We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The anterior saphenous vein. Part 3. Systematic review of the literature and payor coverage policies. Endorsed by the American Vein and Lymphatic Society, the American Venous Forum and the International Union of Phlebology.
- Authors
Drgastin, Rachel; Boyle, Edward M; Labropoulos, Nicos; Caggiati, Alberto; Gasparis, Antonios; Doganci, Suat; Meissner, Mark
- Abstract
Objective: The objective of this study is to systemically review the literature on Anterior Saphenous Vein (ASV) reflux treatment and insurance impediments to treatment coverage. Methods: A literature search was performed using a PRISMA framework. In addition, a cross-sectional analysis of insurance policies for ASV treatment was evaluated. Results: Published evidence and treatment considerations in the literature for ASV treatment are discussed. In 155 of 226 (68.6%) insurance policies reviewed coverage of ASV ablation was allowed while 62/226 (27.4%) did not specify coverage and 9/226 (4.0%) specified ASV treatment was not covered. Of the 155 that provide ASV coverage, 98 (62.2%) provide coverage with criteria such as requiring prior treatment of the great saphenous vein. Conclusions: Vein treatment experts should continue to advocate to insurance carriers to update their varicose vein treatment policies to reflect the substantial clinical evidence so that patients with ASV reflux can be appropriately treated.
- Subjects
INSURANCE; ABLATION techniques; VARICOSE veins; SYSTEMATIC reviews; VENOUS insufficiency; SAPHENOUS vein; DISEASE relapse; INSURANCE companies
- Publication
Phlebology, 2024, Vol 39, Issue 5, p325
- ISSN
0268-3555
- Publication type
Article
- DOI
10.1177/02683555231223281