Pump Impairment in Individuals with Chronic Venous Insufficiency

Orr¹,

Klement²,

McCrossin³

et al. 2017

OWM

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“…However, there is some evidence that graduated compression stockings are equally effective. 22,23 A meta-analysis of eight RCTs (n = 692) reported that the proportion of ulcers that healed was significantly higher with graduated compression stockings than with bandages (62.7% v. 46.6%). 23 The average time to ulcer healing was also significantly shorter with the stockings, by three weeks.…”

Section: Box 2: Summary Of the Literature Reviewmentioning

confidence: 99%

“…Graduated compression stockings may also be associated with less pain than bandages are. 21,23 There is evidence that high-compression (30-40 mm Hg) stockings are more effective than medium-and low-compression stockings in promoting venous ulcer healing and preventing recurrence. 2 2 , 2 4 A Cochrane systematic review of four RCTs (n = 979) concluded that there is some evidence, although not strong, that graduated compression stockings may prevent recurrence of venous ulcers and that highcompression stockings may be more efficacious than those with moderate compression.…”

Section: Box 2: Summary Of the Literature Reviewmentioning

confidence: 99%

Graduated compression stockings

Lim

Davies

2014

CMAJ

114

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“…(Amsler et al 2009;Astagneau et al 2009;de Lissovoy et al 2009;Graham et al 2003;Nelzen 2008;Smyth et al 2008). However, while a lower pressure ulcer rate in acute care than in home and continuing care is to be expected, a prevalence of 0.4% is not in line with other Canadian studies, which have reported rates ranging from 25% including stage 1 ulcers (Woodbury and Houghton 2004) to 8% in an Ontario study of stage 2 ulcers, and above (VanDenKerkhof et al 2011).…”

Section: Discussionmentioning

confidence: 91%

Compromised Wounds in Canada

Denny¹,

Lawand

Perry

2014

hcq

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Wounds are a serious healthcare issue with profound personal, clinical and economic implications. Using a working definition of compromised wounds, this study examines the prevalence of wounds by type and by healthcare setting using data from hospitals, home care, hospitalbased continuing care and long-term care facilities within fiscal year 2011-2012 in Canada. It also evaluates several risk factors associated with wounds, such as diabetes, circulatory disease and age. Compromised wounds were reported in almost 4% of in-patient acute hospitalizations and in more than 7% of home care clients, almost 10% of long-term care clients and almost 30% of hospital-based continuing care clients. Patients with diabetes were much more likely to have a compromised wound than were patients without the disease.

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In search of optimal compression therapy for venous leg ulcers: A meta-analysis of studies comparing divers bandages with specifically designed stockings

Abstract: Leg compression with stockings is clearly better than compression with bandages, has a positive impact on pain, and is easier to use.

Cited by 135 publications

References 14 publications

A Systematic Review and Meta-analysis of Exercise Intervention for the Treatment of Calf Muscle Pump Impairment in Individuals with Chronic Venous Insufficiency

A Systematic Review and Meta-analysis of Exercise Intervention for the Treatment of Calf Muscle Pump Impairment in Individuals with Chronic Venous Insufficiency

Graduated compression stockings

Compromised Wounds in Canada

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