Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2023; 11(35): 8291-8299
Published online Dec 16, 2023. doi: 10.12998/wjcc.v11.i35.8291
Endovenous laser treatment vs conventional surgery for great saphenous vein varicosities: A propensity score matching analysis
Qiang Li, Chen Zhang, Zhao Yuan, Zi-Qi Shao, Jian Wang
Qiang Li, Chen Zhang, Zhao Yuan, Zi-Qi Shao, Jian Wang, Department of General Surgery, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu Province, China
Co-first authors: Qiang Li and Chen Zhang.
Author contributions: Li Q and Zhang C contributed equally to this work; Wang J, Li Q and Zhang C conceptualized the study, retrieved, read, and summarized the articles, and wrote the manuscript; Li Q, Zhang C, Yuan Z, and Shao ZQ retrieved and summarized the articles and wrote the manuscript; Li Q and Zhang C reviewed and edited the manuscript and supervised the review and writing process; all authors contributed to the article and approved the submitted version.
Supported by the Excellent Talents Fund Project of Xuzhou Medical University, No. XYFY2021019.
Institutional review board statement: This study was approved by Ethics Committee of the Second Affiliated Hospital of Xuzhou Medical University, Approval No. [2021]090501.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at 15005206620@163.com. Participants gave informed consent for data sharing.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to the STROBE Statement checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Wang, MD, Dean, Doctor, Department of General Surgery, The Second Affiliated Hospital of Xuzhou Medical University, No. 32 Meijian Road, Xuzhou 221000, Jiangsu Province, China. 15005206620@163.com
Received: September 27, 2023
Peer-review started: September 27, 2023
First decision: October 9, 2023
Revised: October 22, 2023
Accepted: November 30, 2023
Article in press: November 30, 2023
Published online: December 16, 2023
Processing time: 78 Days and 2.7 Hours
Core Tip

Core Tip: In the study, we first time use a propensity score matching analysis to compare endovenous laser treatment (EVLT) and conventional surgery for great saphenous vein varicosis, we found that EVLT offers advantages in terms of surgical time and invasiveness. However, it exhibits a higher postoperative recurrence rate and greater postoperative pain compared to conventional surgery. Propensity score matching was employed to reduce bias. These findings emphasize the importance of considering individual patient characteristics and preferences when selecting the optimal treatment method for varicose veins, shedding light on the nuanced trade-offs between EVLT and conventional surgery in clinical practice.