Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi Study
ObjectiveElastic compression stocking (ECS) therapy is commonly used in patients with deep venous thrombosis (DVT) and chronic venous disease (CVD). The provision of ECS therapy is complex, and studies indicate a lack of practical guidance and suboptimal collaboration among health care professionals...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.891364/full |
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| author | Rachel H. P. Schreurs Rachel H. P. Schreurs Rachel H. P. Schreurs Manuela A. Joore Manuela A. Joore Hugo ten Cate Hugo ten Cate Hugo ten Cate Arina J. ten Cate-Hoek Arina J. ten Cate-Hoek |
| author_facet | Rachel H. P. Schreurs Rachel H. P. Schreurs Rachel H. P. Schreurs Manuela A. Joore Manuela A. Joore Hugo ten Cate Hugo ten Cate Hugo ten Cate Arina J. ten Cate-Hoek Arina J. ten Cate-Hoek |
| author_sort | Rachel H. P. Schreurs |
| collection | DOAJ |
| description | ObjectiveElastic compression stocking (ECS) therapy is commonly used in patients with deep venous thrombosis (DVT) and chronic venous disease (CVD). The provision of ECS therapy is complex, and studies indicate a lack of practical guidance and suboptimal collaboration among health care professionals. We aimed to reach consensus on critical issues of ECS therapy among the involved health care professionals and patients.MethodsA three-round modified Delphi analysis was performed in the Netherlands in which 56 health care professionals (internists, dermatologists, general practitioners, emergency room nurses, home care nurses, medical stocking suppliers, and occupational therapists) and seven patients were invited. The 21 statements included in this analysis were based on information collected from a previously conducted Functional Resonance Analysis Method and Realist Evaluation. We used 7-point Likert scale questions and a 75% threshold for consensus.ResultsOf the 63 persons invited for this study, 59 (94%) agreed to participate and responded in the first questionnaire round; of whom 52 were health care professionals and seven were patients (five DVT and two CVD). The overall response rate for the three questionnaire rounds was 91%. After completion of the rounds, full consensus was achieved on 19 out of 21 statements. No consensus was reached on the need for a follow-up appointment for CVD patients and who should be responsible to determine the ECS type (custom-made or standard).ConclusionWe identified 19 consensus-driven recommendations on treatment decisions and collaboration in ECS therapy among an interdisciplinary panel of health care professionals and patients. These recommendations form a basis for consensus-driven optimization of ECS therapy and should ideally be incorporated in a general cross-domain protocol for ECS therapy in patients with DVT and CVD. |
| first_indexed | 2024-04-14T01:09:06Z |
| format | Article |
| id | doaj.art-4b31ec27b86a4cfeb49b4de3bc41928f |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-14T01:09:06Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-4b31ec27b86a4cfeb49b4de3bc41928f2022-12-22T02:21:09ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-05-01910.3389/fcvm.2022.891364891364Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi StudyRachel H. P. Schreurs0Rachel H. P. Schreurs1Rachel H. P. Schreurs2Manuela A. Joore3Manuela A. Joore4Hugo ten Cate5Hugo ten Cate6Hugo ten Cate7Arina J. ten Cate-Hoek8Arina J. ten Cate-Hoek9Laboratory for Clinical Thrombosis and Haemostasis, Thrombosis Expert Centre Maastricht, Maastricht, NetherlandsCardiovascular Research Institute Maastricht (CARIM), Maastricht, NetherlandsDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, NetherlandsDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center, Maastricht, NetherlandsCAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, NetherlandsLaboratory for Clinical Thrombosis and Haemostasis, Thrombosis Expert Centre Maastricht, Maastricht, NetherlandsCardiovascular Research Institute Maastricht (CARIM), Maastricht, NetherlandsDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center, Maastricht, NetherlandsLaboratory for Clinical Thrombosis and Haemostasis, Thrombosis Expert Centre Maastricht, Maastricht, NetherlandsCardiovascular Research Institute Maastricht (CARIM), Maastricht, NetherlandsObjectiveElastic compression stocking (ECS) therapy is commonly used in patients with deep venous thrombosis (DVT) and chronic venous disease (CVD). The provision of ECS therapy is complex, and studies indicate a lack of practical guidance and suboptimal collaboration among health care professionals. We aimed to reach consensus on critical issues of ECS therapy among the involved health care professionals and patients.MethodsA three-round modified Delphi analysis was performed in the Netherlands in which 56 health care professionals (internists, dermatologists, general practitioners, emergency room nurses, home care nurses, medical stocking suppliers, and occupational therapists) and seven patients were invited. The 21 statements included in this analysis were based on information collected from a previously conducted Functional Resonance Analysis Method and Realist Evaluation. We used 7-point Likert scale questions and a 75% threshold for consensus.ResultsOf the 63 persons invited for this study, 59 (94%) agreed to participate and responded in the first questionnaire round; of whom 52 were health care professionals and seven were patients (five DVT and two CVD). The overall response rate for the three questionnaire rounds was 91%. After completion of the rounds, full consensus was achieved on 19 out of 21 statements. No consensus was reached on the need for a follow-up appointment for CVD patients and who should be responsible to determine the ECS type (custom-made or standard).ConclusionWe identified 19 consensus-driven recommendations on treatment decisions and collaboration in ECS therapy among an interdisciplinary panel of health care professionals and patients. These recommendations form a basis for consensus-driven optimization of ECS therapy and should ideally be incorporated in a general cross-domain protocol for ECS therapy in patients with DVT and CVD.https://www.frontiersin.org/articles/10.3389/fcvm.2022.891364/fulldeep venous thrombosischronic venous diseaseelastic compression therapyinterdisciplinary collaborationmodified Delphi study |
| spellingShingle | Rachel H. P. Schreurs Rachel H. P. Schreurs Rachel H. P. Schreurs Manuela A. Joore Manuela A. Joore Hugo ten Cate Hugo ten Cate Hugo ten Cate Arina J. ten Cate-Hoek Arina J. ten Cate-Hoek Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi Study Frontiers in Cardiovascular Medicine deep venous thrombosis chronic venous disease elastic compression therapy interdisciplinary collaboration modified Delphi study |
| title | Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi Study |
| title_full | Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi Study |
| title_fullStr | Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi Study |
| title_full_unstemmed | Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi Study |
| title_short | Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi Study |
| title_sort | development of a consensus based cross domain protocol for the management of elastic compression stocking therapy in patients with deep venous thrombosis and chronic venous disease a modified delphi study |
| topic | deep venous thrombosis chronic venous disease elastic compression therapy interdisciplinary collaboration modified Delphi study |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.891364/full |
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