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Interobserver variability in the assessment of the clinical severity of superficial venous insufficiency
Department of Surgery, Capio S:t Gorans Hospital, Stockholm, Sweden .
Venous Centre, Stockholm, Sweden.
Department of Vascular Surgery, Karolinska University Hospital, Stockholm, Sweden.ORCID iD: 0000-0003-4222-6721
2015 (English)In: Phlebology, ISSN 0268-3555, E-ISSN 1758-1125, Vol. 30, no 1, p. 61-65Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The clinical class C, of the CEAP classification (Clinical-Etiology-Anatomy-Pathophysiology), is often used when selecting patients for treatment within the national healthcare system. The aim of this study was to test the interobserver reproducibility of C when used in a clinical situation where the decision for reimbursement was made.

METHODS: An unselected series of 78 patients (106 limbs) with varicose veins were examined by three independent surgeons with regard to C of CEAP and whether there was a medical indication for treatment. Interobserver reproducibility was calculated with kappa statistic.

RESULTS: Total agreement between the three observers for clinical class was obtained in 61% of all cases (κ .55-.68 (95% CI)) and for medical indication in 60% of all cases (κ.35-.57 (95% CI)).

CONCLUSION: The reproducibility of C when deciding medical indication for treatment is moderate. This may be due to inherent difficulties in the CEAP, lack of specific training, or the simultaneous assessment of reimbursement that may influence the clinical classification.

Place, publisher, year, edition, pages
Sage Publications, 2015. Vol. 30, no 1, p. 61-65
Keywords [en]
CEAP clinical class, chronic venous disease, chronic venous insufficiency, classification of venous disease, varicose veins
National Category
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-78159DOI: 10.1177/0268355513515474ISI: 000348063600009PubMedID: 24317098Scopus ID: 2-s2.0-84921417759OAI: oai:DiVA.org:oru-78159DiVA, id: diva2:1373231
Available from: 2019-11-26 Created: 2019-11-26 Last updated: 2019-11-27Bibliographically approved

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