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. 2021 Oct 12;2021(10):CD012723. doi: 10.1002/14651858.CD012723.pub2

Summary of findings 10. Sclerotherapy plus compression compared to sclerotherapy alone for telangiectasias and reticular veins.

Sclerotherapy plus compression compared to sclerotherapy alone for telangiectasias and reticular veins
Patient or population: people with telangiectasias and reticular veins
Setting: outpatient
Intervention: sclerotherapy plus compression
Comparison: sclerotherapy
Outcomes Anticipated absolute effects* (95% CI) Relative effect
(95% CI) № of participants
(studies)* Certainty of the evidence
(GRADE) Comments
Risk with sclerotherapy Risk with sclerotherapy plus compression
Resolution or improvement of telangiectasias
(follow‐up: 4 ‐ 8 weeks)
SMD 0.09 higher
(0.19 lower to 0.37 higher) 196
(2 studies) ⊕⊕⊕⊝
MODERATEa
Adverse events ‐ hyperpigmentation
(follow‐up:4 ‐ 8 weeks)
Study population RR 0.93
(0.41 to 2.07) 196
(2 studies) ⊕⊕⊕⊝
MODERATEa
112 per 1000 104 per 1000
(46 to 232)
Adverse events ‐ matting
(follow‐up: 8 weeks)
Study population RR 1.84
(0.17 to 19.62) 96
(1 study) ⊕⊕⊝⊝
LOWb
22 per 1000 40 per 1000
(4 to 427)
Pain See comment The studies in this comparison did not assess this outcome
Recurrence See comment The studies in this comparison did not assess this outcome
Time to resolution See comment   The studies in this comparison did not assess this outcome
Quality of life
(follow up: 8 weeks)
  SMD 0.02 lower
(0.42 lower to 0.39 higher) 93
(1 study) ⊕⊕⊝⊝
LOWb  
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: confidence interval; RCT: randomised controlled trial; RR: risk ratio; SMD: standard mean difference
GRADE Working Group grades of evidenceHigh certainty: We are very confident that the true effect lies close to that of the estimate of the effect
Moderate certainty: We are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low certainty: Our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
Very low certainty: We have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect

*All studies used participants as the unit of analysis.
aWe downgraded one level because of few participants in included studies.
bWe downgraded two levels because of few participants and only one included study.