Epidemiology and risk factors for varicose veins among older people: cross-sectional population study in the UK.

Abstract:

BACKGROUND:There are many hypotheses concerning risk factors for the development of varicose veins based mostly on pathophysiological plausibility. Population studies have been carried out mostly on the middle aged with relatively few on elderly populations. OBJECTIVES:To investigate epidemiological risk factors for varicose veins in an elderly population in the UK. METHODS:The South Wales Skin Cancer study - an examination survey undertaken between 1988 and 1991 of a random sample (n = 792) drawn from all patients aged 60 and over registered with a general practitioner in South Glamorgan. Exposure variables were obtained from a structured administered questionnaire combined with clinical examination. Unadjusted and adjusted odds ratios were estimated using logistic regression. RESULTS:The response rate was 71% with an average age of 71 years (range 60-97). The age-adjusted prevalence of trunk varices was 63.2% (95% confidence interval [CI] 57.9-68.4%) in men and 57.0% (95% CI 50.6-63.4%) in women. In a multiple logistic regression the significant risk factors for varicose veins were increasing age (P value = 0.001), obesity (odds ratio [OR] 3.28, 95% CI 1.25-8.63, P = 0.042), self-reported history of deep vein thrombosis (DVT) (OR 3.19, 1.16-8.78, P = 0.024) and history of hypertension (OR 0.58, 0.38-0.89, P = 0.013). The results for gender suggested that women were at greater risk than men, but this was not statistically significant (OR 1.53, 0.99-2.38, P = 0.056). CONCLUSION:Trunk varices occur very commonly in older age groups with increasing age, obesity and possibly female sex as risk factors. Associations found with DVT and hypertension were based on history alone and must be interpreted with caution.

journal_name

Phlebology

journal_title

Phlebology

authors

Clark A,Harvey I,Fowkes FG

doi

10.1258/phleb.2009.009045

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

236-40

issue

5

eissn

0268-3555

issn

1758-1125

pii

25/5/236

journal_volume

25

pub_type

杂志文章
  • Endovenous laser ablation for persistent and recurrent venous ulcers after varicose vein surgery.

    abstract::A 75-year-old woman presented with painful recurrent venous ulcers (VU) continuously for the past 33 months on a background of frequent intermittent problems for the last 16 years. She had previously been treated with varicose vein surgery and trials of compression bandaging. Subsequently, she underwent endovenous las...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2008.006044

    authors: Kambal AA,De'Ath HD,Albon H,Watson A,Shandall A,Greenstein D

    更新日期:2008-01-01 00:00:00

  • A multi-centre randomised controlled trial comparing radiofrequency and mechanical occlusion chemically assisted ablation of varicose veins - Final results of the Venefit versus Clarivein for varicose veins trial.

    abstract::Background Endovenous thermal ablation has revolutionised varicose vein treatment. New non-thermal techniques such as mechanical occlusion chemically assisted endovenous ablation (MOCA) allow treatment of entire trunks with single anaesthetic injections. Previous non-randomised work has shown reduced pain post-operati...

    journal_title:Phlebology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/0268355516651026

    authors: Lane T,Bootun R,Dharmarajah B,Lim CS,Najem M,Renton S,Sritharan K,Davies AH

    更新日期:2017-03-01 00:00:00

  • Superficial vein ablation for the treatment of primary chronic venous ulcers.

    abstract:OBJECTIVE:This retrospective study was undertaken to review our experience with ablation of superficial veins with significant reflux, using VNUS ClosureFAST RF (radiofrequency) or laser 980 nm, in patients with primary chronic venous ulcers, and also determine its effects in ulcer healing and ulcer recurrence. METHOD...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2010.010058

    authors: Sufian S,Lakhanpal S,Marquez J

    更新日期:2011-10-01 00:00:00

  • Re-modelling of venous thrombosis.

    abstract::Venous thromboembolism is one of the most common causes of morbidity and mortality in modern societies. The entirety of events involved in venous thrombus formation and resolution remains to be elucidated. Temporal relation between the initial cellular insult, thrombus formation and resolution is critical for institut...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355513476638

    authors: Malgor RD,Labropoulos N

    更新日期:2013-03-01 00:00:00

  • Importance of patient-reported outcomes in chronic venous disorders.

    abstract::The assessment of outcomes following treatment for chronic venous disease has been greatly improved over the last three decades. The personal opinion of the physician based on assessment of his own results has been replaced by more objective assessment based on well-defined criteria. The author describes and compares ...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012s20

    authors: Guex JJ

    更新日期:2012-03-01 00:00:00

  • Venous leg symptoms in patients with varicocele: A multicenter assessment study (VEIN-TURKEY study).

