{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:42:40Z","timestamp":1777916560416,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T00:00:00Z","timestamp":1586304000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Various guidelines exist worldwide for the diagnosis and management of venous leg ulcers; however, these are difficult to implement resulting in disparate treatment of patients globally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>An online, 26-question survey was designed to evaluate the current global management of venous leg ulceration and was emailed globally to approximately 15,000 participants (November 2017\u2013February 2018).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 799 responses were received from 86 countries, with a 5% response rate. The respondent physicians saw a median of 10 (interquartile range 5\u201320) patients per month, with a median time to referral from primary to secondary care of six weeks. Of the respondents, 61% arranged an ankle brachial pressure index on first visit and 84% performed a venous duplex, with 95% prescribing compression for those in whom it was not contraindicated. Fifty-nine percent performed endovenous intervention or surgery prior to ulcer healing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The survey showed a diversity of treatment pathways. The need to develop a robust, clear pathway for patients with leg ulceration is clearly required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0268355520917847","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T22:39:48Z","timestamp":1586385588000},"page":"576-582","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The global management of leg ulceration: Pre early venous reflux ablation trial"],"prefix":"10.1177","volume":"35","author":[{"given":"Francine","family":"Heatley","sequence":"first","affiliation":[{"name":"Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Onida","sequence":"additional","affiliation":[{"name":"Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5261-6913","authenticated-orcid":false,"given":"Alun H","family":"Davies","sequence":"additional","affiliation":[{"name":"Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,8]]},"reference":[{"key":"bibr1-0268355520917847","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2009.18.4.41607"},{"key":"bibr2-0268355520917847","volume-title":"Wounds research for patient benefit: a 5-year programme of research Southampton (UK)","author":"Cullum N","year":"2016"},{"key":"bibr3-0268355520917847","doi-asserted-by":"publisher","DOI":"10.1097\/00129334-200311000-00013"},{"key":"bibr4-0268355520917847","doi-asserted-by":"crossref","unstructured":"Guest JF, Ayoub N, McIlwraith T, et\u00a0al. 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The diagnosis and management of varicose veins, www.nice.org.uk\/guidance\/cg168 (2013, accessed 10 June 2019)."},{"key":"bibr14-0268355520917847","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39216.542442.BE"},{"key":"bibr15-0268355520917847","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.058"},{"key":"bibr16-0268355520917847","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.02.007"},{"key":"bibr17-0268355520917847","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.329.7473.999"},{"key":"bibr18-0268355520917847","doi-asserted-by":"crossref","unstructured":"Davies HO, Popplewell M, Bate G, et\u00a0al. 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