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UK primary care survey of venous leg ulceration management and referral - Post-EVRA trial
- Source :
- Phlebology
- Publication Year :
- 2020
-
Abstract
- Objective Determine standards of referral and management of patients with venous leg ulceration in primary care after the release of the EVRA (A Randomized Trial of Early Endovenous Ablation in Venous Ulceration) study results. Methods An online questionnaire was disseminated over four months to professionals working within primary care. Results The survey received 643 responses. Of respondents, 90 (14%) had heard of the EVRA trial and 51 (8%) were familiar with the results. Of those who answered the following questions, 410 (69.1%) stated that referral to a vascular specialist must be made by the General Practitioner and 13 (2.2%) reported that they would always refer patients for secondary care assessment before the publication of EVRA. Considering the EVRA results, 128 (29%) reported that they would change practice regarding referral and would experience no barriers and 198 (45%) reported that they would like to refer earlier but is not their decision. Barriers to changing practice included local referral policies, training and time restrictions, 266 (59%) had heard of the NICE guideline (CG168) and 194 (43%) were aware of the recommendations for referral to a vascular service within two weeks for patients with an open or healed ulcer. Conclusion There is a considerable variation in local referral pathways for venous leg ulceration, and despite clinicians wanting to refer promptly, many primary care professionals are unable to. Unfortunately, the EVRA study alone may not change the overall practice, and work is needed to overcome barriers faced by primary care professionals.
- Subjects :
- medicine.medical_specialty
Referral
Primary care
leg ulcers
Ethinyl Estradiol
DISEASE
law.invention
Varicose Ulcer
030207 dermatology & venereal diseases
03 medical and health sciences
Wound care
0302 clinical medicine
Randomized controlled trial
law
Surveys and Questionnaires
medicine
Humans
030212 general & internal medicine
1102 Cardiorespiratory Medicine and Haematology
Referral and Consultation
Leg
Wound Healing
Science & Technology
venous disease
Primary Health Care
business.industry
Leg Ulcer
Norgestrel
Endovenous ablation
General Medicine
Original Articles
United Kingdom
Drug Combinations
Peripheral Vascular Disease
Cardiovascular System & Hematology
Emergency medicine
Cardiovascular System & Cardiology
Surgery
Cardiology and Cardiovascular Medicine
Venous disease
business
Life Sciences & Biomedicine
Subjects
Details
- ISSN :
- 17581125
- Volume :
- 36
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Phlebology
- Accession number :
- edsair.doi.dedup.....44b3366a2cb119096d49c9c231e95cf1