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FOAM-study, Cost Minimization Study Comparing Surgery Versus Duplex Guided Foam Sclerotherapy of Varicose Veins

Primary Purpose

Varicose Vein Disease

Status
Completed
Phase
Not Applicable
Locations
Netherlands
Study Type
Interventional
Intervention
high ligation and stripping (surgery)
FOAM
Sponsored by
Maastricht University Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Varicose Vein Disease focused on measuring Incompetence of the great saphenous vein.

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • incompetence of great saphenous vein for minimal 20 cm
  • life expectancy at least 3 years
  • open and competent deep venous system
  • willing to undergo both treatments

Exclusion Criteria:

  • active ulcer
  • signs of deep venous thrombosis with duplex
  • incompetence of the deep venous system

Sites / Locations

  • Maastricht UMC

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

high ligation and stripping

duplex guided foam sclerotherapy

Arm Description

surgery consisting of high ligation in combination with long saphenous stripping

duplex guided foam sclerotherapy

Outcomes

Primary Outcome Measures

cumulative probability of recurrent varicose vein within 24 months after treatment

Secondary Outcome Measures

quality of life (as measured by EuroQol-5D)
patient preferences (as measured by conjoint analysis)
direct Health care costs
materials, operation costs, personnel costs

Full Information

First Posted
April 6, 2010
Last Updated
April 12, 2010
Sponsor
Maastricht University Medical Center
Collaborators
ZonMw: The Netherlands Organisation for Health Research and Development
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1. Study Identification

Unique Protocol Identification Number
NCT01103258
Brief Title
FOAM-study, Cost Minimization Study Comparing Surgery Versus Duplex Guided Foam Sclerotherapy of Varicose Veins
Official Title
FOAM-study Cost Minimization Study Comparing Surgery Versus Duplex Guided Foam Sclerotherapy of Varicose Veins: a Randomized Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
April 2010
Overall Recruitment Status
Completed
Study Start Date
February 2006 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
January 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Maastricht University Medical Center
Collaborators
ZonMw: The Netherlands Organisation for Health Research and Development

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Varicose vein disease is a common health problem, which causes much discomfort to patients. Nowadays treatment modalities for greater saphenous veins include surgery and duplex guided foam sclerotherapy. These are two equally accepted and applied treatments for the same patient population. Choice of treatment often depends on the referral preference of the General Practitioner. Until now data are missing which treatment is more cost effective. The current proposal aims at comparing the effects, costs and patient preferences between duplex guided foam sclerotherapy and surgery in the treatment of greater varicose veins.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Varicose Vein Disease
Keywords
Incompetence of the great saphenous vein.

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
460 (Actual)

8. Arms, Groups, and Interventions

Arm Title
high ligation and stripping
Arm Type
Active Comparator
Arm Description
surgery consisting of high ligation in combination with long saphenous stripping
Arm Title
duplex guided foam sclerotherapy
Arm Type
Active Comparator
Arm Description
duplex guided foam sclerotherapy
Intervention Type
Procedure
Intervention Name(s)
high ligation and stripping (surgery)
Intervention Description
surgery consisting of high ligation in combination with long saphenous stripping
Intervention Type
Procedure
Intervention Name(s)
FOAM
Intervention Description
duplex guided foam sclerotherapy
Primary Outcome Measure Information:
Title
cumulative probability of recurrent varicose vein within 24 months after treatment
Time Frame
24 months
Secondary Outcome Measure Information:
Title
quality of life (as measured by EuroQol-5D)
Time Frame
24 months
Title
patient preferences (as measured by conjoint analysis)
Time Frame
24 months
Title
direct Health care costs
Description
materials, operation costs, personnel costs
Time Frame
24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: incompetence of great saphenous vein for minimal 20 cm life expectancy at least 3 years open and competent deep venous system willing to undergo both treatments Exclusion Criteria: active ulcer signs of deep venous thrombosis with duplex incompetence of the deep venous system
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
A Sommer, MD PhD
Organizational Affiliation
Maastricht UMC
Official's Role
Study Director
Facility Information:
Facility Name
Maastricht UMC
City
Maastricht
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
22627969
Citation
Shadid N, Ceulen R, Nelemans P, Dirksen C, Veraart J, Schurink GW, van Neer P, vd Kley J, de Haan E, Sommer A. Randomized clinical trial of ultrasound-guided foam sclerotherapy versus surgery for the incompetent great saphenous vein. Br J Surg. 2012 Aug;99(8):1062-70. doi: 10.1002/bjs.8781. Epub 2012 May 25.
Results Reference
derived

Learn more about this trial

FOAM-study, Cost Minimization Study Comparing Surgery Versus Duplex Guided Foam Sclerotherapy of Varicose Veins

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