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Gianesini S, Chi YW, Agüero C, Alqedrah D, Amore M, Barbati M, Baturone A, Black S, Borsuk D, Bottini O, Caprini J, Chamo M, Cherian M, Chernuka L, DE Maeseneer M, Diaz J, Garcia MJ, Gibson K, Gloviczki M, Gloviczki P, Golovina V, Goranova E, Grillo L, Gwozdz A, Hirsch T, Hussein E, Intriago E, Jalaie H, Jaworucka-Kaczorowska A, Jindal R, Josnin M, Khilnani NM, Kim DI, Latorre A, Lazarashvili Z, Lee BB, Leon L, Liew NC, Lobastov K, Lurie F, Maghetti A, Menegatti E, Miyake K, Mo M, Narayanan S, Neuhardt D, Pannier F, Prego A, Rabe E, Raffetto J, Raymond-Martimbeau P, Redman L, Reina-Gutierrez L, Rial R, Rockson S, Romanelli M, Santiago FR, Santiago RA, Sermsathanasawadi N, Shaydakov E, Simkin C, Sousa J, Stoughton J, Szuba A, Taha W, Ulloa J, Urbanek T, Vitale M, Vuylsteke M, Wang J, Weingartner J, Wilson S, Yamaki T, Ng Y, Zolotukhin I, Mansilha A. Fake-news-free evidence-based communication for proper vein-lymphatic disease management. INT ANGIOL 2023; 42:89-189. [PMID: 36930179 DOI: 10.23736/s0392-9590.23.05044-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
Published scientific evidence demonstrate the current spread of healthcare misinformation in the most popular social networks and unofficial communication channels. Up to 40% of the medical websites were identified reporting inappropriate information, moreover being shared more than 450,000 times in a 5-year-time frame. The phenomenon is particularly spread in infective diseases medicine, oncology and cardiovascular medicine. The present document is the result of a scientific and educational endeavor by a worldwide group of top experts who selected and analyzed the major issues and related evidence-based facts on vein and lymphatic management. A section of this work is entirely dedicated to the patients and therefore written in layman terms, with the aim of improving public vein-lymphatic awareness. The part dedicated to the medical professionals includes a revision of the current literature, summing up the statements that are fully evidence-based in venous and lymphatic disease management, and suggesting future lines of research to fulfill the still unmet needs. The document has been written following an intense digital interaction among dedicated working groups, leading to an institutional project presentation during the Universal Expo in Dubai, in the occasion of the v-WINter 2022 meeting.
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Affiliation(s)
- Sergio Gianesini
- Department of Translational Medicine, University of Ferrara, Ferrara, Italy -
| | - Yung-Wei Chi
- University of California Davis, Sacramento, CA, USA
| | - Chantal Agüero
- Panamerican Society of Phlebology and Lymphology, Asunción, Paraguay
| | - Deena Alqedrah
- Dubai Health Authority-University of Sharjah, Dubai, United Arab Emirates
| | - Miguel Amore
- University of Buenos Aires, Buenos Aires, Argentina
| | | | | | | | - Denis Borsuk
- Clinic of Phlebology and Laser Surgery (Vasculab LLC), Chelyabinsk, Russia
| | | | | | - Marylin Chamo
- Guatemala Society of Phlebology, Guatemala City, Guatemala
| | - Meena Cherian
- Geneva Foundation for Medical Education and Research, Geneve, Switzerland
| | - Larisa Chernuka
- O.O. Shalimov National Institute of Surgery and Transplantology, Kiev, Ukraine
| | | | - Josè Diaz
- Vanderbilt University, Nashville, TN, USA
| | | | | | | | | | - Veronika Golovina
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - Elena Goranova
- Alexandrovska University Medical Center, Sofia, Bulgaria
| | - Lorena Grillo
- UCIMED University of Medical Sciences, San José, Costa Rica
| | | | | | | | | | | | | | | | | | - Neil M Khilnani
- Weill Cornell Medicine, New York Presbiterian Hospital, New York, NY, USA
| | | | | | | | | | - Luis Leon
- University of Arizona, Phoenix, AZ, USA
| | - Ngoh C Liew
- University Putra Malaysia, Selangor, Malaysia
| | - Kirill Lobastov
- Pirogov Russian National Research Medical University, Moscow, Russia
| | | | - Annalisa Maghetti
- Italian Association of Dietology and Clinical Nutrition, Bologna, Italy
| | - Erica Menegatti
- Department of Translational Medicine, University of Ferrara, Ferrara, Italy
