Evidence map›Paper›PMID 29582749›Full record

SynthesisCanadian journal of surgery. Journal canadien de chirurgie2018

Is radiofrequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis.

Thomas G Poder, Jean-François Fisette, Suzanne K Bédard, Marc-Antoine Despatis

Registry-linked trialOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Canadian journal of surgery. Journal canadien de chirurgie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06366763 (Comparative Clinical Efficacy Between Multi-layer Bandage Pressure Therapy and Compression Stockings Treatment After Endovenous Radiofrequency Ablation), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 12% 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.

NCT06366763 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Comparative Clinical Efficacy Between Multi-layer Bandage Pressure Therapy and Compression Stockings Treatment After Endovenous Radiofrequency Ablation

TypeinterventionalSponsorChengdu University of Traditional Chinese MedicineRan2023 to 2024Enrolled210ConditionsVascular Diseases, Peripheral, Venous Insufficiency of Leg, Varicose Veins of Lower LimbArmsQuestionnaires
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 28 citations in OpenAlex.

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

4 authors at 3 institutions in 1 country.

Thomas G PoderFrom the Unité d'évaluation des technologies et des modes d'intervention en santé (UETMIS) and the Centre de recherche du Centre hospitalier universitaire de Sherbrooke (CRCHUS), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Poder); the Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Que. (Fisette); CRCHUS, CIUSSS de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Bédard); and the Vascular Surgery Unit, CIUSSS de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Despatis).
Jean-François FisetteFrom the Unité d'évaluation des technologies et des modes d'intervention en santé (UETMIS) and the Centre de recherche du Centre hospitalier universitaire de Sherbrooke (CRCHUS), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Poder); the Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Que. (Fisette); CRCHUS, CIUSSS de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Bédard); and the Vascular Surgery Unit, CIUSSS de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Despatis).
Suzanne K BédardFrom the Unité d'évaluation des technologies et des modes d'intervention en santé (UETMIS) and the Centre de recherche du Centre hospitalier universitaire de Sherbrooke (CRCHUS), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Poder); the Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Que. (Fisette); CRCHUS, CIUSSS de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Bédard); and the Vascular Surgery Unit, CIUSSS de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Despatis).
Marc-Antoine DespatisFrom the Unité d'évaluation des technologies et des modes d'intervention en santé (UETMIS) and the Centre de recherche du Centre hospitalier universitaire de Sherbrooke (CRCHUS), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Poder); the Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Que. (Fisette); CRCHUS, CIUSSS de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Bédard); and the Vascular Surgery Unit, CIUSSS de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Que. (Despatis).
Centre Hospitalier Universitaire de Sherbrooke · CACentre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal · CAUniversité de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the 1990s, new techniques for the treatment of varicose veins have emerged, including radiofrequency ablation (RFA) and laser treatment. We performed a study to compare the safety, efficacy and outcomes of RFA compared to those of open surgery and laser ablation for the treatment of varicose veins. We also carried out a cost analysis of RFA compared to open surgery to assess whether RFA could help free up operating room time by being performed in an outpatient context.

methodsWe conducted a systematic literature review (publication date May 2010-September 2013 for articles in English, January 1991-September 2013 for those in French). We used several checklists to measure the quality of the studies. We also collected data on costing.

resultsThe literature search identified 924 publications, of which 38 were retained for analysis: 15 literature reviews, 1 good-practice guideline and 22 new primary studies. The overall level of evidence was low to moderate owing to the limited sample sizes, lack of information on patient characteristics and lack of standardization of the outcome measures. However, the results obtained are consistent from study to study. In the short and medium term, RFA is considered as effective as open surgery or laser treatment (moderate level of evidence) and presents fewer major and minor complications than open surgery (low level of evidence). Radiofrequency ablation can be performed on an outpatient basis. We calculated that RFA would be about $110-$220 more expensive per patient than open surgery.

conclusionRadiofrequency ablation is a valuable alternative to open surgery and would free up operating room time in a context of low accessibility.

Indexed as

HumansLaser TherapyOutcome Assessment, Health CareRadiofrequency AblationVaricose VeinsVascular Surgical Procedures

Identifiers

PMID29582749
PMCPMC5866149
OpenAlexW2790573906

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.