Year 2021 Vol. 29 No 3

GENERAL & SPECIAL SURGERY

I.M. IHNATOVICH 1, D.M. BONTSEVICH 2, B.A. MASLIANSKI 3, YU.S. NEBYLITSYN 4, N.M. NOVIKAVA 5, A.V. KOSINETS 6, A.V. MIKHNEVICH 4, A.G. PAVLOV 4

THE APPLICATION OF COMPRESSION THERAPY IN PATIENTS WITH VARICOSE VEINS OF THE LOWER EXTREMITIES

Belarusian State Medical University 1, Minsk,
Medical Center ELMED2, Gomel,
Gomel Regional Clinical Hospital 3, Gomel,
Vitebsk State Medical University 4, Vitebsk
Minsk 5th City Clinical Hospital 5, Minsk
Vitebsk Regional Clinical Specialized Center 6, Vitebsk
The Republic of Belarus

Objective. To study the implementation of medical recommendations regarding the use of compression therapy in patients with varicose veins of the lower extremities.
Methods. A prospective comparative study, Patients Commitment to Compression Therapy (POMP), was conducted with the participation of phlebologist-surgeons who treat patients with chronic venous diseases in Minsk, Vitebsk, and Gomel. During 5 weeks each of the phlebologists included in the study patients with varicose veins who sought advice and needed compression therapy. 30-35 days after the consultation of the surgeon-phlebologist, an outsourcing call center conducted a telephone survey of patients in order to obtain information about the specifics of fulfilling medical recommendations.
Results. The registration data base of the study contained individual data on 394 patients with varicose veins (C1-C6) who received recommendations to use compression therapy. After 30-35 days, 302 patients (aged 43, 18-84 (Me, IQR)) were available for telephone survey. There were 58 men (19.2%), 244 women (80.8%). Among them, class C1 was registered in 39 (12.9%), C2 in 113 (37.4%), C3 in 122 (40.4%), C4 in 25 (8.3%), C5 in 1 (0.3%), C6 in 2 (0.7%) patients.
It was found that 245 (81.5%) of the respondents either already had compression hosiery at the time of the consultation, or purchased it within 30 days. 228 (75.2%) respondents reported compliance with the recommendations. Patients who had already experience with compression therapy and patients with the history of venous thromboembolism showed higher commitment to compression therapy (p<0.001). There were no significant differences in the compliance of patients with different levels of education and professional characteristics.
Conclusion. A high commitment of patients to compression therapy was established 1 month after receiving recommendations. To obtain more information about patient compliance, it is necessary to enlarge the follow-up period.

Keywords: varicose veins, compression therapy, compliance, implementation of recommendations, comparison of results
p. 302-310 of the original issue
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Address for correspondence:
220083, Republic of Belarus, Minsk,
Dzerzhinskii Avenue, 83,
Belarusian State Medical University,
the 1st Department of Surgical Diseases,
tel.mobile+375 173400254,
e-mail: ini67@inbox.ru,
Ihnatovich Igor N.
Information about the authors:
Ihnatovich Igor N., MD, professor of the 1st Department of Surgical Diseases, Belarusian State Medical University, Minsk, Republic of Belarus.
https://orcid.org/0000-0002-3185-8048
Bontsevich Dmitry N., PhD, Associate Professor, Angiosurgeon, Medical Center ELMED, Gomel, Republic of Belarus.
https://orcid.org/0000-0002-1894-1111
Maslianski Boris A., Surgeon, the 2nd Surgical Department, Gomel Regional Clinical Hospital, Gomel, Republic of Belarus.
https://orcid.org/0000-0002-6996-8461
Nebylitsyn Yury S., PhD, Associate Professor, Head of the Plastic Surgery and Cosmetology Department of the Clinic of VSMU, Vitebsk State Medical University, Vitebsk, Republic of Belarus.
https://orcid.org/0000-0002-4022-0599
Novikova Natalya M., Ph, Surgeon, Minsk 5th City Clinical Hospital , Minsk, Republic of Belarus.
https://orcid.org/0000-0003-0164-5276
Kosinets Alexandr V., Surgeon of the Surgery Unit, Vitebsk Regional Clinical Specialized Center, Vitebsk, Republic of Belarus.
https://orcid.org/0000-0002-0575-5299
Mikhnevich Alexey V., Senior Lecturer of the Hospital Surgery Department with the Course of Urology and Pediatric Surgery, Vitebsk State Medical University, Vitebsk, Republic of Belarus.
https://orcid.org/0000-0002-8112-6822
Pavlov Alexandr G., PhD, Associate Professor of the Hospital Surgery Department with the Course of Urology and Pediatric Surgery, Vitebsk State Medical University, Vitebsk, Republic of Belarus.
https://orcid.org/0000-0001-7280-4364
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