| | | | - Makoto Mo
- Yokohama City University, Yokohama, Japan
| | - Sriram Narayanan
- The Harley Street Heart and Vascular Center, Singapore, Singapore
| | | | | | | | | | | | | | - Laura Redman
- Christiaan Barnard Memorial Hospital, Cape Town, South Africa
| | | | - Rodrigo Rial
- University Hospital HM Madrid-Torrelodones, Madrid, Spain
| | | | | | | | | | | | | | | | | | | | | | - Wassila Taha
- Egypt Africa Venous Lymphatic Association, Cairo, Egypt
| | | | | | | | | | - Jinsong Wang
- Provincial People's Hospital of Guangdong, Guangdong, China
| | | | | | - Takashi Yamaki
- Women's Medical University Adachi Medical Center of Tokyo, Tokyo, Japan
| | - Yeejia Ng
- The Harley Street Heart and Vascular Center, Singapore, Singapore
| | - Igor Zolotukhin
- Pirogov Russian National Research Medical University, Moscow, Russia
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Bottini O, Rodriguez Santos F, Boroda A, Arias F, Calcina D, Agüero Wagner C, Grillo L, Morales Bazurto M, Santiago F, Nigro J, Morales M, Ferreyra M, Perea Ansinelli A, Diaz M, Segura J, Mazzurco M, Diez G, Halusch E, Ovelar J, Parrotta L, Fernandez J, Avramovic M, Ríos J, Esposito A, Alfonso H, Desjardins E, Arias L, Joviliano E, Toledo DE Aguiar E, Barreto Dos Santos J, Orrego A, Bombín J, Pizarro I, Cabezas J, Manosalvas R, Villota V, Rodriguez L, Martínez Granados A, Mérida J, García Bernard D, Serralde J, Vega Rasgado F, Teixeira E, Filizzola R, Corbeta R, Benito R, Chunga Prieto J, Rivera T, Volpi M, Sarutte S, Ortiz P, Prego A, Navas H, Alberti T, Guglielmone D, Mejía R, Simkin C, Intriago E, Bercovich J. The First Latin American Consensus on Superficial and Perforating Venous Mapping. INT ANGIOL 2023; 42:45-58. [PMID: 36892521 DOI: 10.23736/s0392-9590.23.04991-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/10/2023]
Abstract
With the aim of obtaining a map which is useful as a diagnostic tool and therapeutical orientation, complementing the written report of duplex ultrasound venous study, Latin-American Scientific Societies of Phlebology, Vascular Surgery and Vascular Imaging were invited to participate, through their regional representatives, to the First Consensus of Superficial and Perforating Venous Mapping. A consensus process using a modified Delphi method was carried out. An International Working Group was formed, which developed a Prototype of the Venous Mapping that worked as a starting point for consensus, and was presented in a first virtual meeting of 54 experts (societies' representatives) when the methodology was explained. For the consensus process, two rounds of self-administrated questionnaires with feedback were used. In the first questionnaire a 100% consensus was obtained in the 15 statements (an agreement range of 85.2% to 100%) In the analysis of qualitative data, three categories according to the actions to implement were identified - actions which involved no action, minor changes and major changes. This analysis was used to build the second questionnaire, which reached a consensus in its six statements (agreement range of 87.1% to 98.1%). A final consensus on every field proposed was established with the approval of all the experts consulted and it was presented at a third online meeting. The document of the superficial and perforating venous mapping reached by consensus is presented hereafter.
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Affiliation(s)
- Oscar Bottini
- Hospital Alemán, Universidad del Salvador, Buenos Aires, Argentina - .,Centro Medico Bottini, Buenos Aires, Argentina - .,Forum Venoso Latinoamericano, Buenos Aires, Argentina - .,Hospital de Clínicas, Universidad de Buenos Aires, Buenos Aires, Argentina -
| | | | - Alejandro Boroda
- Hospital Alemán, Universidad del Salvador, Buenos Aires, Argentina.,Centro Medico Bottini, Buenos Aires, Argentina
| | | | - Daniela Calcina
- Hospital Alemán, Universidad del Salvador, Buenos Aires, Argentina.,Centro Medico Bottini, Buenos Aires, Argentina
| | - Chantal Agüero Wagner
- Clínica Vanguardia, Asunción, Paraguay.,Sociedad Paraguaya de Flebología y Linfología (SPFL), Asunción, Paraguay
| | - Lorena Grillo
