Key Findings: Review of 32,558 truncal endovenous ablation therapies revealed an infrequent rate of procedures performed for rarely appropriate (1.8%) or never appropriate (1.3%) indications.Inappropriate interventions were more likely in office-based settings and when multiple veins were treated but were not associated with patient insurance status.Take Home Message: Analysis of the VQI Varicose Vein Registry demonstrates a low overall incidence of inappropriate truncal endovenous ablation for chronic venous disease. Table of Contents Summary:Review of the VQI Varicose Vein Registry identifies high rates of procedural compliance with societal appropriateness-use criteria in 32,558 truncal endovenous ablation procedures.Overall, the quality of care is high amongst participating centers, with increased likelihood of off-guideline therapy being performed in office-based settings and when multiple veins are treated.
Fassler et al. (Sun,) studied this question.