Improving concordance with long-term compression therapy amongst people with venous hypertension and lower leg ulceration: A Delphi study- patient cohort.

Concordance rates for compression therapy (CT) among patients with venous leg ulcers (VLU) have consistently been suboptimal, despite efforts to understand influencing factors [2-4]. VLUs arise as a complication of chronic venous insufficiency (CVI), where venous incompetence or stenosis causes increased capillary permeability, fluid retention, and eventual ulceration [1]. CT is the established gold standard for managing CVI and preventing VLUs. CT works by enhancing venous return, reducing venous pressure, and minimising stasis. However, ensuring patient concordance to CT remains a challenge. A Delphi study explored factors affecting CT concordance among VLU patients. The study identified 16 facilitators and 18 barriers, offering insights into the complexities of patient concordance. The study's analysis using the Kendall W Coefficient showed moderate consensus among participants regarding these influencing factors [9]. Efforts to improve CT concordance may benefit from addressing the identified barriers while leveraging facilitators, with a focus on personalised care approaches to enhance outcomes.