The 2020 update of the CEAP classification ... - Medical Tips

April 20, 2020—The 2020 update of the CEAP (Clinical-Etiology-Anatomy-Pathophysiology) classification system and reporting standards has been published by ... QUEMSOMOS MEDICALFLIX PARCEIROS BLOG CONTATO Menu QUEMSOMOS MEDICALFLIX PARCEIROS BLOG CONTATO ACESSARMEDICALFLIX The2020updateoftheCEAPclassificationsystemandreportingstandards April20,2020—The2020updateoftheCEAP(Clinical-Etiology-Anatomy-Pathophysiology)classificationsystemandreportingstandardshasbeenpublishedbyFedorLurie,MD,etalinJournalofVascularSurgery:VenousandLymphaticDisorders(JVS-VL;2020;8:342–352). Asstatedinthedocument,theCEAPclassificationsystemisbasedonclinicalmanifestationsofchronicvenousdisorders,onthecurrentunderstandingoftheetiology,theinvolvedanatomy,andtheunderlyingvenouspathology.Itisaninternationallyacceptedstandardfordescribingpatientswithchronicvenousdisordersanditisusedforreportingclinicalresearchfindingsinscientificjournals. ThedocumentnotesthattheCEAPclassificationwasdevelopedin1993,updatedin1996,andrevisedin2004.In2017,theAmericanVenousForum(AVF)createdaCEAPTaskForceandchargedittocriticallyanalyzethecurrentclassificationsystemandrecommendrevisions.Astheevidencerelatedtotheseaspectsofvenousdisorders,andspecificallyofchronicvenousdiseases(CVD;C2–C6)continuetodevelop,theCEAPclassificationneedsperiodicanalysisandrevisions,statedtheauthors. ToadopttherevisedDelphiprocessandmakeseveralchanges,theTaskForcewasguidedbyfourbasicprinciples:(1)preservationofthereproducibilityofCEAP,(2)compatibilitywithpreviousversions,(3)evidence-based,and(4)practicalforclinicaluse. ThereportinJVS-VLdescribestherevisionsandtherationaleformakingthesechanges,whichinclude: .AddingCoronaphlebectaticaastheC4cclinicalsubclass.Introducingthemodifier“r”forrecurrentvaricoseveinsandrecurrentvenousulcers.Replacingnumericdescriptionsofthevenoussegmentsbytheircommonabbreviations Theconclusionofthedocumentstates,“Sinceitsinitialdevelopment,theCEAPclassificationhasbeenandcontinuestobeanimportantcontributortoprogressinthefieldofCVD.Ithasbecomeauniversallyacceptedstandardinresearchandreporting.Althoughthestabilityofclassificationisessentialformaintainingscientificandclinicaladvancement,continuouslyaccumulatedevidenceandknowledgerequirerevisitingtheclassificationanditsdefinitionsandrevisingthemwhennecessary.” Furthermore,theauthorsadvised,“This2020CEAPrevisionisaresultofarigorousprocessofevidenceanalysis.Althoughseveralproposedchangeswerenotincludedinthefinalversion,proponentsoftheseandotherfuturepotentialrevisionsareencouragedtodevelopandpublishsupportingevidence.Whensuchevidenceisavailable,theAVFTaskForcewillrevisittheCEAPclassificationsystem,makingrevisionsaspartofacontinualprocessandmaintainingtheintegrityofCEAPastheuniversallyacceptedclassificationsystemandreportingstandardforCVD.” AnaccompanyingeditorialinJVS-VLisauthoredbyBoEklöf,MD(2020;8:341).Dr.Eklöf,ofLundUniversityinHelsingborg,Sweden,wasaleaderinthecreationofthefirstCEAPclassificationsystemin1993andisaco-authorofthe2020update. Inhiscommentary,Dr.Eklöfstated,“InCVDs,reliancefortoolongwasplacedontheclinicalappearanceofthelimbandthesuperficialveins,withoutrequiringobjectivetestingofthevenoussystemtosubstantiatethediagnosis.PreviousclassificationsfromWidmer(1978)throughMiranda(1993)lackedcompletenessandobjectivityneededforscientificaccuracy.” Beginningin1993,Dr.Eklöfandleadingpioneersdevelopedclassificationsystemsfordiagnosisandtreatmentofchronicvenousdisease.TheclassificationsevolvedtokeepupwithadvancementsinCVDtreatment.Henotedthatby2016,manyauthorshaveusedCEAPforpublicationsmostusedonlytheclinicalclassificationCandnotthecompleteCEAP. Inadditiontothefourprinciplesnotedabove,Dr.Eklöfstressedafifthprincipleofthetaskforce:“ThegoaltokeepCEAPasadiscriminativeinstrumentwhiletheVenousDiseaseSeverityScoreshouldbeitsevaluativecomplement.” HestatedinJVS-VL,“[T]henewrecommendationswereimplemented,witheasytounderstandexplanationsofdefinitions,affectingthreeofthefourcategoriesofCEAP: .C:C2randC6rwereintroducedforrecurrence;coronaphlebectaticaC4cwasadded,whichwillpleaseourcolleaguesinFranceandItaly.E:thesubcategoryofEswasintroduced.A:anatomicabbreviationswereusedandnotnumbers.P:nochange” Dr.Eklofconcluded,“TheAVFtaskforce,undertheleadershipofFedorLurieandMarkPassman,hasdoneanexcellentjobwiththelatest,secondrevisionandwithexplanationoftheimportantroleofCEAPinCVD.PublicationofthisdocumentappearstobeagoodreasontoremindreviewersandeditorstorequirethecompleteCEAP—basicoradvanced—classificationformanuscriptsdealingwithCVDtoimprovethescientificqualityofpublishedliterature.Bynotadheringtotheseprinciples,wemaybebackwherewewere40yearsago,usingWidmer’sclinicalclassification.” Cliquenolinkparaacessaroestudo: https://academic.oup.com/ejcts/article/55/1/133/5126837 notíciasrelacionadas Os30anosdagranderevoluçãovascular:onascimentodeumanovaera.ByTulioNavarro,RicardoProcópio. Alerta!VejaessevídeomuitoimportantecomalgunscuidadossobreoCORONAVÍRUS. VídeoInformativocomDicasdePrevençãocontraoCOVID-19 TheSocietyforVascularSurgeryclinicalpracticeguidelinesonthemanagementofvisceralaneurysms EuropeanSocietyforVascularSurgery(ESVS)2020ClinicalPracticeGuidelinesontheManagementofAcuteLimbIschaemia EuropeanSocietyforVascularSurgery(ESVS)2020ClinicalPracticeGuidelinesontheManagementofVascularGraftandEndograftInfections Currentoptionsandrecommendationsforthetreatmentofthoracicaorticpathologiesinvolvingtheaorticarch:anexpertconsensusdocumentof The2020appropriateusecriteriaforchroniclowerextremityvenousdiseaseoftheAmericanVenousForum,theSocietyforVascular The2020updateoftheCEAPclassificationsystemandreportingstandards Managementofvenouslegulcers:clinicalpracticeguidelinesoftheSocietyforVascularSurgery®andtheAmericanVenousForum icon [email protected] icon BeloHorizonte.Brasil +55319778.0305 icon icon ©2020MEDICALTIPS.TODOSOSDIREITOSRESERVADOS. 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