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Patients' reported quality of life in chronic venous disease in an outpatient service in Belgrade, Serbia

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Authors
Dunić, Ivana
Medenica, Ljiljana
Bobić, Branko
Đurković-Đaković, Olgica
Article (Published version)
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Abstract
Chronic venous disease (CVD) has been reported to substantially affect patients' quality of life (QoL). To evaluate the impact of CVD on patient-reported QoL in a patient series in Serbia, a cross-sectional study of 570 CVD patients, classified according to the CEAP clinical classification into classes (C) 1-6, was performed in a Belgrade outpatient clinic. QoL was assessed by the general short-form (SF)-36 questionnaire, and additionally by a brief CVD-specific questionnaire. The SF-36 scores for all QoL dimensions showed a progressive reduction from C1 to C6. Class 5 and 6 patients scored the lowest across all dimensions, with significant (p lt 0.05) reductions in physical functioning, role-physical, general health, vitality and mental health. The score for bodily pain decreased from C1 to C4, but increased in C5 and C6 as compared to C4 patients. Interestingly, despite an increasing rate of aesthetic concerns as the disease progresses, no variations were found in the social functi...oning and emotional role scores across the groups. There were no age or gender differences in any QoL item across the classes. The data presented show that QoL of CVD patients decreases, particularly after the appearance of skin changes, and suggest that even patients in the early stages consider CVD a disease and not merely a cosmetic problem.

Keywords:
CEAP classification / chronic venous disease / quality of life / SF-36 questionnaire / skin changes
Source:
European Journal of Dermatology, 2009, 19, 6, 616-620
Publisher:
  • John Libbey Eurotext Ltd, Montrouge
Funding / projects:
  • Infekcije intercelularnim mikroorganizmima rastućeg značaja: transmisija, odnos patogen-domaćin, molekularna epidemiologija i klinički značaj (RS-145002)

DOI: 10.1684/ejd.2009.0795

ISSN: 1167-1122

PubMed: 19737727

WoS: 000272086900014

Scopus: 2-s2.0-73249115981
[ Google Scholar ]
8
8
URI
http://rimi.imi.bg.ac.rs/handle/123456789/237
Collections
  • Radovi istraživača / Researchers' publications
Institution/Community
Institut za medicinska istraživanja
TY  - JOUR
AU  - Dunić, Ivana
AU  - Medenica, Ljiljana
AU  - Bobić, Branko
AU  - Đurković-Đaković, Olgica
PY  - 2009
UR  - http://rimi.imi.bg.ac.rs/handle/123456789/237
AB  - Chronic venous disease (CVD) has been reported to substantially affect patients' quality of life (QoL). To evaluate the impact of CVD on patient-reported QoL in a patient series in Serbia, a cross-sectional study of 570 CVD patients, classified according to the CEAP clinical classification into classes (C) 1-6, was performed in a Belgrade outpatient clinic. QoL was assessed by the general short-form (SF)-36 questionnaire, and additionally by a brief CVD-specific questionnaire. The SF-36 scores for all QoL dimensions showed a progressive reduction from C1 to C6. Class 5 and 6 patients scored the lowest across all dimensions, with significant (p  lt  0.05) reductions in physical functioning, role-physical, general health, vitality and mental health. The score for bodily pain decreased from C1 to C4, but increased in C5 and C6 as compared to C4 patients. Interestingly, despite an increasing rate of aesthetic concerns as the disease progresses, no variations were found in the social functioning and emotional role scores across the groups. There were no age or gender differences in any QoL item across the classes. The data presented show that QoL of CVD patients decreases, particularly after the appearance of skin changes, and suggest that even patients in the early stages consider CVD a disease and not merely a cosmetic problem.
PB  - John Libbey Eurotext Ltd, Montrouge
T2  - European Journal of Dermatology
T1  - Patients' reported quality of life in chronic venous disease in an outpatient service in Belgrade, Serbia
EP  - 620
IS  - 6
SP  - 616
VL  - 19
DO  - 10.1684/ejd.2009.0795
UR  - conv_2214
ER  - 
@article{
author = "Dunić, Ivana and Medenica, Ljiljana and Bobić, Branko and Đurković-Đaković, Olgica",
year = "2009",
abstract = "Chronic venous disease (CVD) has been reported to substantially affect patients' quality of life (QoL). To evaluate the impact of CVD on patient-reported QoL in a patient series in Serbia, a cross-sectional study of 570 CVD patients, classified according to the CEAP clinical classification into classes (C) 1-6, was performed in a Belgrade outpatient clinic. QoL was assessed by the general short-form (SF)-36 questionnaire, and additionally by a brief CVD-specific questionnaire. The SF-36 scores for all QoL dimensions showed a progressive reduction from C1 to C6. Class 5 and 6 patients scored the lowest across all dimensions, with significant (p  lt  0.05) reductions in physical functioning, role-physical, general health, vitality and mental health. The score for bodily pain decreased from C1 to C4, but increased in C5 and C6 as compared to C4 patients. Interestingly, despite an increasing rate of aesthetic concerns as the disease progresses, no variations were found in the social functioning and emotional role scores across the groups. There were no age or gender differences in any QoL item across the classes. The data presented show that QoL of CVD patients decreases, particularly after the appearance of skin changes, and suggest that even patients in the early stages consider CVD a disease and not merely a cosmetic problem.",
publisher = "John Libbey Eurotext Ltd, Montrouge",
journal = "European Journal of Dermatology",
title = "Patients' reported quality of life in chronic venous disease in an outpatient service in Belgrade, Serbia",
pages = "620-616",
number = "6",
volume = "19",
doi = "10.1684/ejd.2009.0795",
url = "conv_2214"
}
Dunić, I., Medenica, L., Bobić, B.,& Đurković-Đaković, O.. (2009). Patients' reported quality of life in chronic venous disease in an outpatient service in Belgrade, Serbia. in European Journal of Dermatology
John Libbey Eurotext Ltd, Montrouge., 19(6), 616-620.
https://doi.org/10.1684/ejd.2009.0795
conv_2214
Dunić I, Medenica L, Bobić B, Đurković-Đaković O. Patients' reported quality of life in chronic venous disease in an outpatient service in Belgrade, Serbia. in European Journal of Dermatology. 2009;19(6):616-620.
doi:10.1684/ejd.2009.0795
conv_2214 .
Dunić, Ivana, Medenica, Ljiljana, Bobić, Branko, Đurković-Đaković, Olgica, "Patients' reported quality of life in chronic venous disease in an outpatient service in Belgrade, Serbia" in European Journal of Dermatology, 19, no. 6 (2009):616-620,
https://doi.org/10.1684/ejd.2009.0795 .,
conv_2214 .

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