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Deep venous procedures performed in the National Health Service in England between 2005 and 2015

Title: Deep venous procedures performed in the National Health Service in England between 2005 and 2015
Authors: Lim, C
Shalhoub, J
Davies, AH
Item 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.
Issue Date: 27-Jul-2017
Date of Acceptance: 26-Jun-2017
URI: http://hdl.handle.net/10044/1/49769
DOI: https://dx.doi.org/10.1016/j.ejvs.2017.06.019
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/Funder: Imperial College Trust
Funder's Grant Number: N/A
Keywords: Chronic venous disease
Deep vein
Health service
Open surgery
Post-thrombotic syndrome
1103 Clinical Sciences
1102 Cardiovascular Medicine And Haematology
Cardiovascular System & Hematology
Publication Status: Published
Appears in Collections:Department of Surgery and Cancer