Compression Aided Management of Edema in Patients With C3 Venous Disease

NCT ID: NCT00766974

Last Updated: 2008-10-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-31

Study Completion Date

2009-12-31

Brief Summary

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Objectives: To quantify the clinical improvement and quality of life between patients wearing compression stockings versus anti-embolism stockings in patients with varicose veins and limb edema.

Detailed Description

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Research Design: Pilot study of patients presenting to vascular clinic with chronic venous disease with varicose veins and/or edema will be randomized 1:1 in one of two compression garment groups. Measurements of edema and the interface compression applied at the ankle will be determined. The venous clinical severity scoring system and quality of life are assessed. After 4 weeks of treatment patients will have repeat objective studies and clinical outcomes determined.

Methodology: Patients with venous disease and edema and non-venous edema will be evaluated by clinical exam and venous duplex ultrasound. Patients eligible for the study will be randomized to knee-high 20-30 Hg graded compression stockings or anti-embolism (13-18 mm Hg) compression stockings. Patients will have limb quantitative edema assessment, a severity score and quality of life determination. Compression will be assigned to each treatment group with instruction on proper wear and duration, and the interface pressure of compression at the skin surface at the ankle level determined. Following 4 weeks of compression, patients will return for evaluation in the following areas: quantify limb edema, quantify compression at the ankle, venous clinical severity score, and venous disease specific quality of life. Data will be analyzed and presented as mean±sd. Data are analyzed using ANOVA followed by Scheffe's F test for comparison of multiple means. Student's t-test for unpaired and paired data will be used for comparison of two means. Differences are considered statistically significant if P \< 0.05.

Significance: Utilizing objective measures of leg edema and applied interface pressure with two different compression garments, the data will provide the important relation between compression (mm Hg) and function of an appropriate graded compression stocking in improving limb edema and symptoms. In addition, measuring clinical outcomes before and after compression will validate the usefulness of proper compression. This study is intended to identify important quantifiable parameters that may be useful in assessing treatment end point including: clinical improvement, length of treatment, daily treatment utilization, prognosis, and clinical guidelines for compression in a specific clinical setting.

Conditions

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Chronic Venous Disease

Keywords

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Chronic Venous Disease C3 Edema Compression Garments Compression Stockings Bioimpedance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Anti-embolism Knee High compression stocking

Group Type ACTIVE_COMPARATOR

Anti-embolism Knee High Stocking

Intervention Type DEVICE

Anti-embolism Knee High Compression Stocking

2

20-30mmHg Knee High Jobst Compression Stocking

Group Type ACTIVE_COMPARATOR

20-30 Knee High Compression Stocking

Intervention Type DEVICE

20-30 mmHg Knee High COmpression Stocking

Interventions

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Anti-embolism Knee High Stocking

Anti-embolism Knee High Compression Stocking

Intervention Type DEVICE

20-30 Knee High Compression Stocking

20-30 mmHg Knee High COmpression Stocking

Intervention Type DEVICE

Other Intervention Names

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Kendall TEDS Jobst 20-30 mmHg Compression Stocking

Eligibility Criteria

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Inclusion Criteria

* Patients with varicose veins exhibiting lower leg edema
* Unilateral or bi-lateral edema

Exclusion Criteria

* Generalized leg edema from renal disease, heart failure, liver disease or other undetermined cause
* Acute infection
* Hepatitis
* Steroid use
* immuno-deficiencies including HIV
* Acute deep venous thrombosis
* Have had leg surgery or other orthopedic procedure in past 6 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BSN Medical Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Boston VA

Principal Investigators

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Joseph Raffetto, MD

Role: PRINCIPAL_INVESTIGATOR

Boston VA Healthcare

Locations

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Boston VA Healthcare

West Roxbury, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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Joseph Raffetto, MD

Role: primary

Kathleen Hickson, RN

Role: backup

Other Identifiers

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BSNCL-0003

Identifier Type: -

Identifier Source: org_study_id