Please forward this error screen to sharedip-13214820582. To this summary of the state of the art we must add the incentive for future rigorous, hypotrophy at children of early age and reproducible research. However, what distinguishes these guidelines is the discussion of difficult subjects such as compression and sclerotherapy. Anglo-Saxon methods which bring everything back to controlled evidence.
Intuition, tradition, trade, and craft, all characteristics of the Mediterranean peoples, become signposts along the path of diagnosis and treatment, obeying international regulations. It is exciting that this summary comes from the Italian College of Phlebology which a few years ago recognised the need to unite the main Italian phlebology societies within the College. What really holds scientific associations together is the cultural message borne in the seed of continuity beyond personal and group claims and ambitions. In Spring 1998, the Italian College of Phlebology set up task forces to prepare guidelines for diagnosis and treatment in phlebology and lymphangiology. We set out to adapt the findings to the working methods and approach taken by the Italian National Health Service, taking account of the extensive experience of European phlebology, using recent Anglo- Saxon scientific models. Evidence-based medicine: how to practice and teach EBM. La medicina delle prove di efficacia.
Porter JM, Moneta GL and International Consensus Committee on Chronic Venous Disease: reporting standards in venous disease. Consensus paper on venous leg ulcers. Sclerotherapy for varicose veins: practical guidelines and sclerotherapy procedures. Consensus Conference on sclerotherapy on varicose veins of the lower limbs.
Consensus statement – The investigation of chronic venous insufficiency. The management of chronic venous disorders of the leg: an evidence-based report. The diagnosis and treatment of peripheral lymphedema. The equilibrium between tissue requirements and the amount of blood returning to the heart is not guaranteed, either in an orthostatic position or lying down. The key to recognising the subjective and objective signs of CVI is local or diffuse venous hypertension with rheologic repercussions on the macrocirculation and microcirculation, leading to the characteristic edema. These signs are valid at both the physiopathological and clinical levels. CVI is a serious clinical condition affecting large numbers of people, and is important both from an epidemiological point of view and on account of its socio-economic repercussions.
To give pure data on the incidence of these diseases, prospective epidemiological studies are most interesting from our point of view, although in actual fact very few of these focus solely on CVI. It is still debated whether the transmission of venous disorders is hereditary. CVI mainly affects women in their fifties and sixties. After this age there is no real difference between the sexes. Numerous epidemiological studies correlate the incidence of varicose veins with pregnancies and with the number of births.