- Hospital San Rafael de Ajuela, Universidad de Ciencias Medicas, Ajuela, Costa Rica.,Asociación de Cirujanos Vasculares Periféricos de Costa Rica, Ajuela, Costa Rica
| | | | - Fabricio Santiago
- Hospital Geral de Goiânia, Universidade Federal de Goiás, Goiânia, Brazil.,Sociedad Brasileña de Angiología y Cirugía Vascular, Goiânia, Brazil
| | - Juan Nigro
- Asociación Argentina de Angiología y Cirugía Cardiovascular (AAAyCCV), Buenos Aires, Argentina
| | - Marcelo Morales
- Asociación Cordobesa de Flebología y Linfología, Córdoba, Argentina
| | - Martín Ferreyra
- Asociación Cuyana de Flebología, Linfología y Arteriopatías, Cuyo, Argentina
| | | | - Monserrat Diaz
- Asociación de Flebología y Linfología de la Patagonia, Neuquen, Argentina
| | - Jorge Segura
- Asociación de Flebología y Linfología de la Provincia de Buenos Aires (AFLIPBA), Buenos Aires, Argentina
| | - Martín Mazzurco
- Asociación de Flebología y Linfología de Rosario, Rosario, Argentina
| | - Guillermo Diez
- Asociación de Flebología y Linfología de Rosario, Rosario, Argentina
| | - Eduardo Halusch
- Asociación de Flebología y Linfología de Salta, Salta, Argentina
| | - José Ovelar
- Colegio Argentino de Cirugía Venosa y Linfática (CACVYL), Buenos Aires, Argentina
| | - Luis Parrotta
- Colegio Argentino de Cirugía Venosa y Linfática (CACVYL), Buenos Aires, Argentina
| | - Jorge Fernandez
- Sociedad Argentina de Flebología y Linfología (SAFYL), Buenos Aires, Argentina
| | - Miguel Avramovic
- Sociedad Argentina de Flebología y Linfología (SAFYL), Buenos Aires, Argentina
| | - Jorge Ríos
- Sociedad de Enfermedades Vasculares de Río Cuarto, Río Cuarto, Argentina
| | - Alexis Esposito
- Sociedad de Flebología y Linfología Bonaerense (SFLB), Buenos Aires, Argentina
| | - Hector Alfonso
- Sociedad de Flebología y Linfología del Nordeste (SFYLNE), Sarmiento, Argentina
| | - Emilio Desjardins
- Sociedad Tucumana de Flebología y Linfología, San Miguel de Tucumán, Argentina
| | - Luis Arias
- Comunidad Científica Boliviana de Flebología y Linfología (COBOFLIN), La Paz, Bolivia
| | - Edwaldo Joviliano
- Sociedad Brasileña de Angiología y Cirugía Vascular, Goiânia, Brazil
| | | | | | - Alvaro Orrego
- Fundación Chilena de Flebología y Linfología, Santiago del Chile, Chile
| | - Juan Bombín
- Sociedad Chilena de Flebología y Linfología (SOCHIFYL), Santiago del Chile, Chile
| | - Ismael Pizarro
- Sociedad Chilena de Flebología y Linfología (SOCHIFYL), Santiago del Chile, Chile
| | - Javier Cabezas
- Asociación de Cirujanos Vasculares Periféricos de Costa Rica, Ajuela, Costa Rica
| | - Rafael Manosalvas
- Sociedad Ecuatoriana de Flebolinfología y Microcirculación (SEFMi), Quito, Ecuador
| | - Victor Villota
- Sociedad Ecuatoriana de Flebolinfología y Microcirculación (SEFMi), Quito, Ecuador
| | - Luis Rodriguez
- Asociación Flebologica y Terapia Endovascular de El Salvador (AFLEBOVASAL), San Salvador, El Salvador
| | - Alberto Martínez Granados
- Asociación Flebologica y Terapia Endovascular de El Salvador (AFLEBOVASAL), San Salvador, El Salvador
| | - José Mérida
- Asociación Guatemalteca de Flebología (ASOFLEGUA), Ciudad de Guatemala, Guatemala
| | | | - Javier Serralde
- Academia Mexicana de Flebología y Linfología (AMFYL), Ciudad de México, Mexico
| | | | - Eloy Teixeira
- Sociedad Paraguaya de Cirugía Vascular y Angiología, Asunción, Paraguay
| | - Roberto Filizzola
- Sociedad Paraguaya de Cirugía Vascular y Angiología, Asunción, Paraguay
| | - Roberto Corbeta
- Sociedad Paraguaya de Flebología y Linfología (SPFL), Asunción, Paraguay
| | - Roy Benito
- Sociedad Peruana de Flebología y Linfología, Lima, Perú
| | | | - Tomás Rivera
- Sociedad Dominicana de Cirugía Vascular y Endovascular, Santo Domigo, República Dominicana
| | - Mauricio Volpi
- Sociedad Uruguaya de Cirugía Vascular y Endovascular (SUCIVE), Montevideo, Uruguay
| | - Sebastián Sarutte
- Sociedad Uruguaya de Cirugía Vascular y Endovascular (SUCIVE), Montevideo, Uruguay
| | - Paola Ortiz
- Sociedad Uruguaya de Flebología y Linfología (SUFYL), Montevideo, Uruguay
| | - Alfredo Prego
- Sociedad Uruguaya de Flebología y Linfología (SUFYL), Montevideo, Uruguay
| | - Hugo Navas
- Sociedad Venezolana de Flebología y Linfología, Caracas, Venezuela
| | - Tomás Alberti
