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Prevalence of primary chronic venous disease: the Bulgarian experience.
Int Angiol. 2009 Aug; 28(4):303-10.IA

Abstract

AIM

The aim of this study was to evaluate the prevalence of and risk factors for chronic venous disease (CVD) in the Bulgarian adult population seeking medical help from general practitioners.

METHODS

The design was a cross-sectional descriptive survey. Each general practitioner (GP) enrolled 50 consecutive patients aged 18 and over attending for a routine consultation. A subsample of these patients was reappraised by a group of specialists to confirm the GPs diagnosis.

RESULTS

A total of 576 GPs selected 26 785 subjects to participate in the survey. In the GP survey, 11 724 subjects (44%) were found to be suffering from CVD. Specialist reappraisal of a subset of 373 subjects confirmed the initial diagnosis in 91.2% of cases. CVD was more prevalent in females (51%) than in males (32%) (P<0.0001) and prevalence increased with age and body mass index.

CONCLUSIONS

Heavy legs, pain in the legs, and a sensation of swelling were the most frequently reported symptoms. Varicose veins and telangiectasias were the most common signs in both males and females, but with a higher frequency of varicose veins in males and telangiectasias in females. Increasing age, pregnancy, and a positive family history were found to be risk factors for CVD.

Authors+Show Affiliations

Department of Vascular Surgery, University Hospital St. Ekaterina, Sofia, Bulgaria. tzahariev@uhsek.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19648874

Citation

Zahariev, T, et al. "Prevalence of Primary Chronic Venous Disease: the Bulgarian Experience." International Angiology : a Journal of the International Union of Angiology, vol. 28, no. 4, 2009, pp. 303-10.
Zahariev T, Anastassov V, Girov K, et al. Prevalence of primary chronic venous disease: the Bulgarian experience. Int Angiol. 2009;28(4):303-10.
Zahariev, T., Anastassov, V., Girov, K., Goranova, E., Grozdinski, L., Kniajev, V., & Stankev, M. (2009). Prevalence of primary chronic venous disease: the Bulgarian experience. International Angiology : a Journal of the International Union of Angiology, 28(4), 303-10.
Zahariev T, et al. Prevalence of Primary Chronic Venous Disease: the Bulgarian Experience. Int Angiol. 2009;28(4):303-10. PubMed PMID: 19648874.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of primary chronic venous disease: the Bulgarian experience. AU - Zahariev,T, AU - Anastassov,V, AU - Girov,K, AU - Goranova,E, AU - Grozdinski,L, AU - Kniajev,V, AU - Stankev,M, PY - 2009/8/4/entrez PY - 2009/8/4/pubmed PY - 2010/10/13/medline SP - 303 EP - 10 JF - International angiology : a journal of the International Union of Angiology JO - Int Angiol VL - 28 IS - 4 N2 - AIM: The aim of this study was to evaluate the prevalence of and risk factors for chronic venous disease (CVD) in the Bulgarian adult population seeking medical help from general practitioners. METHODS: The design was a cross-sectional descriptive survey. Each general practitioner (GP) enrolled 50 consecutive patients aged 18 and over attending for a routine consultation. A subsample of these patients was reappraised by a group of specialists to confirm the GPs diagnosis. RESULTS: A total of 576 GPs selected 26 785 subjects to participate in the survey. In the GP survey, 11 724 subjects (44%) were found to be suffering from CVD. Specialist reappraisal of a subset of 373 subjects confirmed the initial diagnosis in 91.2% of cases. CVD was more prevalent in females (51%) than in males (32%) (P<0.0001) and prevalence increased with age and body mass index. CONCLUSIONS: Heavy legs, pain in the legs, and a sensation of swelling were the most frequently reported symptoms. Varicose veins and telangiectasias were the most common signs in both males and females, but with a higher frequency of varicose veins in males and telangiectasias in females. Increasing age, pregnancy, and a positive family history were found to be risk factors for CVD. SN - 0392-9590 UR - https://www.unboundmedicine.com/medline/citation/19648874/Prevalence_of_primary_chronic_venous_disease:_the_Bulgarian_experience_ L2 - http://www.minervamedica.it/index2.t?show=R34Y2009N04A0303 DB - PRIME DP - Unbound Medicine ER -