    abstract:OBJECTIVE:The aim of this study is to evaluate chronic venous disease symptoms by using the Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms (VEINES-QoL/Sym) questionnaire in varicocele patients. MATERIAL AND METHODS:The study was designed as a prospective, case controlled study and con...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1177/0268355518777110

    authors: Ozturk S,Akbaba KT,Kılıc S,Cıcek T,Peskırcıoglu L,Tandogan I,Gurlek A,Aydemır O,Ilerı M,Yetkın E

    更新日期:2019-03-01 00:00:00

  • Guidelines for the management of varicose veins.

    abstract::Recently published evidence-based guidelines of the Society for Vascular Surgery (SVS) and the American Venous Forum (AVF) include recommendations for evaluation, classification, outcome assessment and therapy of patients with varicose veins and more advanced chronic venous insufficiency (CVI). The need for such guide...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012s28

    authors: Gloviczki P,Gloviczki ML

    更新日期:2012-03-01 00:00:00

  • The effect of footplate neuromuscular electrical stimulation on venous and arterial haemodynamics.

    abstract:OBJECTIVE:This pilot study aims to determine the effect of the Revitive™ footplate neuromuscular electrical stimulation device on venous and arterial haemodynamic changes in healthy individuals. METHOD:The blood flow (cc/min) and time averaged mean velocity (cm/s) of the superficial femoral vein and artery were measur...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355514542682

    authors: Varatharajan L,Williams K,Moore H,Davies AH

    更新日期:2015-10-01 00:00:00

  • First Dutch guidelines on lipedema using the international classification of functioning, disability and health.

    abstract::Introduction Lipedema is a chronic, progressive condition that can result in considerable disability. In 2011, the Dutch Society of Dermatology and Venereology organized a task force to create guidelines on lipedema, using the International Classification of Functioning, Disability and Health of the World Health Organ...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355516639421

    authors: Halk AB,Damstra RJ

    更新日期:2017-04-01 00:00:00

  • Clarivein® mechano-chemical ablation an interim analysis of a randomized controlled trial dose-finding study.

    abstract:OBJECTIVES:The ClariVein® system is an endovenous technique that uses mechano-chemical ablation to treat incompetent truncal veins. This study was conducted to identify the ideal Polidocanol dosage and form for mechano-chemical ablation in order to occlude the great saphenous vein. When adhering to safe dosage levels, ...

    journal_title:Phlebology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/0268355515599692

    authors: Lam YL,Toonder IM,Wittens CH

    更新日期:2016-04-01 00:00:00

  • Patterns in the management of superficial vein thrombosis.

    abstract::Objective To highlight current practice patterns in management of superficial vein thrombosis. Methods An electronic survey was conducted using the mailing lists of the Mediterranean League of Angiology and Vascular Surgery and European Venous Forum regarding superficial vein thrombosis diagnosis, investigation, and t...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355516641003

    authors: Karathanos C,Spanos K,Lachanas V,Athanasoulas A,Giannoukas AD

    更新日期:2017-04-01 00:00:00

  • Correlation of haemodynamics and ankle mobility with clinical classes of clinical, aetiological, anatomical and pathological classification in venous disease.

    abstract:OBJECTIVES:To correlate venous haemodynamic parameters of lower limbs and amplitude of ankle mobility with the clinical, aetiological, anatomical and pathological classification (CEAP) for venous disease. METHODS:Two hundred and eighty-four lower limbs of 142 Caucasian women were evaluated and distributed in six group...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2007.007039

    authors: Cavalheri G Jr,de Godoy JM,Belczak CE

    更新日期:2008-01-01 00:00:00

  • Femoral vein valve incompetence as a risk factor for junctional recurrence.

    abstract::Background Recurrent varicose veins occur up to 80% of procedures. The sapheno-femoral junction can be involved in more than 50% of cases. A detailed pathophysiological explanation of the phenomenon is still missing. The aim of the present work is to evaluate the role of femoral vein incompetence as risk factor for sa...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355517690056

    authors: Gianesini S,Occhionorelli S,Menegatti E,Malagoni AM,Tessari M,Zamboni P

    更新日期:2018-04-01 00:00:00

  • Compression in mixed ulcers: venous side.

    abstract:INTRODUCTION:arterial involvement may coexist in about 15-30 of venous ulcers. In this case compression therapy maybe applied, only by expert caregivers, with a reduced pressure which must not overcome the arterial pressure at ankle and foot level. It remains to assess if such a reduced pressure may be effective also o...

