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• W2000930372 abstract "The Venous Clinical Severity Score (VCSS) and the Aberdeen Varicose Vein Questionnaire (AVVQ) are both dynamic assessment tools which measure the effects of venous treatment in patients with Superficial Venous Insufficiency (SVI). The total scores universally improve after treatment but it is unclear which questions are the most responsive to change and which questions remain relatively static. The aim of this study was to evaluate the change in each question following treatment at 3 weeks and 3 months. This is a retrospective study on a database of 100 patients (M:F=41:59) with SVI (C2=34,C3=14,C4a=29,C4b=9,C5=7,C6=7) who received treatment with endovenous laser ablation (n=50) or foam sclerotherapy (n=50). The change scores of each question of the VCSS (questions 1-10) and the AVVQ (questions 1-13) were calculated by subtracting the score at 3 weeks, and 3 months, from the pretreatment score. Significant changes (P<.05) were highlighted using the Wilcoxon test. A subgroup analysis was also performed (n=92) on treatment type. Patients were also stratified at 3 months using complete abolition of saphenous reflux with normalization of the Venous Filling Index (VFI<2.5ml/sec) on air plethysmography (n=38, Group A) versus any remaining haemodynamic impairment on duplex or VFI (n=54, Group B). Both the median (IQR) VCSS and the AVVQ scores significantly improved. From 6(4) and 21.4(15.1) at baseline to 3(4) and 18.6(12.1) at 3 weeks (P<.0005, P=.031) and to 2(3) and 8.8(13.6) respectively at 3 months, (P<.0005, P<.0005). The first 3 questions of the VCSS (pain, extent of varicosities, edema) responded most to the effects of treatment, in all categories, Table I. Questions 5,6,7,9 on inflammation and active ulceration all improved individually but responded least overall due to statistical dilution (7/100 patients). The majority of the AVVQ questions on quality of life significantly improved, Table II. However, VCSS Q.10 and AVVQ Q.5 were not useful (negative change) because stocking application was recommended early posttreatment identifying greater severity. Table IIndividual VCSS questions and the significance of their change.VCSSP > .05P < .05 & P > .0005P < .0005Total 3 weeks5,67,8,9,10⁎deterioration1,2,3,4Total 3 months6,7,94,5,8,101,2,3Laser 3 weeks5,6,7,8,941,2,3,10⁎deteriorationFoam 3 weeks5,6,7,8,9,1041,2,3Laser 3 months5,6,7,8,9,1041,2,3Foam 3 months4,5,6,7,8,9101,2,3Group A4,5,6,7,8,9,10—1,2,3Group B5,6,7,8,910,41,2,3 deterioration Open table in a new tab Table IIIndividual AVVQ questions and the significance of their change.AVVQP > .05P < .05 & P > .0005P < .0005Total 3 weeks9,12,132,3,6,111,4,5⁎deterioration,7,8,10Total 3 months5,931,2,4,6,7,8,10,11,12,13Laser 3 weeks2,9,12,134,6,8,111,3,5⁎deterioration,7,10Foam 3 weeks3,6,9,11,132,7,8,10,121,4,5⁎deteriorationLaser 3 months3,58,9,11,121,2,4,6,7,10,13Foam 3 months3,5,96,7,81,2,10,11,12,13Group A3,5,97,81,2,4,6,10,11,12,13Group B5,93,7,8,121,2,4,6,10,11,13 deterioration Open table in a new tab The individual questions of the VCSS and AVVQ are significantly responsive to change following treatment at 3 weeks and 3 months. However, questions 6,7,9 of the VCSS and 5,9 of the AVVQ (stocking use, ulceration) failed to respond overall after 3 months. These results may be of importance in deciding on future revisions of these dynamic assessment tools." @default.
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• W2000930372 date "2012-01-01" @default.
• W2000930372 modified "2023-10-14" @default.
• W2000930372 title "Responsiveness of Individual Questions From The Venous Clinical Severity Score And The Aberdeen Varicose Vein Questionnaire" @default.
• W2000930372 doi "https://doi.org/10.1016/j.jvs.2011.11.014" @default.
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