Abdulkerim ÖZHAN, Murat BAŞTOPÇU, Cemal KOCAASLAN, Mehmet Şenel BADEMCİ, Ahmet ÖZTEKİN, Fatih Avni BAYRAKTAR, Betül Nur KESER, Ebuzer AYDIN

The Impact of Obesity and Patient-Reported Reasons on Patient Noncompliance with Compression Stockings

Anahtar Kelimeler:

Venous insufficiency, compression stockings, compliance, obesity

The Impact of Obesity and Patient-Reported Reasons on Patient Noncompliance with Compression Stockings

Introduction: The aim of this study is to investigate the impact of obesity on patient compliance with elastic compression stockings and to reveal patient behavior-related and compression stockings-related factors for noncompliance. Patients and Methods: Between July and August 2022, a total of 246 patients with chronic venous insufficiency were included in the study. The patients were divided into two groups, obese and non-obese patients (88 vs. 158 patients), and questioned for proper use of compression stockings and the patient-reported reasons for the non-compliance. Results: The mean age was 49.0 ± 13.1, and the mean BMI was 28.6 ± 5.2. Only 51 patients (20.7%) out of 246 complied with stocking use. The mean number of days per week in which the compression stockings were properly used was 2.9 ± 1.7 in the study population. Patient compliance was higher in the non-obese group (12.5% vs. 25.3%, p= 0.017), and the number of days per week in which the compression stockings were worn properly was higher in the non-obese group (2.6 ± 1.3 vs. 3.1 ± 1.9, p= 0.032). Conclusion: The compliance of our patients with elastic compression stockings was found to be as low as 20.7%. Compliance was lower in the group of obese patients. Obesity and diabetes mellitus were the only factors associated with noncompliance in univariate logistic regression analysis. Further studies are needed in larger patient populations to increase the rate of patient compliance.

Keywords:

Venous insufficiency, compression stockings, compliance, obesity,

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1. Keser İ, Özdemir K, Erer D, Onurlu İ, Bezgin S. Differences in pain, fatigue, and quality of life in patients with chronic venous insufficiency based on physical activity level. Turk Gogus Kalp Damar Cerrahisi Derg 2020;28(1):76-83. [Crossref]
2. Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation 2014;130(4):333-46. [Crossref]
3. de Maeseneer MG, Kakkos SK, Aherne T, Baekgaard N, Black S, Blomgren L, et al. Editor’s choice - European Society for Vascular Surgery (ESVS) 2022 clinical practice guidelines on the management of chronic venous disease of the lower limbs. Eur J Vasc Endovasc Surg 2022;63(2):184-267. [Crossref]
4. Deol ZK, Lakhanpal S, Franzon G, Pappas PJ. Effect of obesity on chronic venous insufficiency treatment outcomes. J Vasc Surg Venous Lymphat Disord 2020;8(4):617-28. [Crossref]
5. Goetz J, Kaisermayer E, Haase H, Jünger M, Riebe H. Better wearing comfort of knee-length elastic compression stockings with an interface pressure of 18-21 mmHg compared to 23-32 mmHg in elderly people after a one day trial - Influence on foot deformities, rheumatism and arthritis. Clin Hemorheol Microcirc 2019;73(1):145-56. [Crossref]
6. Clarke-Moloney M, Keane N, O’Connor V, Ryan MA, Meagher H, Grace PA, et al. Randomised controlled trial comparing European standard class 1 to class 2 compression stockings for ulcer recurrence and patient compliance. Int Wound J 2014;11(4):404-8. [Crossref]
7. Kakkos SK, Timpilis M, Patrinos P, Nikolakopoulos KM, Papageorgopoulou CP, Kouri AK, et al. Acute effects of graduated elastic compression stockings in patients with symptomatic varicose veins: A randomised double-blind placebo controlled trial. Eur J Vasc Endovasc Surg 2018;55(1):118-25. [Crossref]
8. Lattimer CR, Kalodiki E, Azzam M, Geroulakos G. Haemodynamic performance of low strength below knee graduated elastic compression stockings in health, venous disease, and lymphoedema. Eur J Vasc Endovasc Surg 2016;52(1):105-12. [Crossref]
9. Dawson AJ, Akaberi A, Galanaud JP, Morrison DR, Kahn SR. Patient-reported reasons for and predictors of noncompliance with compression stockings in a randomized trial of stockings to prevent postthrombotic syndrome. Res Pract Thromb Haemost 2020;4(2):269-77. [Crossref]
10. Gong JM, Du JS, Han DM, Wang XY, Qi SL. Reasons for patient non-compliance with compression stockings as a treatment for varicose veins in the lower limbs: A qualitative study. PLoS One 2020;15(4):0231218. [Crossref]
11. Raju S, Hollis K, Neglen P. Use of compression stockings in chronic venous disease: Patient compliance and efficacy. Ann Vasc Surg 2007;21(6):790-5. https://doi.org/10.1016/j.avsg.2007.07.014 [Crossref]
12. Rastel D. Treatment by medical compression stockings among 144 consecutive patients with non-complicated primary varicose veins: Results on compliance. J Mal Vasc 2014;39(6):389-93. [Crossref]
13. Buset CS, Fleischer J, Kluge R, Graf NT, Mosti G, Partsch H, et al. Compression stocking with 100% donning and doffing success: An open label randomised controlled trial. Eur J Vasc Endovasc Surg 2021;61(1):137-44. [Crossref]
14. Dijkstra ML, Khin NY, Thomas SD, Lane RJ. Popliteal vein compression syndrome pathophysiology and correlation with popliteal compartment pressures. J Vasc Surg Venous Lymphat Disord 2013;1(2):181-6. [Crossref]
15. Uhl JF, Benigni JP, Chahim M, Fréderic D. Prospective randomized controlled study of patient compliance in using a compression stocking: Importance of recommendations of the practitioner as a factor for better compliance. Phlebology 2018;33(1):36-43. [Crossref]
16. Ziaja D, Kocełak P, Chudek J, Ziaja K. Compliance with compression stockings in patients with chronic venous disorders. Phlebology 2011;26(8):353-60. [Crossref]
17. van Raemdonck K, Umar S, Szekanecz Z, Zomorrodi RK, Shahrara S. Impact of obesity on autoimmune arthritis and its cardiovascular complications. Autoimmun Rev 2018;17(8):821- 35. [Crossref]
18. Apovian CM. Obesity: Definition, comorbidities, causes, and burden. Am J Manag Care 2016;22(7):176-85.
19. Jindal R, Uhl JF, Benigni JP. Sizing of medical below-knee compression stockings in an Indian population: A major risk factor for non-compliance. Phlebology 2020;35(2):110-4. [Crossref]
20. Kankam HKN, Lim CS, Fiorentino F, Davies AH, Gohel MS. A summation analysis of compliance and complications of compression hosiery for patients with chronic venous disease or post-thrombotic syndrome. Eur J Vasc Endovasc Surg 2018;55(3):406-16. [Crossref]
21. Ayala Á, Guerra JD, Ulloa JH, Kabnick L. Compliance with compression therapy in primary chronic venous disease: Results from a tropical country. Phlebology 2019;34(4):272-7. [Crossref]

ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi