| Titre : | Chronic venous disease in an ethnically diverse population : The San Diego population study. (2003) |
| Auteurs : | Michael-H CRIQUI ; John BERGAN ; Julie-O DENENBERG ; FRONEK (Arnost) : USA. Department of Bio-Engineering. Jacobs School of Engineering. University of California. San Diego. San Diego. CA. ; Beatrice-A GOLOMB ; Maritess JAMOSMOS ; Robert-D LANGER ; Department of Family and Preventive Medicine. School of Medicine. University of California. San Diego. CA. USA ; Department of Medicine. School of Medicine. University of California. San Diego. CA. USA ; Department of Surgery. School of Medicine. University of California. San Diego. CA. USA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 158, n° 5, 2003) |
| Pagination : | 448-456 |
| Langues: | Anglais |
| Mots-clés : | Homme ; Ethnie ; Epidémiologie ; Facteur risque ; Varice ; Thrombose ; Appareil circulatoire [pathologie] ; Vaisseau sanguin [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS gR0xW3Ey. Diffusion soumise à autorisation]. 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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