Wakefield TW; American Venous Forum International Ad Hoc Committee for Revision of the CEAP Classification. Revision of the CEAP classification for chronic venous disorders: consensus statement

University of Lund, Helsingborg, Sweden.
Journal of Vascular Surgery (Impact Factor: 3.02). 01/2005; 40(6):1248-52. DOI: 10.1016/j.jvs.2004.09.027
Source: PubMed


The CEAP classification for chronic venous disorders (CVD) was developed in 1994 by an international ad hoc committee of the American Venous Forum, endorsed by the Society for Vascular Surgery, and incorporated into "Reporting Standards in Venous Disease" in 1995. Today most published clinical papers on CVD use all or portions of CEAP. Rather than have it stand as a static classification system, an ad hoc committee of the American Venous Forum, working with an international liaison committee, has recommended a number of practical changes, detailed in this consensus report. These include refinement of several definitions used in describing CVD; refinement of the C classes of CEAP; addition of the descriptor n (no venous abnormality identified); elaboration of the date of classification and level of investigation; and as a simpler alternative to the full (advanced) CEAP classification, introduction of a basic CEAP version. It is important to stress that CEAP is a descriptive classification, whereas venous severity scoring and quality of life scores are instruments for longitudinal research to assess outcomes.

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    • "However, if younger people are increasingly experiencing leg ulceration, then the impact on health services will be pronounced as recurrence occurs and as sufferers age. Leg ulceration is end-stage venous disease [34] and a chronic recurrent condition which is costly, not just in terms of treatment but long-term prevention of recurrence and also in terms of human suffering [71]. The ulcers can be painful, malodorous and debilitating, badly impacting on quality of life and costly to treat [72-74]. "
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    • "None of the participants had any history of deep venous thrombosis, superficial thrombotic phlebitis, post-thrombotic syndrome, Klippel-Trenaunay syndrome, May-Thurner syndrome or any other venous disease. The clinical, etiological, anatomical and pathological elements classification system (CEAP) was used to classify chronic lower-extremity venous disease (CVD) in this case [26], [27]. The patients’ clinical signs placed all of them in classes 4–6, 30 of them were in class 4. Preoperative lower-extremity venous duplex ultrasound scanning assessment was performed on all patients, and examinations of both the superficial and the deep venous systems examination were conducted. "
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    PLoS ONE 01/2014; 9(1):e86156. DOI:10.1371/journal.pone.0086156 · 3.23 Impact Factor
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    • "Epidemiological data are very variable according to the criteria adopted. In the recent Edinburgh and Bonn epidemiological studies51,52 based on the CEAP (clinical, etiological, anatomical, pathophysiological) classification,53 the mildest form, isolated telangiectasia, is reported to affect 59% of the population; venous edema amounts to 14.8%; and venous ulceration to 0.7%. In general, epidemiological studies show a higher prevalence of any degree of venous disease in subjects over 60 and in the female sex. "
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