Concordance of Clinical Examination and Duplex Scan Findings for Prediction of Surgery in Patients Presenting with Varicose Vein
Objective: To assess the concordance of clinical examination and duplex scan findings for prediction of surgery in patients having varicose vein.
Methodology: The cross sectional study was conducted in tertiary referral vascular surgery unit, Dublin, Ireland. From January 2015 to December 2016. The study conducted on the patients with varicose veins between 18-50 years who had duplex scan performed over the last two years (n=175) in the hospital. Clinical diagnosis was done by using Clinical-Etiological-Anatomical-Pathophysiology (CEAP) classification. Numerical variables age, duration of symptoms, weight, height and BMI were presented. Categorical variables gender and presence of varicose vein on clinical examination CEAP grade ≥2 and colored duplex ultrasound for the prediction of surgery was presented as concordance.
Results: In 95% (n=166) of patient’s surgery was predicted and in remaining surgery was not predicted. 171 (97.7%) were diagnosed with incompetent varicose vein on Duplex Scan while 4 (2.3%) were not. Forty seven percent (n=82) patients had incompetent SFJ, 36% (n=63) had Incompetent SPJ and 11% (n=19) had mixed type of varicose veins when diagnosed on Duplex Ultrasound. The study results showed that in 97.7%(171) patient’s surgery was predicted by Duplex Ultrasound and in remaining surgery was not predicted.
Conclusion. There is increase in prediction of surgery for varicose veins with duplex scan modality.