Evidence mapPaperPMID 41999404Full record

ArticleLangenbeck's archives of surgery2026

Influence of nutritional status on patient-reported outcomes after surgical treatment for chronic venous disease: a comparative study between endovenous laser ablation and combined crossectomy, stripping, and sclerotherapy.

Vinicius Nicolao Capacia, Raquel Bragança Soares Capacia, Ana Paula Ribeiro, Elias Jirjoss Ilias, Patrícia Colombo-Souza

Abstract readComparative Study
In one paragraph

Article in Langenbeck's archives of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Vinicius Nicolao CapaciaPostgraduate Program in Health Science, Santo Amaro University, 340 - Jardim das Imbuias, São Paulo, 04829-300, Brazil.ORCID http://orcid.org/0009-0008-2942-9616
Raquel Bragança Soares CapaciaPostgraduate Program in Health Science, Santo Amaro University, 340 - Jardim das Imbuias, São Paulo, 04829-300, Brazil.ORCID http://orcid.org/0000-0002-0642-5531
Elias Jirjoss IliasSanta Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-0765-2813
Patrícia Colombo-SouzaPostgraduate Program in Health Science, Santo Amaro University, 340 - Jardim das Imbuias, São Paulo, 04829-300, Brazil. pcolombo@prof.unisa.br.ORCID http://orcid.org/0000-0003-0247-4245

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study investigated the influence of nutritional status on patient-reported outcomes after surgical treatment for chronic venous disease (CVD). It aimed to compare improvements in symptom severity (VEINES-Sym) and quality of life (VEINES-QOL) between endovenous laser ablation (EVLA) and combined crossectomy, stripping, and sclerotherapy (CEEE), with analysis stratified by nutritional status.

methodsIn a prospective cohort study of 157 patients (95 CEEE, 62 EVLA), nutritional status was categorized by body mass index as eutrophic, overweight, or obese. VEINES-Sym and VEINES-QOL scores were collected preoperatively and 30–60 days postoperatively. Statistical analysis used paired t-tests for within-group comparisons, the Kruskal-Wallis test across nutritional strata, and independent t-tests to compare surgical techniques.

resultsBoth techniques produced significant improvements (p < 0.05) in VEINES-Sym and VEINES-QOL scores across all nutritional categories. Preoperatively, patients with obesity had significantly worse baseline scores. Postoperatively, these differences were no longer significant (p > 0.05), with all groups achieving comparable scores. The magnitude of symptom improvement was similar for both techniques. However, postoperative VEINES-QOL scores were significantly higher in the EVLA group (94.7 ± 9.9) than in the CEEE group (90.5 ± 13.7; p = 0.015).

conclusionAlthough poorer nutritional status is associated with greater preoperative symptom severity, it does not diminish the significant clinical benefit of surgical intervention. Both CEEE and EVLA effectively improve symptoms and quality of life, enabling all patient groups to attain similar postoperative outcomes.

Indexed as

Endovascular ProceduresLaser TherapyNutritional StatusPatient Reported Outcome MeasuresSclerotherapyVaricose VeinsVenous InsufficiencyAdultAgedChronic DiseaseFemaleHumansMaleMiddle AgedProspective StudiesQuality of LifeChronic venous diseaseEndovenous laser ablationNutritional statusObesityQuality of lifeSclerotherapy

Identifiers

PMID41999404
PMCPMC13219215

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.