title: Secondary care treatment of patients with varicose veins in National Health Service England: at least how it appeared on a National Health Service website.
abstract: OBJECTIVE
  This study aimed to assess the trends and regional variations in secondary care treatment of patients with varicose veins in National Health Service (NHS) England based on data published by the Hospital Episode Statistics which was freely and readily available to the public and health-care policy-makers.
  
  
  METHODS
  Hospital Episode Statistics data for patients being treated for varicose veins, and UK Statistics Authority population estimates in all 28 Strategic Health Authorities (SHAs) in England from 2002 to 2006 were retrieved and analysed.
  
  
  RESULTS
  Between 2002 and 2006 there was a 20% overall reduction (46,190-37,135) in the total number of varicose vein procedures performed in NHS England per year. The number of varicose vein procedures performed per 100,000 population per year varied significantly across the SHAs (P < 0.0001). Similarly, significant regional variations were also noted in the frequency of primary procedures of greater and small saphenous vein (P < 0.0001). During this time, injection sclerotherapy was only performed in 15 (53.6%) SHAs. The annual proportion of varicose vein procedures performed as daycases had increased from 56% to 64% during the period.
  
  
  CONCLUSIONS
  From 2002 to 2006 there was an overall reduction in the total number of varicose vein procedures performed in NHS England with major regional variations.
authors.affiliation: Imperial Vascular Unit, 4 East, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK.
authors.forename: C S
authors.initials: CS
authors.lastname: Lim
authors.forename: M S
authors.initials: MS
authors.lastname: Gohel
authors.forename: A C
authors.initials: AC
authors.lastname: Shepherd
authors.forename: A H
authors.initials: AH
authors.lastname: Davies
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data; D004739:England / Q000453:epidemiology; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data; D008026:Ligation / Q000706:statistics & numerical data; D015911:Sclerotherapy / Q000706:statistics & numerical data*; D013222:State Medicine / Q000706:statistics & numerical data; D014648:Varicose Veins / Q000453:epidemiology / Q000601:surgery* / Q000628:therapy*; D014656:Vascular Surgical Procedures / Q000706:statistics & numerical data*