Am J Epidemiol 2003; 158:448-456.
Copyright © 2003 by Johns
Hopkins Bloomberg School of Public Health
ORIGINAL CONTRIBUTIONS |
Chronic Venous Disease in an Ethnically Diverse Population
The San Diego Population Study
1 Department of Family and Preventive Medicine, School of Medicine, University of California, San Diego, San Diego, CA.
2 Department of Medicine, School of Medicine, University of California, San Diego, San Diego, CA.
3 Department of Bio-Engineering, Jacobs School of Engineering, University of California, San Diego, San Diego, CA.
4 Department of Surgery, School of Medicine, University of California, San Diego, San Diego, CA.
In a 1994–1998 cross-sectional study of a multiethnic sample of 2,211 men and women in San Diego, California, the authors estimated prevalence of the major manifestations of chronic venous disease: spider veins, varicose veins, trophic changes, and edema by visual inspection; superficial and deep functional disease (reflux or obstruction) by duplex ultrasonography; and venous thrombotic events based on history. Venous disease increased with age, and, compared with Hispanics, African Americans, and Asians, non-Hispanic Whites had more disease. Spider veins, varicose veins, superficial functional disease, and superficial thrombotic events were more common in women than men (odds ratio (OR) = 5.4, OR = 2.2, OR = 1.9, and OR = 1.9, respectively; p < 0.05), but trophic changes and deep functional disease were less common in women (OR = 0.7 for both; p < 0.05). Visible (varicose veins or trophic changes) and functional (superficial or deep) disease were closely linked; 92.0% of legs were concordant and 8.0% discordant. For legs evidencing both trophic changes and deep functional disease, the age-adjusted prevalences of edema, superficial events, and deep events were 48.2%, 11.3%, and 24.6%, respectively, compared with 1.7%, 0.6%, and 1.3% for legs visibly and functionally normal. However, visible disease did not invariably predict functional disease, or vice versa, and venous thrombotic events occurred in the absence of either.
cross-sectional studies; diagnostic imaging; ethnic groups; population; thrombosis; ultrasonics; veins
Abbreviations: Abbreviations: CEAP, Clinical-Etiologic-Anatomic-Pathophysiologic; OR, odds ratio.
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