Academic Journal
Toward the Development of an Integrated Anatomic and Hemodynamic Classification for Primary Superficial Venous Insufficiency: Results of a Delphi Consensus.
| Τίτλος: | Toward the Development of an Integrated Anatomic and Hemodynamic Classification for Primary Superficial Venous Insufficiency: Results of a Delphi Consensus. |
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| Συγγραφείς: | Sousa J; Department of Angiology and Vascular Surgery, Centro Hospitalar Universitário de S. João, Porto, Portugal; Surgery and Physiology Department, Faculty of Medicine of the University of Porto, Porto, Portugal. Electronic address: joelferreirasousa@gmail.com., Mansilha A; Department of Angiology and Vascular Surgery, Centro Hospitalar Universitário de S. João, Porto, Portugal; Surgery and Physiology Department, Faculty of Medicine of the University of Porto, Porto, Portugal. |
| Πηγή: | Annals of vascular surgery [Ann Vasc Surg] 2026 Oct; Vol. 131, pp. 82-92. Date of Electronic Publication: 2026 Jun 10. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8703941 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1615-5947 (Electronic) Linking ISSN: 08905096 NLM ISO Abbreviation: Ann Vasc Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2007->: Netherlands : Elsevier Original Publication: Detroit : [Published by Expansion scientifique française for Annals of Vascular Surgery, Inc. and Association pour la promotion de la chirurgie vasculaire, Paris, c1986- |
| Ιατρικοί όροι (MeSH): | Venous Insufficiency*/physiopathology , Venous Insufficiency*/classification , Venous Insufficiency*/diagnosis , Venous Insufficiency*/therapy , Veins*/physiopathology , Delphi Technique* , Hemodynamics* , Terminology as Topic*, Humans ; Consensus ; Predictive Value of Tests ; Reproducibility of Results |
| Περίληψη: | Background: This study aimed to develop a validated set of expert consensus statements that may serve as the foundation for a new integrated anatomic and hemodynamic classification for primary superficial venous insufficiency (PSVI). Methods: A modified Delphi process was conducted among an international panel of 36 high-volume venous specialists. Experts were selected based on procedural experience (≥ 100 procedures per year) and prior participation in a global survey on the conceptual framework of an integrated anatomic-hemodynamic classification for PSVI. Over 2 iterative rounds, 17 initial statements-grouped into anatomic and hemodynamic domains-were evaluated using a 5-point Likert scale. Consensus was defined as ≥ 75% agreement, with interquartile range (IQR) of ≤ 1.0 used to assess consistency. Iterative qualitative feedback informed statement refinement between rounds. Results: Sixteen of 17 initial statements reached consensus in Round 1. Based on expert commentary, 3 statements were removed, 3 substantially revised, and 9 linguistically refined for Round 2. In Round 2, all 16 statements reached consensus (agreement 75.1-100%), with IQR ≤ 1.0 for all but one item (IQR = 1.5). Given the robust agreement and consistent feedback, a third round was deemed unnecessary. Conclusions: This international Delphi study establishes a foundational set of expert-derived statements on the key anatomic and hemodynamic components to be considered for a new integrated anatomic and hemodynamic classification for PSVI. These findings represent a critical step toward a novel, clinically actionable classification system, with potential to improve disease stratification, therapeutic planning, and outcome evaluation in primary superficial venous disease. (Copyright © 2026 Elsevier Inc. All rights reserved.) |
| Entry Date(s): | Date Created: 20260610 Date Completed: 20260803 Latest Revision: 20260803 |
| Update Code: | 20260804 |
| DOI: | 10.1016/j.avsg.2026.05.092 |
| PMID: | 42269910 |
| Βάση Δεδομένων: | MEDLINE |
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