BackgroundThe effectiveness of compression therapy (CT) and the best compression modality choice are questioned in many clinical stages of chronic venous disease (CVD). This work aims to obtain information on indications, contraindications, and the best treatment option for CT in different clinical scenarios of CVD.MethodAn online survey was made among members of the International Compression Club, experts in CT.ResultsThe experts apply CT in all clinical stages of CVD, even when evidence is missing. Regarding compression materials, experts use inelastic materials in the advanced stages of CVD and compression stockings in the early or chronic stages of CVD.ConclusionThe authors highlight the gap between experts’ practical use of CT and evidence-based medicine results. They also suggested that, given the cost of randomized clinical trials aimed at specifying specific indications for different devices, artificial intelligence could be used for large-scale practice surveys in the future.

中文翻译：

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适应症、禁忌症、副作用、总体评估和未来展望：国际压缩俱乐部调查

背景在慢性静脉疾病（CVD）的许多临床阶段，加压治疗（CT）的有效性和最佳加压方式选择受到质疑。本研究旨在获取不同CVD临床情况下CT的适应症、禁忌症以及最佳治疗方案等信息。方法对国际压力俱乐部成员、CT专家进行在线调查。结果专家将CT应用于各个临床阶段CVD，即使缺乏证据。关于压力材料，专家在CVD晚期使用非弹性材料，在CVD早期或慢性阶段使用压力袜。结论作者强调了专家实际使用CT与循证医学结果之间的差距。他们还建议，考虑到旨在为不同设备指定具体适应症的随机临床试验的成本，人工智能未来可用于大规模实践调查。