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Construction and evaluation of a multidimensional score to assess varicose vein severity - the Homburg Varicose Vein Severity Score (HVVSS).
Eur J Dermatol. 2011 Jul-Aug; 21(4):577-84.EJ

Abstract

To evaluate a novel score (HVVSS) for varicose vein patients combining subjective symptoms, clinical findings and functional data of venous insufficiency. 91 patients (118 legs) with primary varicose veins of the great, small or accessory anterior saphenous vein were treated with conventional surgery. HVVSS was assessed pre- and 3 months postoperatively. The data were compared with established clinical and disease-related life quality scores (VCSS, AVVQ, CIVIQ). Test responsiveness, validity and reliability were determined using correlations with CEAP stage and venous refilling time as hemodynamic parameter, and inter-observer variability was assessed. All scores were highly responsive to varicose vein surgery (p<0.001). HVVSS(0-100) decreased from 34.1 ± 13.0 to 9.6 ± 6.9 postoperatively. The relative score change of HVVSS was superior to VCSS (69.5% vs. 58.8%, p=0.005). HVVSS revealed highly significant correlations with the clinical CEAP stage and was exclusively able to differentiate mild from severe disease as defined by venous refilling time (p=0.009). Inter-observer reliability of HVVSS was confirmed by correlation coefficients of 0.977 and 0.950 pre- and postoperatively (p<0.001). HVVSS is a suitable and reliable tool to assess disease severity in varicose vein patients and to quantify therapeutic effects of varicose vein treatment.

Authors+Show Affiliations

Department of Dermatology, Venerology and Allergology, Saarland University Hospital, 66421 Homburg, Germany. knuth.rass@uks.euNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21680286

Citation

Rass, Knuth, et al. "Construction and Evaluation of a Multidimensional Score to Assess Varicose Vein Severity - the Homburg Varicose Vein Severity Score (HVVSS)." European Journal of Dermatology : EJD, vol. 21, no. 4, 2011, pp. 577-84.
Rass K, Daschzeren M, Gräber S, et al. Construction and evaluation of a multidimensional score to assess varicose vein severity - the Homburg Varicose Vein Severity Score (HVVSS). Eur J Dermatol. 2011;21(4):577-84.
Rass, K., Daschzeren, M., Gräber, S., Vogt, T., Tilgen, W., & Frings, N. (2011). Construction and evaluation of a multidimensional score to assess varicose vein severity - the Homburg Varicose Vein Severity Score (HVVSS). European Journal of Dermatology : EJD, 21(4), 577-84. https://doi.org/10.1684/ejd.2011.1368
Rass K, et al. Construction and Evaluation of a Multidimensional Score to Assess Varicose Vein Severity - the Homburg Varicose Vein Severity Score (HVVSS). Eur J Dermatol. 2011 Jul-Aug;21(4):577-84. PubMed PMID: 21680286.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Construction and evaluation of a multidimensional score to assess varicose vein severity - the Homburg Varicose Vein Severity Score (HVVSS). AU - Rass,Knuth, AU - Daschzeren,Mönchzezeg, AU - Gräber,Stefan, AU - Vogt,Thomas, AU - Tilgen,Wolfgang, AU - Frings,Norbert, PY - 2011/6/18/entrez PY - 2011/6/18/pubmed PY - 2011/12/13/medline SP - 577 EP - 84 JF - European journal of dermatology : EJD JO - Eur J Dermatol VL - 21 IS - 4 N2 - To evaluate a novel score (HVVSS) for varicose vein patients combining subjective symptoms, clinical findings and functional data of venous insufficiency. 91 patients (118 legs) with primary varicose veins of the great, small or accessory anterior saphenous vein were treated with conventional surgery. HVVSS was assessed pre- and 3 months postoperatively. The data were compared with established clinical and disease-related life quality scores (VCSS, AVVQ, CIVIQ). Test responsiveness, validity and reliability were determined using correlations with CEAP stage and venous refilling time as hemodynamic parameter, and inter-observer variability was assessed. All scores were highly responsive to varicose vein surgery (p<0.001). HVVSS(0-100) decreased from 34.1 ± 13.0 to 9.6 ± 6.9 postoperatively. The relative score change of HVVSS was superior to VCSS (69.5% vs. 58.8%, p=0.005). HVVSS revealed highly significant correlations with the clinical CEAP stage and was exclusively able to differentiate mild from severe disease as defined by venous refilling time (p=0.009). Inter-observer reliability of HVVSS was confirmed by correlation coefficients of 0.977 and 0.950 pre- and postoperatively (p<0.001). HVVSS is a suitable and reliable tool to assess disease severity in varicose vein patients and to quantify therapeutic effects of varicose vein treatment. SN - 1167-1122 UR - https://www.unboundmedicine.com/medline/citation/21680286/Construction_and_evaluation_of_a_multidimensional_score_to_assess_varicose_vein_severity___the_Homburg_Varicose_Vein_Severity_Score__HVVSS__ L2 - http://www.john-libbey-eurotext.fr/medline.md?doi=10.1684/ejd.2011.1368 DB - PRIME DP - Unbound Medicine ER -