The aim of this study is to analyze the effect of intravenous therapy with radiofrequency for superficial and perforating venous insufficiency versus compression therapy with multilayer banding in patients with active venous ulcer. This is a controlled, randomized prospective clinical trial. People with venous ulcers and primary venous insufficiency in superficial and perforating venous system will be studied. Participants will be divided into two experimental groups: compression therapy alone, and compression therapy associated with superficial and perforating venous system ablation. Clinical aspects, improvement in patients' quality of life and interventions cost-effectiveness will be analyzed. Patients will be followed for 12 months after ulcer healing.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
84
Radiofrequency ablation of insufficient saphenous and perforating veins using Closure Fast and Closure Stylet catheters (medtronic)
Individual receive multilayer compressive bandage once a week
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (University of São Paulo)
São Paulo, São Paulo, Brazil
RECRUITINGUlcer Healing - 12 w
Ulcers was already healed after 12 weeks
Time frame: 12 weeks
Ulcer Healing - 24 w
Ulcers was already healed after 24 weeks
Time frame: 24 weeks
Ulcer Recurrence
Ulcer recurrence rate after 1 year of follow up
Time frame: 1 year
Quality of life SF-36
Increasing in individual's quality of life using SF 36
Time frame: at the begginning and up to 1 week after ulcer had healed
Quality of life EQ- 5D
Increasing in individual's quality of life using EQ-5D
Time frame: at the begginning and up to 1 week after ulcer had healed
Quality of life VLU-Qol
Increasing in individual's quality of life using VLU-Qol
Time frame: at the begginning and up to 1 week after ulcer had healed
Quality of life CCVLUQ
Increasing in individual's quality of life using VLU-Qol
Time frame: at the begginning and up to 1 week after ulcer had healed
Health Economic Assessment
A cost-effectiveness analysis will be performed using the collected data of resources used in participants care along the study. Cost-utility (QALY) will be calculated using EQ-5d questionarie data
Time frame: 1 year
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