Prevalence and presentation of chronic venous disease in Pakistan: a multicentre study

Abstract

Our objective was to study the prevalence and clinical pattern of chronic venous disease (CVD) in the Pakistani population. This was a multicentre cross-sectional study in which 100 primary care physicians examined 3000 subjects. The study population was aged 18-95 years (mean ± SD = 39 ± 13.2) comprised 47.4% women and 52.6% men. The prevalence of CVD was 34.8%, being significantly higher (P < 0.04) among men (36.4%) than women (33.0%). The maximum prevalence was of C3 (36.7%), followed by C2 (15.8%). The most frequent symptom was pain in the legs (59.2%) followed by heavy legs (42.7%) and night cramps (34.4%). The prevalence of symptoms increased with age but was similarly distributed between men and women. Family history of CVD, blood clots in veins and lack of exercise were significant risk factors. The roles of age or gender as risk factors could not be established. In conclusion, the prevalence and presentation of CVD in Pakistan is similar to most other countries.

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“…The VCP is the largest worldwide CVD detection program ever undertaken and it has been conducted in many countries. [11][12][13][14][15][16] It collects epidemiological data on the prevalence of CVD symptoms, signs, CEAP classes, quality of life (QoL), and costs.…”

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“…Вместе с тем в исследовании A. Khan и соавт. [36,37] из Пакистана, бывшем частью масштабной про граммы Vein Consult, зависимости частоты развития ХЗВ от возраста обнаружено не было, что может указывать на наличие географических особенно стей, поскольку в рамках этой же программы в Сер бии было выявлено нарастание частоты ХЗВ с воз растом.…”

“…В связи с тем что активное обсуждение этой проблемы началось относительно недавно, есть лишь скудная информация о распро страненности флебопатии [30,36,44,47,[50][51][52]. В программе Vein Consult таких пациентов было за регистрировано 19,7%, что тем не менее следует принимать во внимание с осторожностью, посколь ку в данное исследование включали лиц не из общей популяции, а обратившихся за медицинской помо щью.…”