Cirurgia de varizes em Portugal: que outcomes interessa avaliar?

Abstract

Chronic venous disease (CVD) it's the most frequent vascular pathology, with an estimated prevalence in western countries of 40% in females and 17% in males. The human and financial resources necessary to provide treatment to such a ubiquitous disease is massive. Therefore, it is imperative to know the consequences of CVD and to highlight the benefits of its surgical treatment. In contrast to other vascular surgeries, the outcomes to assess in varicose veins surgery are less well defined. It is so vital to define a concrete set of international validated outcomes to compare the national results with the international literature. Besides, varicose vein surgery in Portugal has the particularity of being performed by both vascular and general surgeons. The selected outcomes will be important to confront the results of this procedure between the two specialties.

The article proposes the creation of a varicose veins surgery evaluation protocol in Portugal. A literature revision of the main negative aspects of CVD and a systematization of the advantages of its surgical treatment will also be performed.