Chronic venous disease (CVD) includes conditions in which the veins, especially in the legs, function poorly. This leads to symptoms such as pain, swelling, varicose veins, and sometimes chronic ulcers, significantly affecting quality of life and healthcare costs. Treatments range from compression therapy and varicose vein procedures to lifestyle interventions. This thesis investigated improvements in CVD care, particularly for venous leg ulcers and post-thrombotic syndrome. A new, more efficient care model with rapid diagnostics and collaboration between specialists and trained homecare nurses led to faster wound healing and potentially lower costs. Further research emphasized individualized compression therapy and safe, early mobilization after thrombosis. Exercise therapy proved beneficial for improving quality of life, reducing pain, and preventing long-term complications such as post-thrombotic syndrome. Additionally, the treadmill test showed promise as a tool to assess the severity of venous claudication and evaluate stent treatment outcomes. Future care will focus on personalized therapy, exercise programs, and digital innovations.
Bram Rook studied medicine at the University of Groningen. He has been conducting scientific research at various centers alongside his study and specialty training since 2015. Since 2020, he has been officially pursuing a PhD at Radboud University in Nijmegen as an external doctoral candidate. As of November 10, 2024, he is a registered emergency physician and works at Isala Ziekenhuis in Zwolle.