Rationing of Treatment for Varicose Veins and Use of New Treatment Methods: A Survey of Practice in the United Kingdom

This study aimed to document the extent of rationing of treatment for varicose veins in the United Kingdom (UK) national health services and the extent to which new treatments are being used. Completed questionnaires were received from 75% (307/411) vascular surgeons from all areas of the UK. 46% restricted access to treatment – 13% in the absence of local referral guidance. 76% would treat patients privately who did not fulfil their health service criteria. In the health service vs private practice, foam sclerotherapy was used by 28 vs 42; radiofrequency ablation by 8 vs 30; and laser ablation by 16 vs 22. Rationing of health service treatment for varicose veins is common in the UK. More explicit selection criteria are required for introduction of new treatments and reconfigured services.