Chronic Venous Insufficiency in Italy: The 24-cities Cohort Study
| Autor: | Eckhard Schaefer, Enrico Maria Marone, Marina Volonté, Orlando Petrini, Roberto Chiesa, Costanzo Limoni |
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| Přispěvatelé: | Chiesa, Roberto, Marone, Em, Limoni, C, Volonte, M, Schaefer, E, Petrini, O. |
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Adolescent Epidemiology Chronic venous insufficiency Cross-sectional study Population Physical examination Telangiectases Cohort Studies Varicose Veins Sex Factors Pregnancy Surveys and Questionnaires Varicose veins medicine Humans Telangiectasis Ultrasonography Doppler Color education Aged Aged 80 and over Medicine(all) Leg Ultrasonography Doppler Duplex education.field_of_study medicine.diagnostic_test business.industry Age Factors Middle Aged medicine.disease Duplex ultrasonography Parity Cross-Sectional Studies Italy Venous Insufficiency Physical therapy Population study Female Surgery medicine.symptom Cardiology and Cardiovascular Medicine business Cohort study |
| Zdroj: | European Journal of Vascular and Endovascular Surgery. 30:422-429 |
| ISSN: | 1078-5884 |
| DOI: | 10.1016/j.ejvs.2005.06.005 |
| Popis: | Objective To assess the relationship between sex, age, geographical region, lower limb symptoms and the presence of trunk varicose veins and venous incompetence. Design Cross-sectional population study in 24 cities in the North, centre and South of Italy. Participants Five thousand two hundred and forty-seven people were selected during spring and summer 2003 by advertising on television, in newspapers, and by leaflets in 24 Italian cities. In all 5187 (4457 [85.9%] women and 730 men [14.1%]) volunteers were assessed. The median age was 54 (range: 18–90) years for the women and 61 (range: 18–89) years for the men. Methods Self-administered questionnaire on subjective symptoms of chronic venous insufficiency (CVI) in the lower limbs, and clinical examination, including colour duplex ultrasonography to assess the presence and severity of varicose veins. Results Overall only 22.7% of the subjects examined were free of visible signs of venous disease, with approximately 53% of the population over 50 years of age showing some venous reflux. People living in Southern Italy were more severely affected than those living in the North. Varicosities and telangiectases were the most frequent objective signs in both sexes. Trunk varicosities (27%) and saphenous reflux (41%) increased with age and were more common in men; in contrast, minor objective symptoms such as telangiectases (70%), as well as subjective symptoms such as heavy (79%) and tired legs (78%), were more common in women and were not age-related. Conclusions Venous disease is very common in Italy, in particular in people living in the South. A correlation between varicose veins and venous incompetence is more marked in men, while minor objective and subjective symptoms prevail in women. The findings from this non-random sample closely match results from previous studies, in which random sampling was used. |
| Databáze: | OpenAIRE |
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