{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:44:02Z","timestamp":1777916642583,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Varicose veins (VV) negatively impact quality of life (QoL) and have risks of major complications including bleeding, ulceration and phlebitis. During the COVID-19 pandemic, the VSGBI (Vascular Society of Great Britain and Ireland) and GIRFT (Get It Right First Time) classified VVs as lowest priority for intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to determine harm caused and the impact on the QoL on patients waiting for their VVs procedures for more than 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective study conducted at the Norfolk and Norwich University Hospital (NNUH). Patients with VVs awaiting intervention for &gt;1 year were included in the study. Patients with CEAP C6 disease were considered to be too high risk to be invited for treatment during the Covid-19 pandemic. Patients were sent QoL questionnaires and underwent a telephone consultation to assess harm. Both generic (EQ-VAS and EQ-5D) and disease-specific (AVVQ and CIVIQ-14) instruments were utilised. There were no control groups available for comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>275 patients were identified (37.1% male) with median time on waiting list of 60 weeks (IQR 56\u201365). 19 patients (6.9%) came to major harm, including phlebitis (3.6%), bleeding (1.8%) and ulceration (1.8%). Fifty-two patients (18.9%) had minor harm, including worsening pain (12.7%) and swelling (6.2%). 6.9% reported psychological harm. Rising CEAP stage was also associated with worsening level of harm in patients with C5-6 disease ( p &lt; 0.0001). Only 8.7% stated they would decline surgery during the pandemic. 104 QoL questionnaires were returned. Median EQ-VAS and EQ-5D was 75 (IQR: 60\u201385) and 0.685 (0.566\u20130.761), respectively. Median AVVQ score was 23.2 (14.9\u201331.0) and CIVIQ-14 score was 33 (21\u201344). ConclusionsThis study highlights the impact of delaying VVs surgery during a pandemic. A significant rate of both major and minor as well as psychological harm was reported. In addition, VVs had a significant detriment to quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555221141824","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T14:42:28Z","timestamp":1669646548000},"page":"22-27","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The risk of harm whilst waiting for varicose veins procedure"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2378-6232","authenticated-orcid":false,"given":"Roshan","family":"Bootun","sequence":"first","affiliation":[{"name":"Vascular Trainee, East of England Deanery, United Kingdom, and Honorary Research Fellow, Section of Vascular Surgery, Imperial College London, UK"},{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mandy","family":"Burrows","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed M","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, UK"},{"name":"NIHR Clinical Lecturer in Vascular Surgery, Department of Vascular Surgery, Cambridge University Hospitals, University of Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3585-6728","authenticated-orcid":false,"given":"Philip W","family":"Stather","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, UK"},{"name":"Clinical Associate Professor, Norwich Medical School, University of East Anglia, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wissam","family":"Al-Jundi","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Norfolk and Norwich University Hospital, UK"},{"name":"Honorary Senior Lecturer, Norwich Medical School, University of East Anglia, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"key":"bibr1-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1136\/jech.53.3.149"},{"key":"bibr2-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7180.353"},{"key":"bibr3-02683555221141824","first-page":"682","volume":"99","author":"Raetz J","year":"2019","journal-title":"Am Fam Physician"},{"key":"bibr4-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1016\/J.Ejvs.2012.06.022"},{"key":"bibr5-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.121985"},{"key":"bibr6-02683555221141824","unstructured":"NICE Clinical Guideline Centre. Varicose veins in the legs - the diagnosis and management of varicose veins (Clinical guideline 168)."},{"key":"bibr7-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-019-0881-7"},{"key":"bibr8-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11746"},{"key":"bibr9-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1186\/s13037-020-00235-9"},{"key":"bibr10-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2020.03.019.e1083"},{"key":"bibr11-02683555221141824","volume-title":"Resumption of less urgent and elective (endo-) vascular surgery","author":"Vascular Society of Great Britain &amp; Ireland","year":"2020"},{"key":"bibr12-02683555221141824","unstructured":"COVID-19 response: Guidance on the resumption of less urgent\/elective vascular and endovascular surgery."},{"key":"bibr13-02683555221141824","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"bibr14-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-164"},{"key":"bibr15-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.11.014"},{"key":"bibr16-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2014.09.008"},{"key":"bibr17-02683555221141824","volume-title":"Provision of Services for People with Vascular Disease 2021","author":"Vascular Society of Great Britain &amp; Ireland","year":"2021"},{"key":"bibr18-02683555221141824","volume-title":"Statistical Press Notice: NHS referral to treatment (RTT) waiting times data - November 2021","author":"NHS England","year":"2022"},{"key":"bibr19-02683555221141824","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.05.048"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555221141824","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02683555221141824","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555221141824","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:53:19Z","timestamp":1777657999000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02683555221141824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,28]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1177\/02683555221141824"],"URL":"https:\/\/doi.org\/10.1177\/02683555221141824","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,28]]}}}