Evidence map›Paper›PMID 26931518›Full record

ArticleLangenbeck's archives of surgery2016

Perioperative quality assessment of varicose vein surgery : Commission for quality assessment of the German Society for Vascular Surgery.

T Noppeney, M Storck, H Nüllen, C-G Schmedt, R Kellersmann, D Böckler, K Walluscheck, G Torsello, S Debus

Abstract read
PubMed Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. S2k guidelines: diagnosis and treatment of varicose veins.Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

T NoppeneyCenter for Vascular Diseases, Obere Turnstraße 8-10, 90429, Nürnberg, Germany. tn@gefaesszentrum-nuernberg.de.
M StorckDepartment for Vascular and Thoracic Surgery, Klinikum Karlsruhe, Molkestr.90, 76133, Karlsruhe, Germany.
H NüllenCenter for Vascular Surgery and Vascular Medicine, Rheydter Straße 276, 41065, Mönchengladbach, Germany.
C-G SchmedtDepartment for Vascular Surgery, Deaconess Hospital Schwäbisch Hall, Diakoniestraße 10, 75423, Schwäbisch Hall, Germany.
R KellersmannDepartment for Vascular Surgery, University Hospital Würzburg, Oberdürrbacher Str. 6, 907080, Würzburg, Germany.
D BöcklerDepartment for Vascular and Endovascular Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.
K WalluscheckDepartment for Vascular Surgery, Deaconess Hospital Flensburg, Knuthstraße 1, 24939, Flensburg, Germany.
G TorselloCenter for Vascular and Endovascular Surgery, University Hospital Muenster, Hohenzollerinring 72, 48145, Münster, Germany.
S DebusHeart and Vascular Center, University Hospital Hamburg-Eppendorf, Martinistaße 52, 20246, Hamburg, Germany.
Paracelsus Medizinische Privatuniversität · DEStädtisches Klinikum Karlsruhe · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Heidelberg · DEUniversity Hospital Münster · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAn estimated 350,000 varicose vein (VV) surgical procedures are performed in Germany each year, with annual treatment costs amounting to about 800 million Euro. To evaluate the outcome quality of this treatment, we examined the intraoperative and postoperative complication rates on record in the VV surgery quality assessment (QA) registry of the German Society for Vascular Surgery (GSVS).

methodsData on 89,647 patients (27,463 men, 62,184 women; average age 52.8 years, range 15-96 years) collected in the GSVS varicose surgery QA registry between 2001 and 2009 were analyzed. In these patients, 95,214 surgical procedures were performed on 105,296 limbs. Complication rates were correlated with the type of VV surgical procedure, with whether surgery was performed on an inpatient or outpatient basis, and with the CEAP classification (C stage) and American Society of Anaesthesiologists' (ASA) stage at the time of surgery. Statistical analyses were performed using a chi-square test, a Cochrane-Armitage test, and an odds ratio calculation.

resultsIntraoperative and postoperative complication was low (0.18 and 0.43 %, respectively), being the lowest for radiofrequency ablation (0.25 %) but not differing significantly from those for endovenous laser therapy and high ligation and stripping. General complications occurred in 0.67 % of outpatients and in 0.25 % of inpatients, a highly significant statistical difference (p < 0.0001, chi-square test). With regard to C stage, the higher the stage, the higher the local complication rate. A clear correlation was also found between preoperative ASA stage and postoperative complication rates: for ASA stages I and II, the complication rates were 0.2 and 0.5 %, respectively, increasing for ASA stage III to 1.2 % and for ASA IV to 2.2 %. The differences between the ASA classes were highly statistically significant (p < 0.0001, Cochrane-Armitage test)

conclusionsOutcome quality as reflected in the intraoperative and postoperative complication rates was very good for all patients undergoing inpatient or outpatient VV surgery. Data from the GSVS QA registry shows that VV surgery is performed with very good perioperative results in specialized centers in Germany.

Indexed as

Quality of Health CareAdolescentAdultAgedAged, 80 and overCatheter AblationFemaleGermanyHumansIntraoperative ComplicationsLaser TherapyMaleMiddle AgedPostoperative ComplicationsVaricose VeinsVascular Surgical ProceduresComplicationsEndovenous laser therapyQuality assessmentQuality indicatorsRadiofrequency ablationResultsVaricose vein surgery

Identifiers

PMID26931518
OpenAlexW2290025052

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.