Evidence map›Paper›PMID 40899334›Full record

ReviewPhlebology2026

What we cannot miss in clinical trials on compression therapy.

Giovanni Mosti, Serge Bohbot, Christine Bongards, J P Benigni, Nele Devoogdt, Isabel Forner-Cordero, Sergio Gianesini, Ravul Jindal, Fedor Lurie, Eduardo da Matta and 6 more

Abstract readReview
In one paragraph

Review in Phlebology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

16 authors.

Giovanni MostiAngiology Department, MD Barbantini Clinic, Lucca, Italy.ORCID 0000-0001-7639-8463
Serge BohbotGlobal Medical Affairs, Laoratoire Urgo, Chenôve, France.
Christine BongardsMedical Affairs, Solventum Germany GmbH, Kamen, Germany.
J P BenigniUniversity of Paris Sorbonne, Paris, France.
Nele DevoogdtDepartment of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
Isabel Forner-CorderoPhysical Medicine and Rehabilitation Service, Hospital Universitari i Politecnic La Fe, Universitat de Valencia, Valencia, Spain.ORCID 0000-0003-2778-037X
Sergio GianesiniDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.ORCID 0000-0002-0440-5975
Ravul JindalVascular Surgery, Fortis Hospital, Mohali, India.
Fedor LurieJobst Vascular Institute, Toledo, OH, USA.
Eduardo da MattaPró-Circulação™-Angiology and Vascular Surgery Clinic, Xanxerê, Brazil.
Makoto MoDepartment of Surgery, Yokohama City University, Yokohama, Japan.ORCID 0000-0003-3469-5181
Didier RastelSelurl Philangio, Grenoble, France.ORCID 0000-0001-9060-3531
Claas RoesScientific Support Department, Lohmann & Rauscher GmbH & Co. KG, Rengsdorf, Germany.ORCID 0000-0001-8398-2254
Wassila TahaVein Clinics of Egypt, Cairo, Egypt.
Sarah ThomisCentre for Lymphedema, Department of Vascular Surgery, University Hospitals Leuven, Leuven, Belgium.
Cees WittensEmeritus Professor of Venous Surgery, Rotterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundCompression therapy (CT) is widely prescribed for chronic venous disease (CVD), lymphedema, and lipedema despite robust evidence supporting its effectiveness only in a minority of clinical scenarios.AimProvide an overview of the methodological parameters essential for obtaining a high-quality scientific trial.MethodsThe International Compression Club (ICC) chairman prepared a preliminary list of the main methodological flaws in publications on CT, and a list of parameters to be included in high-quality randomized controlled trials (RCTs). This list was circulated among ICC board members, who provided their comments and suggestions. The document was then presented and discussed at an ICC consensus meeting with various professionals in May 2024 in London. Meeting minutes were distributed to ICC members, and the final document reflecting all additional comments and suggestions was compiled. In summary, the following recommendations represent the consensus of the ICC members.ResultsThe ICC recommends that the following parameters be reported in randomized clinical trials (RCTs): appropriate patient selection, adequate sample size, detailed classification of venous and lymphatic diseases, detailed description of CT modality, adherence to CT, and reasons for non-adherence. Tailored recommendations for specific scenarios and the use of standardized quality-of-life (QoL) tools are emphasized. Despite their value, RCTs face limitations and do not reflect real-world clinical practice. Real-world evidence (RWE) can complement RCTs by providing insights into routine applications, safety, compliance, and cost-effectiveness across diverse patient populations by standardized methodologies, large cohorts, and reliable validated registries to ensure validity.ConclusionsCombining data from RCTs and RWS allows for a comprehensive understanding of CT. RCTs provide evidence of effectiveness in a controlled scenario, while RWE offers real-world perspectives on compliance and economic outcomes in clinical practice. Together, these approaches enable a more holistic evaluation of CT, addressing current gaps in knowledge and guiding its optimal use.

Indexed as

Compression BandagesLymphedemaRandomized Controlled Trials as TopicStockings, CompressionHumansQuality of Lifecompression therapymethods flawsrandomized control trialsreal-world evidencereal-world studies

Identifiers

PMID40899334
PMCPMC13161484

What OpenQuestion holds

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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.