ORIGINAL ARTICLES   

International Angiology 2004 June;23(2):147-53

Copyright © 2004 EDIZIONI MINERVA MEDICA

lingua: Inglese

Chronic venous disease in the male. An epidemiological survey

Benigni J. P. ¹, Cazaubon M. ², Kasiborski F. ³, Taupin V. ⁴, Mathieu M. ⁴

¹ Unit of Cardio-Vascular Pathology, Bégin Hospital, St. Mandé, Paris, France 2 Americain Hospital, Neuilly/Seine, France 3 Thériamis, St. Maur des Fossés, France 4 Laboratoires Innothéra, Arcueil, France

Aim. Chron­ic ­venous dis­ease ­affects large num­bers of men but there are fewer ref­er­enc­es to them than to women in the lit­er­a­ture. The aim of our study was to deter­mine the time lapse ­between the first symp­tom(s) and/or clin­i­cal signs of ­venous dis­ease in the male and the first con­sul­ta­tion with an angio­lo­gist to ­define the stat­us of the veins with­in this pop­u­la­tion, and to dem­on­strate any pos­sible links ­between the char­ac­ter­is­tics of the dis­or­der in accor­dance with the CEAP inter­na­tion­al clas­sifi­ca­tion.
Meth­ods. The ­design was a cross-sec­tion­al descrip­tive sur­vey. Each phy­si­cian had to ­include the first 3 ­patients exam­ined for the first time. Each male ­patient had to ­present at least 1 sign and 1 symp­tom of chron­ic ­venous dis­ease. After ran­dom­iza­tion, 192 phy­si­cians includ­ed 561 ­patients: 494 have been ana­lyzed.
­Results. The exam­ined ­patients had a mean age of 49.3±13.7 years, mean ­height of 1.76±0.07 m, mean ­weight of 78.2±11.2 kg and a BMI of 25.3±3.3. The dis­or­der had been devel­op­ing for a mean 76.8±90.3 ­months prior to the spe­cial­ist con­sul­ta­tion. The long­er the time span ­between the onset of the con­di­tion and the first con­sul­ta­tion with a spe­cial­ist, the more ­advanced was the con­di­tion as was also true with the increas­ing age of the ­patients. The fol­low­ing asso­ci­a­tions were ­observed: the inci­dence of troph­ic dis­or­ders ­increased with age (odds-ratio 1.47). The sever­ity of the dis­ease ­increased the great­er the ­extent of obes­ity (odds-ratio 3.5).
Con­clu­sion. The risk of troph­ic dis­or­ders was high­er in shop work­ers, crafts­men (odds-ratio 3.7) and work­ers (odds-ratio 2.68) than in exec­u­tives, in those work­ing in a stand­ing posi­tion (odds-ratio 1.5), in those whose ­father had the con­di­tion (odds-ratio 1.9), in the event of a pop­li­teal ­reflux (odds-ratio 3.2) rath­er than affect­ing a saph­e­nous trunk (small saph­e­nous vein odds-ratio 2.5, great saph­e­nous vein odds-ratio 1.9). Thir­ty-two per­cent of ­patients with troph­ic dis­or­ders had ­already worn elas­tic com­pres­sion prior to the spe­cial­ist con­sul­ta­tion. After this con­sul­ta­tion, the num­bers for whom this was pre­scribed rose to 87%.