The effect of compression therapy on quality of life in patients with chronic venous disease : a comparative 6-month study

Abstract

Introduction: Chronic venous diseases (CVD), because of its chronic and progressive nature, impairs patients' quality of life (Qol). Aim: To compare the OoL in patients with primary superficial venous insufficiency at different stages before and after compression therapy (CT). Material and methods: We compared the change in the QoL parameters from baseline to the end of a 6-month compression therapy. 180 subjects were enrolled. They were subdivided into 6 equal subgroups according to CEAP classes. The OoL was assessed using questionnaires, the generał SF-36v2 and the disease-specific CIVIQ-20. At the beginning and after the completion of the study intervention, the severity of CVD was assessed in each patient using CEAP and VCSS. The pain intensity was assessed using the numerical rating scale. Results: The CT reduced the severity of CVD, which translated into the increased size of C2 an d C5 subgroups, and reduced size of C3 and C6 subgroups. Another marker of reduced severity of CVD after CT was a significant reduc- tion in VCSS scores in Cl, and C3-C6 subgroups. A 6-month CT was associated with a significant OoL improvement in all CEAP class-based subgroups, across all individual and composite domains of SF-36v2, as well as dimensions and GIS of CIVIQ-20. Similarly, there was a significant pain reduction reported in all CEAP class-based subgroups. Conclusions: Compression therapy using ready-made compression hosiery significantly affects the quality of life in patients with chronic venous disease at all its stages, CEAP classes C1-C6.