Why insurers should reimburse for compression stockings in patients with chronic venous stasis

Korn, Peter; Patel, Sheela T.; Heller, Jennifer; Deitch, Jonathan; Krishnasastry, Kambhampaty; Bush, Harry L.; Kent, K. Craig

doi:10.1067/mva.2002.121984

Cited by 80 publications

(63 citation statements)

References 23 publications

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“…In a Markov decision analysis, use of compression was associated with an estimated savings of $17,000 during a patient's lifetime. 512 However, this study used a hypothetical patient with C5 disease and did not directly assess lower clinical classes of venous reflux. Regardless, this study provides support for use of compression in those at risk for VLU without significant downside to use of compression.…”

Section: Primary Preventionmentioning

confidence: 99%

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

O’Donnell¹,

Passman²,

Marston³

et al. 2014

Journal of Vascular Surgery

550

450

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Section: Primary Preventionmentioning

confidence: 99%

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

O’Donnell¹,

Passman²,

Marston³

et al. 2014

Journal of Vascular Surgery

550

450

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“…4 Duplex USG In present study, routine duplex USG was done in all patients preoperatively. Routine preoperative duplex examination leads to improved surgical results and lower recurrence rates.…”

Section: Correlation Between Ceap Classes and Site On Incompetencementioning

confidence: 99%

Clinical Study and Comparison of Various Modalities of Treatment of Varicose Veins of Lower Limbs

Srinivas¹,

Suryanarayana²,

Sharadha³

et al. 2016

jemds

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“…[1][2][3][4][5] Chronic ulcers are an ongoing burden to patients and to the health care system. [6][7][8][9][10] Patients tend to receive poorly integrated services in multiple settings.…”

mentioning

confidence: 99%

Leg-ulcer care in the community, before and after implementation of an evidence-based service

Harrison

Graham²,

Lorimer³

et al. 2005

Canadian Medical Association Journal

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Background: Leg ulcers usually occur in older patients, a growing population for which increasing health care resources are required. Treatment is mainly provided in patients' homes; however, patients often receive poorly integrated services in multiple settings. We report the results of a prospective study of a community-based care strategy for leg ulcers. Methods: International practice recommendations and guidelines were adapted to make a new clinical protocol. The new model, for a dedicated service staffed by specially trained registered nurses, established initial and ongoing assessment time frames and provided enhanced linkages to medical specialists. Data were collected for 1 year before and after implementation; outcome measures included 3-month healing rates, quality of life and resource usage. Results: Three-month healing rates more than doubled between the year before implementation (23% [18/78]) and the year afterward (56% [100/180]). The number of nursing visits per case declined, from a median of 37 to 25 (p = 0.041); the median supply cost per case was reduced from $1923 to $406 (p = 0.005). Interpretation: Reorganization of care for people with leg ulcers was associated with improved healing and a more efficient use of nursing visits.

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Why insurers should reimburse for compression stockings in patients with chronic venous stasis

Abstract: Prophylactic CS and Ed in patients with prior venous stasis ulceration are cost saving, even with the most conservative of assumptions. Insurers should routinely reimburse for these interventions.

Cited by 80 publications

References 23 publications

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

Clinical Study and Comparison of Various Modalities of Treatment of Varicose Veins of Lower Limbs

Leg-ulcer care in the community, before and after implementation of an evidence-based service

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