This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Five-year outcomes of a randomized trial of treatments for varicose veins. N Engl J Med 2019; 381: 912-922.

Published: 12th November 2019

Authors: Brittenden J, Cooper D, Dimitrova M, Scotland G, Cotton SC, Elders A et al.

Conclusion

After five years, 595 (75 per cent of the original cohort) completed quality of life (QoL) questionnaires. Although generic QoL was unchanged, disease-specific QoL was better after laser ablation or surgery than after foam sclerotherapy. Cost effectiveness modelling favoured laser ablation.

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