Seeking consensus amongst UK-based interventional radiologists on the imaging diagnosis of pelvic vein incompetence in women with chronic pelvic pain: A modified Delphi study

David Riding, Emma J Pond, Charles McCollum, Ann‐Louise Caress
In: Phlebology: The Journal of Venous Disease · 2019 · vol. 34(7) , pp. 486–495 · doi:10.1177/0268355518821554 · PMID:30621525 · W2910912766
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This modified Delphi study achieved consensus among UK interventional radiologists on defining pelvic vein incompetence and its imaging diagnosis, identifying catheter venography as the gold standard.

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This modified Delphi study sought consensus among UK-based interventional radiologists with experience in pelvic vein incompetence about the optimal imaging strategy and definitions of key imaging diagnostic features in women with chronic pelvic pain. Using up to three rounds of online questionnaires, 27 responders reached three consensus statements: catheter venography was identified as the gold standard; pelvic vein incompetence was defined as retrograde flow along the ovarian or internal iliac veins; and pelvic varices were defined as tortuous, often dilated vulval, adnexal, para-uterine veins arising from incompetent internal iliac or ovarian veins. The paper presents these baseline consensus positions but does not state any additional limitations beyond the context that they are starting points for further testing. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Objectives This modified Delphi study of vascular interventional radiologists sought to achieve consensus statements on the optimal imaging strategy and definitions of important imaging diagnostic features in women with pelvic vein incompetence. Method The UK-based interventional radiologists with the experience of investigating and treating pelvic vein incompetence responded to up to three rounds of online questionnaires. Results Three consensus statements emerged from 27 responders: (1) catheter venography is the ‘gold standard’ investigation for the diagnosis of pelvic vein incompetence; (2) pelvic vein incompetence should be defined as ‘retrograde flow along the ovarian or internal iliac veins’; (3) pelvic varices should be defined as ‘tortuous, often dilated, vulval, adnexal, para-uterine veins arising from incompetent internal iliac or ovarian veins.’ Conclusion This study achieved consensus statements on imaging diagnosis in women with suspected pelvic vein incompetence. These can be used to minimise heterogeneity of research protocols, and represent baseline positions which can, themselves, be tested.
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Abstract

Objectives: This modified Delphi study of vascular interventional radiologists sought to achieve consensus statements on the optimal imaging strategy and definitions of important imaging diagnostic features in women with pelvic vein incompetence. Method: The UK-based interventional radiologists with the experience of investigating and treating pelvic vein incompetence responded to up to three rounds of online questionnaires. Results: Three consensus statements emerged from 27 responders: (1) catheter venography is the ‘gold standard’ investigation for the diagnosis of pelvic vein incompetence; (2) pelvic vein incompetence should be defined as ‘retrograde flow along the ovarian or internal iliac veins’; (3) pelvic varices should be defined as ‘tortuous, often dilated, vulval, adnexal, para-uterine veins arising from incompetent internal iliac or ovarian veins.’ Conclusion: This study achieved consensus statements on imaging diagnosis in women with suspected pelvic vein incompetence. These can be used to minimise heterogeneity of research protocols, and represent baseline positions which can, themselves, be tested. | Original language | English | |---|---| | Journal | Phlebology | | Early online date | 8 Jan 2019 | | DOIs | | | Publication status | Published - 2019 |

Keywords

- chronic venous disease - duplex ultrasound - Pelvic venous disorders Fingerprint Dive into the research topics of 'Seeking consensus amongst UK-based interventional radiologists on the imaging diagnosis of pelvic vein incompetence in women with chronic pelvic pain: A modified Delphi study'. Together they form a unique fingerprint.Cite this - APA - Author - BIBTEX - Harvard - Standard - RIS - Vancouver

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