- Asociación Internacional de Diagnóstico Vascular no Invasivo (ADIVANI), Bogota, Colombia
| | - Daniel Guglielmone
- Asociación Internacional de Diagnóstico Vascular no Invasivo (ADIVANI), Bogota, Colombia
| | - Raúl Mejía
- Asociación Internacional de Diagnóstico Vascular no Invasivo (ADIVANI), Bogota, Colombia
| | - Carlos Simkin
- Forum Venoso Latinoamericano, Buenos Aires, Argentina
| | - Ernesto Intriago
- Sociedad Panamericana de Flebología y Linfología, Guayaquil, Ecuador
| | - Juan Bercovich
- Hospital de Clínicas, Universidad de Buenos Aires, Buenos Aires, Argentina
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Gianesini S, Obi A, Onida S, Baccellieri D, Bissacco D, Borsuk D, Campisi C, Campisi CC, Cavezzi A, Chi YW, Chunga J, Corda D, Crippa A, Davies A, De Maeseneer M, Diaz J, Ferreira J, Gasparis A, Intriago E, Jawien A, Jindal R, Kabnick L, Latorre A, Lee BB, Liew NC, Lurie F, Meissner M, Menegatti E, Molteni M, Morrison N, Mosti G, Narayanan S, Pannier F, Parsi K, Partsch H, Rabe E, Raffetto J, Raymond-Martimbeau P, Rockson S, Rosukhovski D, Santiago FR, Schul A, Schul M, Shaydakov E, Sibilla MG, Tessari L, Tomaselli F, Urbanek T, van Rijn MJ, Wakefield T, Wittens C, Zamboni P, Bottini O. Global guidelines trends and controversies in lower limb venous and lymphatic disease: Narrative literature revision and experts' opinions following the vWINter international meeting in Phlebology, Lymphology & Aesthetics, 23-25 January 2019. Phlebology 2019; 34:4-66. [PMID: 31495256 DOI: 10.1177/0268355519870690] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Guidelines are fundamental in addressing everyday clinical indications and in reporting the current evidence-based data of related scientific investigations. At the same time, a spatial and temporal issue can limit their value. Indeed, variability in the recommendations can be found both among the same nation different scientific societies and among different nations/continents. On the other side, Garcia already published in 2014 data showing how, after three years in average, one out of five recommendations gets outdated (Martinez Garcia LM, Sanabria AJ, Garcia Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ 2014;186(16):1211–1219). The present document reports a narrative literature revision on the major international recommendations in lower limb venous and lymphatic disease management, focusing on the different countries’ guidelines, trends and controversies from all the continents, while identifying new evidence-based data potentially influencing future guidelines. World renowned experts’ opinions are also provided. The document has been written following the recorded round tables scientific discussions held at the vWINter international meeting (22–26 January 2019; Cortina d’Ampezzo, Italy) and the pre- and post-meeting literature search performed by the leading experts.
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Affiliation(s)
| | - Andrea Obi
- 2 University of Michigan, Ann Arbor, MI, USA
| | | | | | | | - Denis Borsuk
- 6 Clinic of Phlebology and Laser Surgery, 'Vasculab' Ltd, Chelyabinsk, Russia
| | | | | | - Attilio Cavezzi
- 9 Eurocenter Venalinfa, San Benedetto del Tronto (AP), Italy
| | - Yung-Wei Chi
- 10 University of California, Davis Vascular Center, Sacramento, CA, USA
| | | | | | | | | | | | - Josè Diaz
- 15 Vanderbilt University Medical Center, Nashville, TN, USA
| | - Julio Ferreira
- 16 Instituto Brasilerio de Flebologia, Sao Paulo, Brazil
| | | | | | - Arkadiusz Jawien
- 19 Collegium Medicum, University of Nicolaus Copernicus, Bydgoszcz, Poland
| | | | | | | | | | - N C Liew
- 24 Putra University, Serdang, Malaysia
| | - Fedor Lurie
- 25 Jobst Vascular Institute, Toledo, OH, USA
| | | | | | | | | | | | | | | | - Kurosh Parsi
- 32 St. Vincent's Hospital, University of NSW, Sydney, Australia
| | | | | | | | | | - Stanley Rockson
- 37 Stanford University School of Medicine, Stanford, CA, USA
| | | | | | | | | | | | | | | | | | | | | | | | - Cees Wittens
- 44 Maastricht University Medical Center, Maastricht, Netherlands.,45 Uniklinik Aachen, Aachen, Germany
| | | | - Oscar Bottini
- 46 Universidad de Buenos Aires, Buenos Aires, Argentina
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