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What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey.
BMJ 1999; 318(7180):353-6BMJ

Abstract

OBJECTIVE

To define the relations between age, sex, lower limb symptoms, and the presence of trunk varicose veins on clinical examination.

DESIGN

Cross sectional population study.

SETTING

12 general practices with catchment areas geographically and socioeconomically distributed throughout Edinburgh.

PARTICIPANTS

An age stratified random sample of 1566 people (699 men and 867 women) aged 18-64 selected from the computerised age-sex registers of participating practices.

MAIN OUTCOME MEASURES

Self administered questionnaire on the presence of lower limb symptoms and physical examination to determine the presence and severity of varicose veins.

RESULTS

Women were significantly more likely than men to report lower limb symptoms such as heaviness or tension, swelling, aching, restless legs, cramps, and itching. The prevalence of symptoms tended to increase with age in both sexes. In men, only itching was significantly related to the presence and severity of trunk varices (linear test for trend, P=0.011). In women there was a significant relation between trunk varices and the symptoms of heaviness or tension (P</=0.001), aching (P</=0.001), and itching (P</=0.005). However, the level of agreement between the presence of symptoms and trunk varices was too low to be of clinical value, especially in men.

CONCLUSIONS

Even in the presence of trunk varices, most lower limb symptoms probably have a non-venous cause. Surgical extirpation of trunk varices is unlikely to ameliorate such symptoms in most patients.

Authors+Show Affiliations

Vascular Surgery Unit, University Department of Surgical and Clinical Sciences, Royal Infirmary, Edinburgh EH3 9YW.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9933194

Citation

Bradbury, A, et al. "What Are the Symptoms of Varicose Veins? Edinburgh Vein Study Cross Sectional Population Survey." BMJ (Clinical Research Ed.), vol. 318, no. 7180, 1999, pp. 353-6.
Bradbury A, Evans C, Allan P, et al. What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey. BMJ. 1999;318(7180):353-6.
Bradbury, A., Evans, C., Allan, P., Lee, A., Ruckley, C. V., & Fowkes, F. G. (1999). What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey. BMJ (Clinical Research Ed.), 318(7180), pp. 353-6.
Bradbury A, et al. What Are the Symptoms of Varicose Veins? Edinburgh Vein Study Cross Sectional Population Survey. BMJ. 1999 Feb 6;318(7180):353-6. PubMed PMID: 9933194.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey. AU - Bradbury,A, AU - Evans,C, AU - Allan,P, AU - Lee,A, AU - Ruckley,C V, AU - Fowkes,F G, PY - 1999/2/5/pubmed PY - 1999/2/5/medline PY - 1999/2/5/entrez SP - 353 EP - 6 JF - BMJ (Clinical research ed.) JO - BMJ VL - 318 IS - 7180 N2 - OBJECTIVE: To define the relations between age, sex, lower limb symptoms, and the presence of trunk varicose veins on clinical examination. DESIGN: Cross sectional population study. SETTING: 12 general practices with catchment areas geographically and socioeconomically distributed throughout Edinburgh. PARTICIPANTS: An age stratified random sample of 1566 people (699 men and 867 women) aged 18-64 selected from the computerised age-sex registers of participating practices. MAIN OUTCOME MEASURES: Self administered questionnaire on the presence of lower limb symptoms and physical examination to determine the presence and severity of varicose veins. RESULTS: Women were significantly more likely than men to report lower limb symptoms such as heaviness or tension, swelling, aching, restless legs, cramps, and itching. The prevalence of symptoms tended to increase with age in both sexes. In men, only itching was significantly related to the presence and severity of trunk varices (linear test for trend, P=0.011). In women there was a significant relation between trunk varices and the symptoms of heaviness or tension (P</=0.001), aching (P</=0.001), and itching (P</=0.005). However, the level of agreement between the presence of symptoms and trunk varices was too low to be of clinical value, especially in men. CONCLUSIONS: Even in the presence of trunk varices, most lower limb symptoms probably have a non-venous cause. Surgical extirpation of trunk varices is unlikely to ameliorate such symptoms in most patients. SN - 0959-8138 UR - https://www.unboundmedicine.com/medline/citation/9933194/What_are_the_symptoms_of_varicose_veins_Edinburgh_vein_study_cross_sectional_population_survey_ L2 - http://www.bmj.com/cgi/pmidlookup?view=long&amp;pmid=9933194 DB - PRIME DP - Unbound Medicine ER -