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International Angiology 2002 December;21(4):316-21


language: English

The incidence of venous disease in Brazil based on the CEAP classification

Scuderi A. 1, Raskin B. 2, Al Assal F. 2, Scuderi P. 1, Scuderi M. A. 3, Rivas C. E. S. 3, Costa D. H. 3, Bruginski C. G. 3, Morissugui A. N. 2

1 Instituto Sorocabano de Pesquisa de Moléstias Circulatórias (INSPEMOC), Sorocaba, SP, Brazil 2 Medical School of the Pontificia Universidade Católica de Campinas, Campinas, SP, Brazil 3 Medical School of Sorocaba, Pontificia Universidade Católica de São Paulo, Sorocaba, SP, Brazil


Background. Venous dis­ease ­presents an extreme­ly com­plex prob­lem with var­i­ous clin­i­cal man­i­fes­ta­tions. This is an epi­dem­i­olog­i­cal study of ­venous dis­ease as it ­occurs in an area of Brazil. For the first time in Brazil the CEAP clas­sifi­ca­tion is used.
Methods. A total of 2104 peo­ple, were ran­dom­ly recruit­ed at the reg­is­tra­tion desks of the General Policlinic Department of the University Hospital and pub­lic ­health cen­ters. The “C” of the CEAP clas­sifi­ca­tion was used to clas­si­fy the clin­i­cal fea­tures of the ­venous dis­eas­es. The sub­jects were cat­e­go­rized accord­ing to sex and age. In addi­tion, women were also sub­di­vid­ed accord­ing to num­ber of their preg­nan­cies.
Results. In the age group of ­females aged 14 to 22, we found 46.42% with­out symp­toms and obvi­ous veins (CEAP 0A/0A). Only 12.29% were symp­to­mat­ic, and 41.25% of all ­patients in this group pre­sent­ed with vis­ible veins or telan­giec­ta­sias, ­though with­out symp­toms. In the age group of women rang­ing from 23 to 48, 66.47% had had up to 3 preg­nan­cies. In this group 10.43% were (CEAP 0A/0A). Those who had symp­toms with prom­i­nent veins ­totaled 37.53% and those who pre­sent­ed with prom­i­nent veins with­out symp­toms, 51.83%. In the ­female group over 48 years of age, only 4.67% were (CEAP 0A/0A). The major­ity (62.79%) had symp­toms and prom­i­nent veins. In the male group, the great­er part (65.54%) was (CEAP 0A/0A). Only 13.97% were con­sid­ered symp­to­mat­ic with some kind of prom­i­nent veins.
Conclusions. This large epi­dem­i­olog­i­cal study is the first in Brazil to val­i­date the CEAP clas­sifi­ca­tion as an impor­tant tool in the epi­dem­i­ol­o­gy of ­venous pathol­o­gy: a meth­od allow­ing an objec­tive ­approach to ­venous dis­ease. The data in this study were sim­i­lar to those of west­ern coun­tries. Venous dis­ease was found to be much more fre­quent in ­females than males. Age and num­ber of preg­nan­cies are impor­tant fac­tors in the devel­op­ment of the dis­ease. Over 50% of young women pre­sent­ed with vis­ible veins in their legs but were with­out symp­toms and this was con­sid­ered a pure­ly esthet­ic prob­lem.

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