Deep venous procedures performed in the National Health Service in England between 2005 and 2015
Author(s)
Lim, C
Shalhoub, J
Davies, AH
Type
Journal Article
Abstract
Objectives
Recent advances in imaging technology and endovenous interventions have revolutionised the management of specific groups of patients with deep venous pathology. This study aimed to examine data published by Hospital Episode Statistics (HES) to assess trends in the number of endovascular and open surgical deep venous procedures performed in National Health Service (NHS) hospitals in England between 2005 and 2015.
Materials and methods
The main diagnosis of deep venous thrombosis (DVT), and total number of primary open and percutaneous procedures for deep venous pathology for patients admitted to the NHS hospitals in England from 2005 to 2015 were retrieved from the HES database and analysed.
Results
An overall declining trend in the annual number of admissions for a primary diagnosis of DVT was observed (linear regression r2 = 0.9, p < .0001). The number of open surgical procedures for removal of thrombus remained largely unchanged (range 26–70); the frequency of percutaneous procedures increased steadily over the study period (range 0–311). The number of open surgical procedures relating to the vena cava fell between 2005 and 2009, and remained around 50 per year thereafter. Annual numbers of cases of deep venous bypass (range 17–33) and venous valve surgery (range 8–47) remained similar in trend over this period. The number of vena cava stent (range 0–405), other venous stent (range 0–316), and percutaneous venoplasty (range 0–972) procedures increased over the first 5 years of the study period.
Conclusions
There is an increasing trend in relation to endovenous procedures but not open surgery, being carried out for deep venous pathology in the last decade in NHS hospitals in England. Despite a number of limitations with HES, the increase in the number of endovenous procedures shown is likely to have significant implications for the provision of care and healthcare resources for patients with deep venous pathology.
Recent advances in imaging technology and endovenous interventions have revolutionised the management of specific groups of patients with deep venous pathology. This study aimed to examine data published by Hospital Episode Statistics (HES) to assess trends in the number of endovascular and open surgical deep venous procedures performed in National Health Service (NHS) hospitals in England between 2005 and 2015.
Materials and methods
The main diagnosis of deep venous thrombosis (DVT), and total number of primary open and percutaneous procedures for deep venous pathology for patients admitted to the NHS hospitals in England from 2005 to 2015 were retrieved from the HES database and analysed.
Results
An overall declining trend in the annual number of admissions for a primary diagnosis of DVT was observed (linear regression r2 = 0.9, p < .0001). The number of open surgical procedures for removal of thrombus remained largely unchanged (range 26–70); the frequency of percutaneous procedures increased steadily over the study period (range 0–311). The number of open surgical procedures relating to the vena cava fell between 2005 and 2009, and remained around 50 per year thereafter. Annual numbers of cases of deep venous bypass (range 17–33) and venous valve surgery (range 8–47) remained similar in trend over this period. The number of vena cava stent (range 0–405), other venous stent (range 0–316), and percutaneous venoplasty (range 0–972) procedures increased over the first 5 years of the study period.
Conclusions
There is an increasing trend in relation to endovenous procedures but not open surgery, being carried out for deep venous pathology in the last decade in NHS hospitals in England. Despite a number of limitations with HES, the increase in the number of endovenous procedures shown is likely to have significant implications for the provision of care and healthcare resources for patients with deep venous pathology.
Date Issued
2017-07-27
Date Acceptance
2017-06-26
Citation
European Journal of Vascular and Endovascular Surgery, 2017, 54 (4), pp.487-494
ISSN
1532-2165
Publisher
Elsevier
Start Page
487
End Page
494
Journal / Book Title
European Journal of Vascular and Endovascular Surgery
Volume
54
Issue
4
Copyright Statement
© 2017 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor
Imperial College Trust
Grant Number
N/A
Subjects
Chronic venous disease
Deep vein
Endovenous
Health service
Open surgery
Post-thrombotic syndrome
1103 Clinical Sciences
1102 Cardiovascular Medicine And Haematology
Cardiovascular System & Hematology
Publication Status
Published