Only complete the survey if you are a clinician
Leg ulcers are very common and account for 2-3% of all healthcare budgets. The UK National Institute of Health (NIHR) funded Early Venous Reflux Ablation (EVRA) randomised controlled trial was designed to clarify whether early endovenous intervention (e.g. endothermal ablation and foam sclerotherapy prior to ulcer healing) of superficial venous reflux improves healing in patients presenting with a leg ulcer of less than 6 months in duration. The results showed that with respect to ulcer healing, ulcer recurrence and cost effectiveness, early intervention was of benefit. However, in both groups there was a significant recurrence rate and 27% of patients were excluded from the EVRA trial because their ulcer was > 6 months’ duration.
Imperial College are designing two RCTs to be included in a leg ulcer platform study, one investigating endovenous intervention in patients with leg ulcers over 6 months in duration, and one involving regular surveillance to treat any developing or residual superficial venous reflux to reduce recurrence.
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