    journal_title:Phlebology

    pub_type: 评审

    doi:10.1177/0268355514526676

    authors: Mosti G

    更新日期:2014-05-01 00:00:00

  • French sclerotherapy and compression: Practice patterns.

    abstract:UNLABELLED:Based on the recommendations of experts, and supported by a low level of proof, compression after sclerotherapy is applied all over the world. OBJECTIVE:Investigating the practice of French vascular physicians for sclerotherapy and the use of post-sclerotherapy compression. METHODS:A questionnaire concerni...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355514554024

    authors: Tripey V,Monsallier JM,Morello R,Hamel-Desnos C

    更新日期:2015-10-01 00:00:00

  • Anatomy and embryology of the small saphenous vein: nerve relationships and implications for treatment.

    abstract::The aim of this paper is to describe the anatomical relations of the small saphenous vein (SSV) in order to define the high-risk zones for the treatment of chronic venous disease. The SSV runs in the saphenous compartment demarcated by two fascia layers: a muscular fascia and a membranous layer of subcutaneous tissue....

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012j08

    authors: Uhl JF,Gillot C

    更新日期:2013-02-01 00:00:00

  • The European burden of primary varicose veins.

    abstract:BACKGROUND:The treatment of varicose veins has been demonstrated to improve quality of life, alleviate symptoms of depression and treat the complications of venous disease. This study aims to show the studies which contain information regarding the prevalence and distribution of venous disease. Then using the populatio...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355512475118

    authors: Moore HM,Lane TR,Thapar A,Franklin IJ,Davies AH

    更新日期:2013-03-01 00:00:00

  • The use of compression stockings for venous disorders in Brazil.

    abstract:OBJECTIVE:The aim of this study was to analyse the medical indication and the use of elastic compression stockings, and to assess patient adherence to treatment in different regions of Brazil. METHOD:The prescription and clinical indication of elastic stockings were evaluated in a prospective, descriptive, cross-secti...

    journal_title:Phlebology

    pub_type: 杂志文章,多中心研究

    doi:10.1258/phleb.2011.010088

    authors: Cataldo JL,de Godoy JM,de Barros N

    更新日期:2012-02-01 00:00:00

  • Preoperative determination of anatomic variations of the small saphenous vein for varicose vein surgery by three-dimensional computed tomography venography.

    abstract:OBJECTIVE:To define the anatomical variations of small saphenous vein (SSV) for varicose vein (VV) surgery by three-dimensional computed tomography venography (3D-CTV) and to analyse the impact of this preoperative evaluation on surgical outcomes. METHODS:A total of 120 consecutive limbs with SSV insufficiency having ...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2011.011023

    authors: Kim SY,Park EA,Shin YC,Min SI,Lee W,Ha J,Kim SJ,Min SK

    更新日期:2012-08-01 00:00:00

  • Subfascial endoscopic perforator surgery for posterolateral perforators performed in the prone position.

    abstract:OBJECTIVES:Subfascial endoscopic perforator surgery (SEPS) is usually performed for posteromedial perforators in the supine position, but subfascial endoscopic perforator surgery for posterolateral perforators in the prone position has not been reported. METHODS:A 51-year-old male suffered from a venous stasis ulcer a...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355513492511

    authors: Kusagawa H,Shomura S,Komada T,Katayama Y,Haruta N

    更新日期:2014-10-01 00:00:00

  • Pain in the aftermath of minimal invasive treatment for unilateral incompetence of the great saphenous vein.

    abstract:OBJECTIVES:Assessment of postprocedural pain after minimal invasive treatment of unilateral incompetence of the great saphenous vein. METHODS:A total of 85 patients treated with endovenous laser ablation (1470 nm) in combination with foam sclerotherapy and evulsions reported postprocedural pain on a visual analogue sc...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355520930639

    authors: Bossart S,Amsler F,Romer-Schenk G,Duchini S,Willenberg T

    更新日期:2020-10-01 00:00:00

  • Strip-tract revascularization as a source of recurrent venous reflux following high saphenous tie and stripping: results at 5-8 years after surgery.

    abstract:OBJECTIVE:We have previously reported strip-tract revascularization 1 year following high saphenous ligation and inversion stripping. This study reports the 5-8 year results in the same cohort. METHODS:Between 2000 and 2003, 72 patients presented with primary varicose veins and had undergone high saphenous ligation an...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355514535927

    authors: Ostler AE,Holdstock JM,Harrison CC,Price BA,Whiteley MS

    更新日期:2015-09-01 00:00:00

  • The omohyoid muscle entrapment of the internal jugular vein. A still unclear pathogenetic mechanism.

