Cochrane · systematic review · CD009648
CHIVA method for the treatment of chronic venous insufficiency
Bellmunt-Montoya, S, Escribano, JM, Pantoja Bustillos, PE, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
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
5
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 20%Very low 0 · 0%Low 4 · 80%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
Current version onlyCHIVA compared to stripping for the treatment of chronic venous insufficiency
Population: people with CVI (CEAP 2–6)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence of varicose veins CHIVA vs stripping | RR 0.74 [0.46, 1.2] | 5 studies · 966 participants | Low Downgraded: risk of bias, inconsistency |
Side effects – bruises CHIVA vs stripping | no estimate extracted | 2 studies · 646 participants | Ungraded |
Side effects – limb infection CHIVA vs stripping | RR 0.83 [0.33, 2.1] | 3 studies · 746 participants | Low Downgraded: risk of bias, imprecision |
Side effects – superficial vein thrombosis CHIVA vs stripping | RR 1.05 [0.51, 2.17] | 4 studies · 846 participants | Low Downgraded: risk of bias, imprecision |
Side effects – nerve injury CHIVA vs stripping | RR 0.14 [0.02, 0.98] | 4 studies · 846 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Comparison
Population: adults with varicose veins
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence of varicose veins ( | RR 0.63 [0.51, 0.78] | 3 studies · 721 participants | Moderate |
Side effects ‐ bruises ( | RR 0.63 [0.53, 0.76] | 1 study · 501 participants | Moderate Downgraded: imprecision |
Side effects ‐ limb infection ( | RR 1.33 [0.38, 4.66] | 1 study · 501 participants | Low Downgraded: imprecision |
Side effects ‐ superficial vein thrombosis ( | RR 2.23 [0.6, 8.33] | 2 studies · 601 participants | Low |
Side effects ‐ nerve damage ( | RR 0.05 [0.01, 0.38] | 2 studies · 601 participants | Moderate |
Comparison
Population: adults with varicose veins
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence of varicose veins ( | RR 0.63 [0.51, 0.78] | 3 studies · 721 participants | Moderate |
Side effects ‐ bruises ( | RR 0.63 [0.53, 0.76] | 1 study · 501 participants | Moderate Downgraded: imprecision |
Side effects ‐ limb infection ( | RR 1.33 [0.38, 4.66] | 1 study · 501 participants | Low Downgraded: imprecision |
Side effects ‐ superficial vein thrombosis ( | RR 2.23 [0.6, 8.33] | 2 studies · 601 participants | Low Downgraded: imprecision |
Side effects ‐ nerve damage ( | RR 0.05 [0.01, 0.38] | 2 studies · 601 participants | Moderate Downgraded: imprecision |