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A Journal on Phlebology
Acta Phlebologica 2012 April;13(1):9-17
Monitor 2010: Italian epidemiological survey on chronic venous diseases
Agus G. B. 1, Mattana P. 2, Carelli F. 3
1 Vascular Surgery and Angiology Section, Department of Specialist Surgical Sciences, University of Milan, Milan, Italy;
2 Medical Service, Alfa Wassermann, Bologna, Italy;
3 Family Medicine Courses, University of Milan, Milan, Italy
Aim. The large diffusion of chronic venous disease (CVD) has been confirmed by epidemiological studies all around the world. Continuous and update knowledge of the main risk factors and the actual signs and symptoms frequencies, could contribute to prevent and control the CVD. For these reasons, the Italian Nautilus Project (www.nautilussalute.com) organized an observational campaign, called Monitor, to study CVD in the actual Italian population, by using the CEAP classification criteria.
Method. A cross-sectional questionnaire survey including epidemiological, risk factors, signs and symptoms data of CVD patients was performed by Italian doctors, mainly general practitioners (GPs). The data collected by physicians from April to September 2010, were finally analyzed by standard descriptive statistics.
Results. The survey was conducted by 1033 physician. A total of 11704 patients were enrolled (78.4% female). Most relevant risk factor resulted prolonged standing for male and previously pregnancy in female population. Signs’ evaluation confirms the prevalence of varicose veins and edema among men and teleangectasias, varicose veins and edema among women. In both sexes hyperpigmentation and ulcers increased significantly with age. As regards the symptoms of swollen, heavy and painful legs, a high frequency is confirmed in both sexes, while itching and night cramps appear to be related to age in women. Interesting correlation between personal history of thrombosis, venous reflux and the signs and symptoms of CVD was found.
Conclusions. The results of survey gives us an updated picture of CVD in Italy. Such data should be important to improve patients’ prevention, diagnosis and therapeutic approach.