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Chronic venous disease in an ethnically diverse population: the San Diego Population Study.
Am J Epidemiol. 2003 Sep 01; 158(5):448-56.AJ

Abstract

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.

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Authors+Show Affiliations

Criqui MH
Department of Family and Preventive Medicine, School of Medicine, University of California, San Diego, San Diego, CA 92093, USA. mcriqui@uscd.edu
Jamosmos M
No affiliation info available
Fronek A
No affiliation info available
Denenberg JO
No affiliation info available
Langer RD
No affiliation info available
Bergan J
No affiliation info available
Golomb BA
No affiliation info available

MeSH

AdultAge DistributionAgedAsian PeopleCaliforniaCross-Sectional StudiesCultural DiversityEdemaEthnicityFemaleHispanic or LatinoHumansLegMaleMiddle AgedPeripheral Vascular DiseasesPrevalenceRandom AllocationSex DistributionTelangiectasisVaricose VeinsVenous ThrombosisWhite People

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12936900

Clinical Trial Links

Epidemiology of Venous Disease
Evaluating the Relationship Between Blood Clotting Disorders, Inflammation, and Obesity in Individuals With Venous Disorders and Post-Thrombotic Syndrome

Citation

Criqui, Michael H., et al. "Chronic Venous Disease in an Ethnically Diverse Population: the San Diego Population Study." American Journal of Epidemiology, vol. 158, no. 5, 2003, pp. 448-56.
Criqui MH, Jamosmos M, Fronek A, et al. Chronic venous disease in an ethnically diverse population: the San Diego Population Study. Am J Epidemiol. 2003;158(5):448-56.
Criqui, M. H., Jamosmos, M., Fronek, A., Denenberg, J. O., Langer, R. D., Bergan, J., & Golomb, B. A. (2003). Chronic venous disease in an ethnically diverse population: the San Diego Population Study. American Journal of Epidemiology, 158(5), 448-56.
Criqui MH, et al. Chronic Venous Disease in an Ethnically Diverse Population: the San Diego Population Study. Am J Epidemiol. 2003 Sep 1;158(5):448-56. PubMed PMID: 12936900.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic venous disease in an ethnically diverse population: the San Diego Population Study. AU - Criqui,Michael H, AU - Jamosmos,Maritess, AU - Fronek,Arnost, AU - Denenberg,Julie O, AU - Langer,Robert D, AU - Bergan,John, AU - Golomb,Beatrice A, PY - 2003/8/26/pubmed PY - 2003/9/26/medline PY - 2003/8/26/entrez SP - 448 EP - 56 JF - American journal of epidemiology JO - Am J Epidemiol VL - 158 IS - 5 N2 - 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. SN - 0002-9262 UR - https://www.unboundmedicine.com/medline/citation/12936900/full_citation DB - PRIME DP - Unbound Medicine ER -