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A Journal on Phlebology
Acta Phlebologica 2000 September;1(1):7-15
New epidemiology. The impact of ceap classification and the style of life on chronic venous insufficiency
Agus G. B., Mondani P., Ferrari P., De Angelis R.
Chair of Vascular Surgery, University of Milan, Milan, Italy
BACKGROUND: CEAP classification and quality of life (QL) are new concepts in the panorama of the chronic venous insufficiency (CVI). Currently, few epidemiologic data exist on expected outcomes for style and quality of life and for the effect of seasonal variation. The purpose of this study was to define an association between the incidence of CVI in the Italian population, in different areas and seasons.
METHODS: Relatively frequent conditions, as symptoms and signs of CVI have been evaluated in a population composed by 2626 people enrolled by 95 GP, in 2 periods, summer (phase 1) and winter (phase 2), and in 3 geographical areas of Italy (North, Central, South). Epidemiological data have been obtained by a questionnaire about classical risk factors and style of life. A simplified CEAP classification (limited to the "C") has been adopted.
RESULTS: By classic results, several new data have been obtained, as a progressive incidence of microclimatic characteristics on working and at home with no differences among seasons, a great prevalence of modern habits, a lower significance of familiarity if correlated to much more modern risk factors. Again, a great incidence of aesthetic disorders also in male population. An important prevalence of risk factors related to modern life habits in front of classic ones has been obtained: seasonal changes of temperature become statistically not meaningful (p=ns) and the temperature quite indifferent. Symptoms themself seem to be influenced by a number of modern factors, as dressing and holiday resorts: aesthetic disorders are higher in prevalence, also in male population, than classic symptoms as heaviness and itch.
CONCLUSIONS: Two new observations can be done: the necessity to pay attention to CVI during the whole year and expecially to pay attention to QL-related request of therapy, particularly in female population, in which aesthetic disorders must be considered as indicators of physical diseases. Finally, the QL can be considered as an indicator of patient’s state of health, functional, physical, psychological in terms of professional activity and social relationship. CVI influences deeply everyday life, and that strongly suggest to improve all the preventive and therapeutic measurements towards it.