Chronic Venous Disease in Spain: Doctor–Patient Correlation

Abstract Aim The present study aimed to demonstrate how the quality of life (QoL) perceived by patients with chronic venous disease (CVD) is correlated with the severity of their disease objectively assessed by primary care physician. Material and methods A total of 1560 patients with CVD were evalu...

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Published in:	European journal of vascular and endovascular surgery Vol. 44; no. 6; pp. 582 - 586
Main Authors:	Lozano Sánchez, F.S, Carrasco Carrasco, E, Diaz Sánchez, S, González Porras, J.R, Escudero Rodríguez, J.R, Marinello Roura, J, Sánchez Nevarez, I
Format:	Journal Article
Language:	English
Published:	England Elsevier Ltd 01-12-2012
Subjects:	Adolescent Adult Aged Aged, 80 and over CEAP classification Chronic Disease Chronic venous disease Chronic venous insufficiency CIVIQ questionnaire Cross-Sectional Studies Female Humans Male Middle Aged Patients - psychology Physicians, Primary Care - psychology Predictive Value of Tests Quality of Life Severity of Illness Index SF-12 health survey Spain Surgery Surveys and Questionnaires Ultrasonography Venous clinical severity score Venous Insufficiency - diagnosis Venous Insufficiency - diagnostic imaging Venous Insufficiency - psychology Young Adult Chronic venous disease SF-12 health survey CEAP classification CIVIQ questionnaire Chronic venous insufficiency Venous clinical severity score Quality of life
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Summary:	Abstract Aim The present study aimed to demonstrate how the quality of life (QoL) perceived by patients with chronic venous disease (CVD) is correlated with the severity of their disease objectively assessed by primary care physician. Material and methods A total of 1560 patients with CVD were evaluated using four measurement instruments: CEAP clinical classification, Venous Clinical Severity Score (VCSS), SF-12 Health Survey and Chronic Lower Limb Venous Insufficiency Questionnaire (CIVIQ-20). Statistical correlations between these tools were analysed using Spearman's coefficient. Results Patients were distributed in C0, 58 (3.7%); C1, 243 (15.6%); C2, 328 (21.0%); C3, 357 (22.9%); C4, 368 (23.6%); C5, 136 (8.7%); and C6, 70 (4.5%). The VCSS score for the whole cohort was 0.89 ± 0.53. The correlation between CEAP and VCSS was moderately strong ( r = 0.69). The overall QoL scores measured by SF and CIVIQ were 56.84 ± 19.63 and 65.11 ± 14.35, respectively. The correlation between the two QoL questionnaires was very strong ( r = 0.81). The correlations of the SF and CIVIQ with the VCSS were moderately strong ( r = −0.47 and −0.48). The correlations between QoL questionnaires and CEAP were moderate and lower than those with VSCC. Conclusions While there is correlation between VCSS, CEAP, modified CIVIQ and venous ultrasound findings, subgroup analysis indicates that this correlation is driven by different components of VCSS compared with the other venous assessment tools. Patients' opinions about their disease are correlated with those assessed by primary care physicians.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1078-5884 1532-2165
DOI:	10.1016/j.ejvs.2012.09.002