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Treatment
Superficial venous surgery plus compression reduced ulcer recurrence in chronic venous leg ulceration

https://doi.org/10.1136/ebn.7.4.113

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    Barwell JR, Davies CE, Deacon J, et al. Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): randomised controlled trial. Lancet 2004;363:1854–9.OpenUrlCrossRefPubMedWeb of Science

    Q In patients with chronic venous leg ulceration, is superficial venous surgery plus compression more effective than compression alone for improving healing and reducing recurrence of ulcers?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

    unblinded

    Embedded ImageFollow up period:

    median follow up was 14 months (range 10–23 mo), comprising time from randomisation to healing (for patients with open ulcers) and from healing to recurrence or 12 months.

    Embedded ImageSetting:

    3 leg ulcer clinics in Gloucestershire and north Bristol, UK.

    Embedded ImagePatients:

    500 patients (58% women) who had open venous ulceration (68% of patients) or recently healed (⩽6 mo) …

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    Footnotes

    • For correspondence: Dr J R Barwell, Department of Vascular Surgery, Cheltenham General Hospital, Cheltenham, UK. jamiebarwellhotmail.com

    • Sources of funding: National Health Service Executive South and West Research and Development Directorate; Southmead Hospital Research Foundation; Surgical Club of the southwest of England.