Influence of reimbursement policies on phlebological surgical practice in Belgium between 2007 and 2017.

Influence of reimbursement policies on phlebological surgical practice in Belgium between 2007 and 2017. Int Angiol. 2020 Feb 20;: Authors: Guillaume GM, Vuylsteke ME, Dalcq V, Van der Borght L, Meeus P, de Maeseneer MG Abstract BACKGROUND: To date, it is unclear how treatment of patients with chronic venous disease (CVD) is influenced by national reimbursement systems. In Belgium, catheters or fibers used for endovenous thermal ablation (EVTA) are reimbursed only once in a lifetime. The potential impact of the Belgian public health insurance reimbursement policy on surgical practice in phlebology needs to be investigated. METHODS: Billing data available from the Belgian National Institute for Health and Disability Insurance (NIHDI) were used for analysing the distribution of specific surgical procedures for treating varicose veins and their relative use from 2007 to 2017. The potential influence of age, sex, social status and geographical origin of insured patients on surgical practice in Belgium were studied. RESULTS: The annual intervention rate was 343 per 100,000 insured individuals for 2017 with a slight annual increase over the period 2007-2017 (+ 0.83% per year). Patients with limited resources, benefiting from a preferential reimbursement system, had a significantly lower intervention rate than those having the usual system (p
Source: International Angiology - Category: Cardiology Tags: Int Angiol Source Type: research

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Conclusion: The symptoms are mild. Despite low prior DVT rate, the prevalence of deep vein reflux is high and commonly combined with superficial vein reflux. Reflux commonly located below the knee, adjacent to the ulcers. Visible varicose are infrequent but most of those veins are associated with reflux. PMID: 29911374 [PubMed - in process]
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - Category: General Medicine Tags: J Med Assoc Thai Source Type: research
Resumo O objetivo deste estudo é verificar a associação do excesso de peso com a incapacidade funcional, morbidades autorreferidas e qualidade de vida (QV) de idosos residentes em área rural. Trata-se de um inquérito domiciliar e transversal realizado na área rural de um município do Sudoeste do Brasil. Foram avaliados 370 idosos sem excesso de peso e 192 com, por meio dos instrumentos: semiestruturado, escalas Katz e Lawton e, World Health Organization Quality of Life – BREF e World Health Organization Quality of Life Assessment for Older Adults. O excesso de peso ass...
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
CONCLUSION: Onset of neurologic symptoms can be immediate or delayed in patients undergoing venous foam sclerotherapy. Early recognition of neurologic deficits resulting from paradoxical gas embolism and its treatment with hyperbaric oxygen can prevent permanent disability. PMID: 29677415 [PubMed - in process]
Source: WMJ - Category: General Medicine Authors: Tags: WMJ Source Type: research
Discussion Klinefelter syndrome (KS) is a common genetic abnormaly with a prevalence of 1 in ~650 male births. It was first described in 1942 by Dr. Harry Klinefelter. It is associated with at least one extra X chromosome with the most common karyotype (~80% of patients) being 47 XXY. Other karyotypes are seen along with mosaicism. It is believed that although it is very prevalent, only about 25-33% of people with KS are identified. About 10% are identified before puberty with the rest usually identified because of hypogonadism and tall stature especially in teenage years or due to infertility in adulthood. KS is diagnosed...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
DiscussionThe aim of the LAMA trial is to establish whether MOCA is superior to the current first-line treatment, EVLA. The two main hypotheses are that MOCA may cause less initial pain and disability allowing a more acceptable treatment with an enhanced recovery. The second hypothesis is that this may come at a cost of decreased efficacy, which may lead to increased recurrence and affect longer term quality of life, increasing the requirement for secondary procedures.Trial registrationClinicalTrials.gov identifier:NCT02627846, registered 8 December 2015EudraCT number: 2015-000730-30REC ref: 15/YH/0207R&D ref: R1788
Source: Trials - Category: Research Source Type: clinical trials
Authors: Scavee V, Dehullu JP, Scavee JP, Michel I Abstract BACKGROUND: The aim of the present prospective clinical study is to evaluate the impact of the level of anxiety in patients undergoing ambulatory superficial venous surgery (SVS) and to select a specific group of patients who need more of our attention to reduce the postoperative adverse events. SUBJECTS AND METHODS: Preoperative anxiety was assessed using the Hospital Anxiety and Depression Scale (HADS), especially the HADS-A (Anxiety subscale) in 340 consecutive patients undergoing elective SVS. Venous disease was assessed in all patients according t...
Source: Acta Chirurgica Belgica - Category: Surgery Tags: Acta Chir Belg Source Type: research
CONCLUSIONS: We observed that the presence of preoperative anxiety, even although infrequent, was associated with high incidence of complications or adverse events in the recovery room and a greater postoperative pain level. In this context, this group of patients needs more of our attention, particularly to limit potential anxiety and improve their satisfaction score. PMID: 26021790 [PubMed - indexed for MEDLINE]
Source: Acta Chirurgica Belgica - Category: Surgery Tags: Acta Chir Belg Source Type: research
vre L Abstract The acidic fibroblast growth factor (FGF) intracellular binding protein (FIBP) interacts directly with the fibroblast growth factor FGF1. Although FIBP is known to be implicated in the FGF-signaling pathway, its precise function remains unclear. Gain-of-function variants in several FGF receptors (FGFRs) are implicated in a wide spectrum of growth disorders from achondroplasia to overgrowth syndromes. In a unique case from a consanguineous union presenting with overgrowth, macrocephaly, retinal coloboma, large thumbs, severe varicose veins and learning disabilities, exome sequencing identified a homo...
Source: Clinical Genetics - Category: Genetics & Stem Cells Authors: Tags: Clin Genet Source Type: research
Around one-third of adults aged 18 to 64 years have varicose veins.1 Several treatment options exist now for varicose veins: surgery, sclerotherapy, radiofrequency or laser ablations, and conservative therapy with compressive stockings. Despite recent developments in minimally invasive treatment options, surgery remains an effective treatment and is the only treatment which offers long-term effectiveness data whereas other less invasive procedures (even though associated with shorter periods of disability and less pain) only provide short term effectiveness data2.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research
Around one-third of adults aged 18–64 years have varicose veins.1 Several treatment options exist now for varicose veins: surgery, sclerotherapy, radiofrequency or laser ablations, and conservative therapy with compressive stockings. Despite recent developments in minimally invasive treatment options, surgery remains an effective treatment and is the only treatment which offers long-term effectiveness data whereas other less invasive procedures (although associated with shorter periods of disability and less pain) only provide short-term effectiveness data.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
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