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Methods Cost UK Office for National Statistics, Bonn Vein Study, Health economic analyses

A UK Disparity in the Treatment of Patients with Varicose Veins has been Identified. H M Moore, T R A Lane, I J Franklin, A H Davies Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, UK. Introduction Why do we treat varicose veins?

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Methods Cost UK Office for National Statistics, Bonn Vein Study, Health economic analyses

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  1. A UK Disparity in the Treatment of Patients with Varicose Veins has been Identified H M Moore, T R A Lane, I J Franklin, A H Davies Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, UK • Introduction • Why do we treat varicose veins? • To improve patients quality of life • To alleviate depression • To prevent complications of venous disease including venous ulceration % C2-C6 disease treated in each Health Authority in the UK • Aim • To analyse the treatment of varicose veins and assess whether there is a disparity between UK health authorities • Methods • Cost • UK Office for National Statistics, Bonn Vein Study, Health economic analyses • Prevalence data • Bonn Vein Study • Population data • Hospital Episode Statistics, 2002 - 2010 All patients with C2-C6 disease treated >60% 20-60% -20-20% All patients with C2-C6 disease NOT treated The number of varicose vein procedures performed in the UK -20--60% <-60% Results % of patients with C2-C6 disease treated compared with the predicted number of varicose vein procedures required for each health authority The number of procedures per million population in each Health Authority ranged from: In 2002: 394 in Somerset to 2228 in Wolverhampton In 2010: 122 in Hampshire, the Isle of Wight, Portsmouth and Southampton to 2138 in Sunderland -25% Conclusion There is a large discrepancy between the different Healthcare Authorities in the UK in the way in which varicose veins are treated. Overall in the UK, superficial venous disease is undertreated when compared to the predicted number of procedures that should be performed. Further analyses are needed to determine the long term financial impact of this. References Phillips, T., et al., A study of the impact of leg ulcers on quality of life: financial, social, and psychologic implications. J Am Acad Dermatol, 1994. 31(1): p. 49-5 Abenhaim, L. and X. Kurz, The VEINES study (VEnous Insufficiency Epidemiologic and Economic Study): an international cohort study on chronic venous disorders of the leg. VEINES Group. Angiology, 1997. 48(1): p. 59-66 HES Online. 08/11/2011]; National statistical data warehouse]. Available from: http://www.hesonline.nhs.uk. UK Office for National Statistics. 08/11/2011]; Available from: http://www.statistics.gov.uk. Rabe, E., et al., Bonner Venenstudie der Deutschen Gesellschaft für Phlebologie - Epidemiologische Untersuchung zur Frage der Häufigkeit und Ausprägung von chronischen Venenkrankheiten in der städtischen und ländlichen Wohnbevölkerung. Phlebologie, 2003. 32: p. 1-14. National Institute of Clinical Excellence Guidelines. 08/11/2011]; Available from: http://guidance.nice.org.uk/CG/Wave24/11.

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