The register as a tool for researching trends in phlebological care for the population of a large industrial center of Russia
Introduction. The Russian Phlebological Register began work in 2016 under the patronage of the Association of Phlebologists of Russia. The creation of a phlebological register in a separate municipal center of the country complements and enriches national plans. Aim. Тo investigate the trends in the...
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Remedium Group LTD
2023-11-01
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| Series: | Амбулаторная хирургия |
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| Online Access: | https://www.a-surgeon.ru/jour/article/view/402 |
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| author | E. P. Burleva A. V. Peshkov S. A. Tyurin S. M. Belentsov O. A. Vinogradov A. Yu. Leshchinskaya O. A. Lobut A. A. Zasorin |
| author_facet | E. P. Burleva A. V. Peshkov S. A. Tyurin S. M. Belentsov O. A. Vinogradov A. Yu. Leshchinskaya O. A. Lobut A. A. Zasorin |
| author_sort | E. P. Burleva |
| collection | DOAJ |
| description | Introduction. The Russian Phlebological Register began work in 2016 under the patronage of the Association of Phlebologists of Russia. The creation of a phlebological register in a separate municipal center of the country complements and enriches national plans. Aim. Тo investigate the trends in the organization of medical care to the population with chronic venous diseases (CVD) of a large industrial center using the phlebological register over the past 20 years. Materials and methods. The data of municipal and private medical institutions of Ekaterinburg from 2003 to 2022 are analyzed. Data on municipal hospitals (MHs) are provided by the TFOMS of the Sverdlovsk region. Data on private medical centers (PMCs) are obtained by exporting them from the electronic databases of each center. The statistics of phlebectomies (PhE), outpatient minimally invasive interventions and procedures are summarized. Results. Over the entire period of time, the number of classical phlebectomies in MHs decreased by 4 times – from 2300 (2003) to 587 (2022). At the same time, the development of minimally invasive procedures on the main veins in the PMCs increased from 313 (2003) to 4364 (2022). This made it possible to double the coverage of patients suffering from CVD with specialized medical care. In the structure of patients operated in MHs, the proportion of persons with severe chronic venous insufficiency (CVD C4–6) significantly decreased. The number of patients with superficial thrombophlebitis had a steady downward trend: the first 5 years (2003–2007) – about 200 PhE/year, then 5 years (2008–2012) – about 120 PhE/year, and from 2013 to 2022 < 100 PhE/year. Discussion. Private medical centers have consistently introduced the latest technologies, but endovasal laser coagulation remains the leader. Conclusion. The analysis of the register revealed a number of systemic changes in the organization of phlebological care. |
| format | Article |
| id | doaj-art-0cd93a919acb4cd483a904b323ebdd47 |
| institution | DOAJ |
| issn | 2712-8741 2782-2591 |
| language | Russian |
| publishDate | 2023-11-01 |
| publisher | Remedium Group LTD |
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| series | Амбулаторная хирургия |
| spelling | doaj-art-0cd93a919acb4cd483a904b323ebdd472025-08-20T03:05:27ZrusRemedium Group LTDАмбулаторная хирургия2712-87412782-25912023-11-0120219420110.21518/akh2023-031327The register as a tool for researching trends in phlebological care for the population of a large industrial center of RussiaE. P. Burleva0A. V. Peshkov1S. A. Tyurin2S. M. Belentsov3O. A. Vinogradov4A. Yu. Leshchinskaya5O. A. Lobut6A. A. Zasorin7Ural State Medical UniversityMedical Center “OLMED”Medical Center “OLMED”Medical Center “Angio Lain”Phlebology CenterUral State Medical University; City Clinical Hospital Hospital No. 40Medical Center “Paracels”Ural State Medical University; Clinical Hospital “RZD-Medicine”Introduction. The Russian Phlebological Register began work in 2016 under the patronage of the Association of Phlebologists of Russia. The creation of a phlebological register in a separate municipal center of the country complements and enriches national plans. Aim. Тo investigate the trends in the organization of medical care to the population with chronic venous diseases (CVD) of a large industrial center using the phlebological register over the past 20 years. Materials and methods. The data of municipal and private medical institutions of Ekaterinburg from 2003 to 2022 are analyzed. Data on municipal hospitals (MHs) are provided by the TFOMS of the Sverdlovsk region. Data on private medical centers (PMCs) are obtained by exporting them from the electronic databases of each center. The statistics of phlebectomies (PhE), outpatient minimally invasive interventions and procedures are summarized. Results. Over the entire period of time, the number of classical phlebectomies in MHs decreased by 4 times – from 2300 (2003) to 587 (2022). At the same time, the development of minimally invasive procedures on the main veins in the PMCs increased from 313 (2003) to 4364 (2022). This made it possible to double the coverage of patients suffering from CVD with specialized medical care. In the structure of patients operated in MHs, the proportion of persons with severe chronic venous insufficiency (CVD C4–6) significantly decreased. The number of patients with superficial thrombophlebitis had a steady downward trend: the first 5 years (2003–2007) – about 200 PhE/year, then 5 years (2008–2012) – about 120 PhE/year, and from 2013 to 2022 < 100 PhE/year. Discussion. Private medical centers have consistently introduced the latest technologies, but endovasal laser coagulation remains the leader. Conclusion. The analysis of the register revealed a number of systemic changes in the organization of phlebological care.https://www.a-surgeon.ru/jour/article/view/402chronic venous diseasesphlebologyregistеrindustrial centerorganization of medical carephlebectomiesminimally invasive interventions |
| spellingShingle | E. P. Burleva A. V. Peshkov S. A. Tyurin S. M. Belentsov O. A. Vinogradov A. Yu. Leshchinskaya O. A. Lobut A. A. Zasorin The register as a tool for researching trends in phlebological care for the population of a large industrial center of Russia Амбулаторная хирургия chronic venous diseases phlebology registеr industrial center organization of medical care phlebectomies minimally invasive interventions |
| title | The register as a tool for researching trends in phlebological care for the population of a large industrial center of Russia |
| title_full | The register as a tool for researching trends in phlebological care for the population of a large industrial center of Russia |
| title_fullStr | The register as a tool for researching trends in phlebological care for the population of a large industrial center of Russia |
| title_full_unstemmed | The register as a tool for researching trends in phlebological care for the population of a large industrial center of Russia |
| title_short | The register as a tool for researching trends in phlebological care for the population of a large industrial center of Russia |
| title_sort | register as a tool for researching trends in phlebological care for the population of a large industrial center of russia |
| topic | chronic venous diseases phlebology registеr industrial center organization of medical care phlebectomies minimally invasive interventions |
| url | https://www.a-surgeon.ru/jour/article/view/402 |
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