Publications by authors named "D Westby"

While leg ulceration is common, data regarding long-term is limited. Historical data indicate that approximately 50% of leg ulcer patients die within 5 years of presentation. However, little is known regarding survival outcomes in contemporary patient populations.

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A prospective cohort study aimed to determine factors which influence the progression of chronic venous disease (CVD) in an attempt to aid in the early identification of those at patients who are likely to benefit from early intervention. A prospective cohort study of patients referred to tertiary vascular services with varicose veins over 7 years was conducted. The primary outcome measure was the rate of disease progression from time of referral to time of consultation.

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Introduction: Treatment of reflux has been shown to improve time to healing of Venous Leg Ulcers (VLU). Terminal Interruption of the Reflux Source (TIRS) treats reflux within the plexus of veins around an active VLU using foam sclerotherapy. The efficacy of TIRS in managing VLU has never been tested.

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Background: Mixed Arterial and Venous Leg Ulcers (MAVLU) are challenging. Clinical evidence specific to MAVLU management is scarce. We evaluated our recent experience with MAVLU patients and reviewed current data regarding MAVLU epidemiology, aetiology, diagnostic assessment and management options.

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Article Synopsis
  • Vascular surgeons are increasingly treating older patients with multiple health complications, leading to the need for effective management strategies to reduce surgery-related risks.
  • A systematic review examined how co-management between surgeons and physicians affects morbidity and mortality in vascular surgery patients, revealing a lower risk of death and complications with this approach.
  • Despite promising results, the review noted high bias in existing observational studies and found no significant impact on hospital stay length or readmission rates.
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