    abstract:OBJECTIVES:To evaluate the role of the omohyoid muscle anatomic variants as a possible reversible cause of internal jugular vein extrinsic compression. METHOD:We describe a chronic cerebro-spinal venous insufficiency patient, who presented a omohyoid muscle entrapment of the internal jugular vein, confirmed by both ma...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355513489549

    authors: Gianesini S,Menegatti E,Mascoli F,Salvi F,Bastianello S,Zamboni P

    更新日期:2014-10-01 00:00:00

  • Popliteal venous aneurysm: a report on three cases presenting with chronic venous insufficiency without embolic events.

    abstract:OBJECTIVES:Popliteal venous aneurysms (PVA) are rare, but represent a significant potential source of thromboembolus. Most often the patients present with pulmonary embolism, which can also be detected in patients presenting with chronic venous insufficiency. METHODS:Three patients without any clinical evidence of pul...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/026835507780346204

    authors: Christenson JT

    更新日期:2007-01-01 00:00:00

  • Pathophysiology of wound healing and alterations in venous leg ulcers-review.

    abstract::Venous leg ulcer (VLU) is one of the most common lower extremity ulcerated wound, and is a significant healthcare problem with implications that affect social, economic, and the well-being of a patient. VLU can have debilitating related problems which require weekly medical care and may take months to years to heal. T...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355516632998

    authors: Raffetto JD

    更新日期:2016-03-01 00:00:00

  • Early re-presentations and the potential role of catheter-directed thrombolysis in patients diagnosed with a lower limb deep vein thrombosis: a single-centre experience.

    abstract:INTRODUCTION:Catheter-directed thrombolysis (CDT) for iliofemoral deep vein thrombosis (DVT) restores venous patency, reduces the risk of the post-thrombotic syndrome and may reduce longer term treatment costs. This study assessed the potential role of CDT in patients with DVT with regard to representation following th...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2012.012078

    authors: Chandra E,Ahmadi M,Bailey MA,Griffin KJ,Berridge DC,Coughlin PA,Scott DJ

    更新日期:2013-12-01 00:00:00

  • Variations in ultrasound scanning protocols in the UK for suspected deep vein thrombosis in outpatients.

    abstract:AIMS:To assess current ultrasound scanning protocol in outpatients with suspected deep vein thrombosis (DVT), in particular whether practitioners routinely scanned calf veins. METHODS:A standard questionnaire was sent out via post to all radiology departments in the United Kingdom (UK) and via the British Medical Ultr...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章

    doi:10.1177/0268355513501608

    authors: Shahi F,Murali K

    更新日期:2013-12-01 00:00:00

  • Detection of varicose vein recurrence by duplex ultrasound: intra- and interobserver reproducibility.

    abstract::In a long-term follow-up study comparing saphenofemoral ligation and stripping with endovenous laser ablation, the groin is examined yearly by duplex ultrasound (DUS) to detect postoperative varicose vein recurrence. Clear criteria are needed for the uniformity of DUS observations. Physicians taking care of the follow...

    journal_title:Phlebology

    pub_type: 杂志文章,随机对照试验

    doi:10.1258/phleb.2011.011106

    authors: Gauw SA,Pronk P,Mooij MC,Gaastra MT,Lawson JA,van Vlijmen-van Keulen CJ

    更新日期:2013-03-01 00:00:00

  • Epidemiology, risk factors and sequelae of venous thromboembolism.

    abstract::The aim of this review was to discuss the epidemiology, risk factors and sequelae of venous thromboembolism (VTE). VTE has an incidence of 1-2 per 1000 people annually. The risk of VTE increases with age and is highest in Caucasians and African Americans. Combined oral contraceptives (COC), especially the third-genera...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012s31

    authors: Wong P,Baglin T

    更新日期:2012-01-01 00:00:00

  • Evaluation of static ulcer on lower extremities using wireless wearable near-infrared spectroscopy device: Effect of deep venous thrombosis on TRiggered Angiography Non-Contrast-Enhanced sequence magnetic resonance imaging.

    abstract:BACKGROUND:Venous leg ulcers, or static leg ulcers, are chronic wounds associated with ambulatory venous hypertension of the lower extremities as a consequence of venous valve reflux, reduce venous capacitance, poor calf venous pump, heart failure, or in conjunction with venous obstruction. A static ulcer with venous t...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355520935739

    authors: Lin BS,Chen CW,Zhou SK,Tseng YH,Wang SC,Huang YK

    更新日期:2020-12-01 00:00:00