Chronic Venous Disease in Spain: Doctor–Patient Correlation

Sánchez, F.S. Lozano; Carrasco, Eduardo; Sánchez, Santiago Díaz; Porras, José Ramón González; Rodríguez, J.R. Escudero; Roura, Josep Marinel·lo; Nevarez, Ignacio Sánchez

doi:10.1016/j.ejvs.2012.09.002

Cited by 10 publications

(10 citation statements)

References 24 publications

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“…Older age, poor scores on the four CIVIQ domains, and perceived poor QoL are all closely associated. This agrees with the findings by Lozano 9 and Carradice, 6 that higher age is strongly associated with poor QoL. However, the results for patients over 65 are similar to those who are 44, which can be seen in all CIVIQ dimensions.…”

Section: Discussionsupporting

confidence: 92%

“…Although it has been established that clinically assessed CEAP class was significantly associated with QoL, 5,6,8,9 the results of this study indicate that this relationship is not linear as proposed and that three patient groups can be identified when the QoL scores are considered. The first group is formed by C0e1 patients who have good QoL although the pain domain has relatively high values (40.8).…”

Section: Discussionmentioning

confidence: 54%

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The Influence of the CIVIQ Dimensions on Quality of Life of Patients with Primary Superficial Venous Incompetence

Ortega-Santana

Limiñana

Ruano

et al. 2014

European Journal of Vascular and Endovascular Surgery

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 54%

The Influence of the CIVIQ Dimensions on Quality of Life of Patients with Primary Superficial Venous Incompetence

Ortega-Santana

Limiñana

Ruano

et al. 2014

European Journal of Vascular and Endovascular Surgery

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“…Our result were not concordant with those found in corresponding literature. (2,7,8) We have found an increasing trend of CVI and a decreasing trend of aCVI. Moreover the percentage of patients with aCVI from CVI presented a significant decrease over time, with an R2 =0.9493.…”

Section: Time-trendsmentioning

confidence: 54%

“…Several studies have been performed in the last ten years, assessing the etiology and epidemics of chronic venous disease and its advanced form, including venous ulcer. Patients form Italy, Spain, Poland and even Romania were evaluated over this time period [6][7][8][9]. Despite all of the resulting comprehensive information, chronic venous insufficiency and its most advanced form (venous ulcer) often remains undiagnosed, being overlooked and underestimated by both patients and physicians [4,5].…”

Section: Introductionmentioning

confidence: 99%

Socio-demographic Characteristics of Patients Diagnosed with Advanced Chronic Venous Insufficiency (C4-C6) Correlated with Clinical and Para-clinical Findings

Reka¹,

Imre²

2015

Acta Medica Marisiensis

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Chronic venous insufficiency’s frequency reaches almost 25% in European countries. The aim of this present study was to assess the correlation between sociodemographic characteristics as well as clinical findings and para-clinical findings of aCVI patients. A total number of 2636 patients diagnosed with CVI were evaluated for over an 8 year time period (2006-2013). In case of 795 of them, diagnosis of aCVI (C4-C6) has been established. The following variables have been evaluated: demographic data, etiology, risk factors, chronic diseases as risk factors, signs and symptoms, laboratory findings and even the therapeutic approach. All the assessed data has been evaluated using descriptive statistics, t-Student test, and chi square test. Also the relative risk (RR) and Odds ratio (OR) has been calculated. The mean age of aCVI patients was significantly higher (p=0.001) than the age of patients with stage C1-3 CVI. A positive correlation (p<0.0001) between combined venous disorders and clinical stage of CVI has been found. Deep vein thrombosis proved to be correlated (p=0.02) with evolution of CVI to venous ulcer (stage C6). Worsening of advanced venous insufficiency was also correlated with presence of peripheral arterial diseases, and/or metabolic diseases (p<0.0001, and p=0.02). Based on our results, the typical profile of a patient with aCVI has been outlined. Using this profile, the general practitioner and even the internal medicine specialist can recognize in advance patients with an elevated risk of developing aCVI, and accordingly can choose a more appropriate therapeutic approach.

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“…Painful skin changes with their associated restrictions and social isolation result in a heavy psychosocial burden: psychosocial parameters include social isolation, depression, feelings of regret, loss of power and helplessness . Only few evidences examined the relationship between CEAP and QoL including some with apparently contradictory results, showing no differences in the QoL of patients with advanced stages of CVD .…”

Section: Discussionmentioning

confidence: 99%

Symptoms in patients with skin changes due to chronic venous insufficiency often lead to emergency care service: an Italian observational study

Ruggiero

Grande²,

Naso

et al. 2015

International Wound Journal

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Chronic venous insufficiency (CVI) is the most advanced form of chronic venous disease (CVD), and is often associated with skin changes such as hyperpigmentation, eczema, lipodermatosclerosis and venous skin ulceration that cause discomfort, pain, sleep disturbances, absenteeism in the workplace, disability and deteriorated quality of life (QoL). The purpose of this study is to evaluate the prevalence of CVI and skin changes in patients who turn to Continuous Assistance Services due to the presence of disturbing symptoms of their condition. Data were evaluated by consulting the medical records, during a 16-month period, available with three Continuous Assistance Services of the Italian territory. The overall population of the referring centres consisted of 1186 patients [739 females (62·31%) and 447 males (37·69%)]. Seventy-nine patients (6·66%) consulted the emergency unit for venous symptoms related to CVD. Patients with more severe disease (CVI, categories C4-C6) represented the majority accounting for 60·75%, while patients with moderate disease (C3) accounted for 35·44% and patients with mild disease (C1-C2 stages) accounted for 3·79%. The main finding of this study is that despite CVI not being a disease that commonly requires medical emergency/urgency intervention, patients with CVI, especially in advanced stage with skin changes, may turn to Continuous Assistance Service for treating bothersome symptoms related to their condition.

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Chronic Venous Disease in Spain: Doctor–Patient Correlation

Cited by 10 publications

References 24 publications

The Influence of the CIVIQ Dimensions on Quality of Life of Patients with Primary Superficial Venous Incompetence

The Influence of the CIVIQ Dimensions on Quality of Life of Patients with Primary Superficial Venous Incompetence

Socio-demographic Characteristics of Patients Diagnosed with Advanced Chronic Venous Insufficiency (C4-C6) Correlated with Clinical and Para-clinical Findings

Symptoms in patients with skin changes due to chronic venous insufficiency often lead to emergency care service: an Italian observational study

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