Imperial College London
Alternate

Dr Francine Heatley

Faculty of Medicine, Department of Surgery & Cancer

Clinical Trials Manager
 
 
 
//

Contact

 

+44 (0)20 3311 7371f.heatley Website

 
 
//

Location

 

3E4East WingCharing Cross Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Heatley:2020:10.1177/0268355520944102,
author = {Heatley, F and Saghdaoui, LB and Salim, S and Onida, S and Gohel, MS and Davies, AH},
doi = {10.1177/0268355520944102},
journal = {Phlebology},
pages = {48--53},
title = {UK primary care survey of venous leg ulceration management and referral - Post-EVRA trial},
url = {http://dx.doi.org/10.1177/0268355520944102},
volume = {36},
year = {2020}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectiveDetermine standards of referral and management of patients with venous leg ulceration in primary care after the release of the EVRA (A Randomized Trial of Early Endovenous Ablation in Venous Ulceration) study results.MethodsAn online questionnaire was disseminated over four months to professionals working within primary care.ResultsThe survey received 643 responses. Of respondents, 90 (14%) had heard of the EVRA trial and 51 (8%) were familiar with the results. Of those who answered the following questions, 410 (69.1%) stated that referral to a vascular specialist must be made by the General Practitioner and 13 (2.2%) reported that they would always refer patients for secondary care assessment before the publication of EVRA. Considering the EVRA results, 128 (29%) reported that they would change practice regarding referral and would experience no barriers and 198 (45%) reported that they would like to refer earlier but is not their decision. Barriers to changing practice included local referral policies, training and time restrictions, 266 (59%) had heard of the NICE guideline (CG168) and 194 (43%) were aware of the recommendations for referral to a vascular service within two weeks for patients with an open or healed ulcer.ConclusionThere is a considerable variation in local referral pathways for venous leg ulceration, and despite clinicians wanting to refer promptly, many primary care professionals are unable to. Unfortunately, the EVRA study alone may not change the overall practice, and work is needed to overcome barriers faced by primary care professionals.
AU  - Heatley,F
AU  - Saghdaoui,LB
AU  - Salim,S
AU  - Onida,S
AU  - Gohel,MS
AU  - Davies,AH
DO  - 10.1177/0268355520944102
EP  - 53
PY  - 2020///
SN  - 0268-3555
SP  - 48
TI  - UK primary care survey of venous leg ulceration management and referral - Post-EVRA trial
T2  - Phlebology
UR  - http://dx.doi.org/10.1177/0268355520944102
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000558624300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://journals.sagepub.com/doi/10.1177/0268355520944102
UR  - http://hdl.handle.net/10044/1/91485
VL  - 36
ER  -
Download