Refining diagnosis and management of chronic venous disease: Outcomes of a modified Delphi consensus process

Teresa Lucia Aloi, Giuseppe Camporese, Marcello Izzo, Dimitris Kontothanassis, Angelo Santoliquido

Research output: Contribution to journalArticlepeer-review


Chronic venous disease (CVD) is a common condition with major health consequences that is associated with poor long-term prognosis, significant socioeconomic impact, disabling symptoms and reduced quality of life. To provide practical guidance for diagnosis and management of CVD, a Delphi panel of 5 experts in steering committee and 28 angiologists/vascular surgeons met with the major aim of providing a supplement for established national and international guidelines. A total of 24 statements were voted upon in two rounds, of which consensus was reached on 22 statements, indicating a high level of overall agreement. Consensus was reached on 7 of 8 statements relative to diagnosis (CEAP classification, diagnostic tools, QoL assessment, diagnostic imaging) and on 15 of 16 statements on management (conservative treatments, compressive therapy, pharmacological therapy, surgical treatment). The results of the consensus reached are discussed herein from which it is clear that diagnostic and management approaches utilising personalised therapies tailored to the individual patient should be favoured. While it is clear that additional studies are needed on many aspects of diagnosis and management of CVD, the present Delphi survey provides some key recommendations for clinicians treating CVD that may be useful in daily practice.

Original languageEnglish
Pages (from-to)78-85
Number of pages8
JournalEuropean Journal of Internal Medicine
Publication statusPublished - Jul 2019


Dive into the research topics of 'Refining diagnosis and management of chronic venous disease: Outcomes of a modified Delphi consensus process'. Together they form a unique fingerprint.

Cite this