Cochrane · systematic review · CD002303

Compression for preventing recurrence of venous ulcers

de Moraes Silva, MA, Nelson, A, Bell-Syer, SEM, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
7
No studies
5
Included studies
NR
No studies 5 · 17.9%Ungraded 16 · 57.1%Very low 0 · 0%Low 7 · 25%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

EU class 3 compression hosiery compared with no compression for preventing recurrence of venous ulcers

Population: people with healed venous leg ulcers
7 questions
OutcomeEffectEvidenceStatus / GRADE
Reulceration
EU class 3 compression hosiery vs no compression
RR 0.46 [0.27, 0.76]1 study · 153 participantsLow
Downgraded: risk of bias, imprecision
Duration of reulceration episodes
EU class 3 compression hosiery vs no compression
no estimate extracted2000 participantsUngraded
Proportion of
EU class 3 compression hosiery vs no compression
no estimate extracted2000 participantsUngraded
Ulceration on the contralateral leg
EU class 3 compression hosiery vs no compression
no estimate extracted2000 participantsUngraded
Noncompliance
EU class 3 compression hosiery vs no compression
no estimate extracted2000 participantsUngraded
Comfort
EU class 3 compression hosiery vs no compression
no estimate extracted2000 participantsUngraded
Adverse effects
EU class 3 compression hosiery vs no compression
no estimate extracted2000 participantsUngraded

EU class 1 compression hosiery compared with EU class 2 compression hosiery for preventing recurrence of venous ulcers

Population: people with healed venous leg ulcers
7 questions
OutcomeEffectEvidenceStatus / GRADE
Reulceration
EU class 1 compression hosiery vs EU class 2 compression hosiery
RR 1.7 [0.67, 4.32]1 study · 99 participantsLow
Downgraded: risk of bias, imprecision
Duration of reulceration episodes
EU class 1 compression hosiery vs EU class 2 compression hosiery
no estimate extracted2014 participantsUngraded
Proportion of
EU class 1 compression hosiery vs EU class 2 compression hosiery
no estimate extracted2014 participantsUngraded
Ulceration on the contralateral leg
EU class 1 compression hosiery vs EU class 2 compression hosiery
no estimate extracted2014 participantsUngraded
Noncompliance
EU class 1 compression hosiery vs EU class 2 compression hosiery
RR 1.22 [0.4, 3.75]1 study · 99 participantsLow
Downgraded: risk of bias, imprecision
Comfort
EU class 1 compression hosiery vs EU class 2 compression hosiery
no estimate extracted2014 participantsUngraded
Adverse effects
EU class 1 compression hosiery vs EU class 2 compression hosiery
no estimate extracted2014 participantsUngraded

UK class 2 compression hosiery compared with UK class 3 compression hosiery for preventing recurrence of venous ulcers

Population: people with healed venous leg ulcers
7 questions
OutcomeEffectEvidenceStatus / GRADE
Reulceration
UK class 2 compression hosiery vs UK class 3 compression hosiery
RR 1.55 [1.26, 1.91]5 studies · 1314 participantsLow
Downgraded: risk of bias, indirectness
Duration of reulceration episodes
UK class 2 compression hosiery vs UK class 3 compression hosiery
no estimate extractedNRNo studies
Proportion of
UK class 2 compression hosiery vs UK class 3 compression hosiery
no estimate extractedNRNo studies
Ulceration on the contralateral leg
UK class 2 compression hosiery vs UK class 3 compression hosiery
no estimate extractedNRNo studies
Noncompliance
UK class 2 compression hosiery vs UK class 3 compression hosiery
RR 0.69 [0.49, 0.99]5 studies · 1372 participantsLow
Downgraded: risk of bias, indirectness
Comfort
UK class 2 compression hosiery vs UK class 3 compression hosiery
no estimate extractedNRNo studies
Adverse effects
UK class 2 compression hosiery vs UK class 3 compression hosiery
no estimate extractedNRNo studies

Comparison between different brands of compression hosiery (UK class 2) for preventing recurrence of venous ulcers

Population: people with healed venous leg ulcers
7 questions
OutcomeEffectEvidenceStatus / GRADE
Reulceration
RR 0.77 [0.47, 1.28]1 study · 166 participantsLow
Downgraded: risk of bias, imprecision
Duration of reulceration episodes
no estimate extracted1995 participantsUngraded
Proportion of
no estimate extracted1995 participantsUngraded
Ulceration on the contralateral leg
no estimate extracted1995 participantsUngraded
Noncompliance
RR 0.97 [0.84, 1.12]1 study · 166 participantsLow
Downgraded: risk of bias, imprecision
Comfort
no estimate extracted1995 participantsUngraded
Adverse effects
no estimate extracted1995 participantsUngraded