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A Journal on Phlebology
Acta Phlebologica 2000 September;1(1):39-42
Quality of life assessment in patients with chronic venous insufficiency
Andreozzi G. M. 1, Martini R. 1, Clerici G. 2, Ferrari P. 2, Iacobelli M. 2
1 Angiology Unit Care, University Hospital of Padua, Padova, Italy;
2 Crinos, Villaguardia (Como), Italy
BACKGROUND: Chronic Venous Insufficiency (CVI) is a chronic disease, which disability has not been appointed clearly, and until today it appears rarely in the tables of Insurance Companies, and more of their costs (drugs, elastic stockings) have not covered by Public Health Service. The aim of this study has been to assess the impact of CVI on quality of life (QoL).
METHODS: The Italian version of SF 36 questionnaire, a self-reported generic QoL-assessment instrument, has been administered to 72 patients (29 males and 43 females) with CVI. Patients completed alone the questionnaire, helped by nurses only if required.
RESULTS: The results have been compared with the same year Old Italian normal group (from the validation study of SF-36 Italian version (IQOLA Project). The patients C(0) - C(2) did not show any difference with the normal Italian population, independently from the etiology, anatomy or pathophysiology - EP - AS - PR or ES - AD - PR. In The group C(3-4-5-6) the QoL profile was significantly (p<0.01) worsen in Physical dominions, independently from etiology, anatomy or pathophysiology ES - AD-P - PR) or ES - AD - PO+R. In Mental dominions only Role-Emotional has been involved.
CONCLUSION: SF-36 is a reliable instrument to assess QoL in CVI. The impact of the advanced stages of CVI is very significant, suggesting that the Public Health Service should support the cost of its treatment. The assessment of QoL, in the early stages of CVI, needs more specific instrument.