This page in Swedish

Lena Blomgren

Title: Affiliated Researcher School/office: School of Medical Sciences

Email:

Phone: +46 19 303000, +46 0586 66000

Room: -

Research Subject

About Lena Blomgren

Lena Blomgren is a consultant vascular and general surgeon at Karlskoga Vein Centre and Department of Cardiovascular and Thoracic Surgery, Örebro University Hospital, and associate professor of surgery at the School of Medical Sciences, Örebro University.

Research

Her overall goal with current research activities is to improve the care of patients with venous insufficiency (varicose veins or impaired vein function after blood clots), especially those with venous leg ulcers, and to improve pathways of care for these patients. The current situation is unsatisfactory with many leg ulcer patients treated only with local dressings for years where a simple varicose veinintervention could lead to permanent healing, the regional guidelines are arbitrary and differ significantly between regions for patients with varicose veins with or without leg ulcers, new surgical methods are introduced uncritically and complications are not reported to the National Board of Health and Welfare.

The studies focus on priorities, methods of investigations and treatment strategies, as well as long-term treatment results. In ongoing projects, the use of patient-reported outcome measures is studied, both for prioritization and treatment results, as well as how quality registers can improve quality of care in the long term for the patient group. The impact of socio-economic status on the referral of leg ulcer patients to a vascular surgeon is studied in an interview study. A new minimally invasive treatment of varicose veins is now being studied prospectively with regard to safety and later a randomized study is planned against an established method. A risk factor for developing leg ulcers is a previous blood clot in the veins of the leg, and since Covid-19 can cause blood clots, a study is now planned where people with a previous mild to moderate Covid-19 infection are examined with ultrasound of the deep veins of the legs for signs of previous blood clots, as these patients have not received anticoagulant drugs to protect against blood clots, as patients hospitalized for severe hospitalized Covid-19 have.

Teaching

Lena Blomgren gives lectures about vascular surgery, venous insufficiency and wound care for medical staff and nurses, students and residents, in international workshops and for the public.

Collaboration and assignments

  • Chair of the national working committee for national guidelines for varicose veins and venous ulcers in The Swedish Association of Local Authorities and Regions (SALAR).
  • Member of the steering committe of Swedvasc, The Swedish National Registry for Vascular Surgery.
  • Member of the scientific board of RiksSår, the Swedish national quality Registry for Ulcer Treatment.
  • Member of the working committee for the guidelines on chronic venous disease by ESVS, the European Society for Vascular and endovascular Surgery.
  • Referee for European Journal of Vascular and Endovascular Surgery, Phlebology and Läkartidningen.

 

Publications

Publications

Articles in journals |  Chapters in books | 

Articles in journals

Blomgren, L. (2020). Residual incompetent tributaries after varicose vein surgery increased the need for reintervention after 8 years. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 8 (3), 372-382.
Torbjörnsson, E. , Blomgren, L. , Fagerdahl, A. , Boström, L. , Ottosson, C. & Malmstedt, J. (2020). Risk factors for amputation are influenced by competing risk of death in patients with critical limb ischemia. Journal of Vascular Surgery, 71 (4), 1305-1314.e5.
Sinabulya, H. , Bergström, G. , Hagberg, J. , Johansson, G. & Blomgren, L. (2018). Cultural adaptation and validation of the Swedish VEINES-QOL/Sym in patients with venous insufficiency. Phlebology, 33 (8), 540-546.
Sinabulya, H. , Östmyren, R. & Blomgren, L. (2017). Editor's Choice - Mid-term Outcomes of Endovenous Laser Ablation in Patients with Active and Healed Venous Ulcers: A Follow-up Study. European Journal of Vascular and Endovascular Surgery, 53 (5), 710-716.
Torbjörnsson, E. , Ottosson, C. , Blomgren, L. , Boström, L. & Fagerdahl, A. (2017). The patient's experience of amputation due to peripheral arterial disease. Journal of Vascular Nursing, 35 (2), 57-63.
Lee, B. B. , Blomgren, L. & Ezpeleta, S. Z. (2016). Venous hemodynamic changes in lower limb venous disease: the UIP consensus according to scientific evidence. International Journal of Angiology, 35 (3), 236-352.
Wittens, C. , Davies, A. H. , Bækgaard, N. , Broholm, R. , Cavezzi, A. , Chastanet, S. , de Wolf, M. , Eggen, C. & et al. (2015). Editor's Choice - Management of Chronic Venous Disease: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). European Journal of Vascular and Endovascular Surgery, 49 (6), 678-737.
Sinabulya, H. , Holmberg, A. & Blomgren, L. (2015). Interobserver variability in the assessment of the clinical severity of superficial venous insufficiency. Phlebology, 30 (1), 61-65.
Rosfors, S. , Persson, L. M. & Blomgren, L. (2014). Computerized venous strain-gauge plethysmography is a reliable method for measuring venous function. European Journal of Vascular and Endovascular Surgery, 47 (1), 81-86.
Blomgren, L. , Johansson, G. , Emanuelsson, L. , Dahlberg-Åkerman, A. , Thermaenius, P. & Bergqvist, D. (2011). Late follow-up of a randomized trial of routine duplex imaging before varicose vein surgery. British Journal of Surgery, 98 (8), 1112-1116.
Blomgren, L. , Johansson, G. & Bergqvist, D. (2006). Quality of life after surgery for varicose veins and the impact of preoperative duplex: results based on a randomized trial. Annals of Vascular Surgery, 20 (1), 30-34.
Blomgren, L. , Johansson, G. , Dahlberg-Akerman, A. , Thermaenius, P. & Bergqvist, D. (2005). Changes in superficial and perforating vein reflux after varicose vein surgery. Journal of Vascular Surgery, 42 (2), 315-320.
Blomgren, L. , Johansson, G. & Bergqvist, D. (2005). Randomized clinical trial of routine preoperative duplex imaging before varicose vein surgery. British Journal of Surgery, 92 (6), 688-694.
Blomgren, L. , Johansson, G. , Dahlberg-AKerman, A. , Norén, A. , Brundin, C. , Nordström, E. & Bergqvist, D. (2004). Recurrent varicose veins: incidence, risk factors and groin anatomy. European Journal of Vascular and Endovascular Surgery, 27 (3), 269-274.
Blomgren, L. , Johansson, G. , Siegbahn, A. & Bergqvist, D. (2001). Coagulation and fibrinolysis in chronic venous insufficiency. VASA, 30 (3), 184-187.
Blomgren, L. (1997). Perforated peptic ulcer: long-term results after simple closure in the elderly. World Journal of Surgery, 21 (4), 412-414; discussion 414.

Chapters in books

Bergqvist, D. & Blomgren, L. (2011). Cost and reimbursement influence on treatment strategy: Is it ethical?. In: Wittens C. & Baekgaard, N., Advances in venous therapy. Turin: Edizioni Minerva Medica.