Prevalence, clinical presentation, and risk factors of chronic venous disease in Cameroon: A general population-based study.

التفاصيل البيبلوغرافية
العنوان:	Prevalence, clinical presentation, and risk factors of chronic venous disease in Cameroon: A general population-based study.
المؤلفون:	Ngatchou W; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Barche B; Clinical Research Education Networking and Consultancy, Douala, Cameroon., Temgoua M; Department of Cardiology, Faculty of Medicine, University of Toulouse-Rangueil, Toulouse, France., Metouguena SE; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Jutcha I; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Mvondo CM; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Kamdem F; Department of Cardiology General Hospital, Douala, Cameroon.; Department of Medicine and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Dzudie A; Clinical Research Education Networking and Consultancy, Douala, Cameroon.; Department of Cardiology General Hospital, Douala, Cameroon., Ndjoh S; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Johne M; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Metogo J; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Ndom MS; Department of Medicine and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Sango J; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Ngo Yon C; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Moulium S; Department of Cardiology General Hospital, Douala, Cameroon.; Department of Medicine and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Lade V; Department of Cardiology General Hospital, Douala, Cameroon., Kuaté LM; Department of Medicine and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaounde, Yaounde, Cameroon., Menanga AP; Department of Medicine and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaounde, Yaounde, Cameroon., Sobngwi E; Department of Medicine and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaounde, Yaounde, Cameroon., Njock R; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon., Blazquez SB; Department of General Surgery, Príncipe de Asturias Hospital, Alcalá de Henares, Spain., Ngowe Ngowe M; Department of Surgery and Specialities, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
المصدر:	Phlebology [Phlebology] 2024 May; Vol. 39 (4), pp. 259-266. Date of Electronic Publication: 2023 Dec 30.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Sage Country of Publication: England NLM ID: 9012921 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-1125 (Electronic) Linking ISSN: 02683555 NLM ISO Abbreviation: Phlebology Subsets: MEDLINE
أسماء مطبوعة:	Publication: Oct. 2012- : London : Sage Original Publication: [Houndmills, Basingstoke, Hampshire, UK] : Scientific & Medical, Macmillan Press,
مواضيع طبية MeSH:	Venous Insufficiency/epidemiology , Venous Insufficiency/diagnosis , Hypertension* , Diabetes Mellitus*, Humans ; Male ; Female ; Adult ; Middle Aged ; Prevalence ; Cameroon/epidemiology ; Risk Factors ; Obesity/epidemiology ; Chronic Disease
مستخلص:	Introduction: Chronic venous disease is a global public health problem, with high morbidity and economic distress. There is scarcity of data on this disease in sub-Saharan Africa. Methods: We conducted the first population-based study over a period of 20 months from 1st February 2020 to 30th September 2021 in the 10 regions of Cameroon. A stratify sampling method was chose to select study site. Socio-demographic data, personal and family history, anthropometric parameters, clinical signs, illustrative images, CEAP (Clinical-Etiological-Anatomical-Pathophysiological) classification revised in 2004, VCSS (venous Clinical Severity Score) and risk factor assessment score were used to construct the survey form. Chi-squared test and Fischer exact test were used to compare the prevalence of chronic venous disease across different potential risk factors (sex, age category, previous history of deep vein thrombosis, hypertension, diabetes, smoking status, obesity). Simple and multiple logistic regression models were used to obtain crude and adjusted odds ratio for risk factors associated with chronic venous insufficiency. Statistical analyses were done with R version 4.2 for Linux and the threshold for statistical significance was 0.05. Results: A total of 6578 participants were included in the study, with a mean age of 41.09 ± 16.02 years with female predominance (54.3%). The prevalence of chronic venous disease was 21.8% (95% CI: 20.8-22.9) and the prevalence of chronic venous insufficiency (C3-C6) was 7.02% ( n = 462). Night cramps (43.2%), oedema (21.7%), lower limbs pain (20.4%) mostly worsens by walking and heavy legs (16.2%) were more common symptoms. The mean total venous clinical severity score was 0.69 ± 1.76 and this score had a significant positive correlation with C classification ( p < .001). In the multivariate analysis, the following factors were independently associated with CVD: Male gender (aOR: 1.27; 95%CI: 1.04-1.56; p = .021), retired people (aOR: 46.9; 95% CI: 12.6-174.5; p < .001), hypertension (aOR: 289.5; 95%CI: 169.69-493.1; p < .001), diabetes (aOR: 2.19; 95% CI: 1.21-3.96; p = .009), obesity (aOR: 10.22; 95%CI: 7.67-13.62; p < .001). Smoking appears as a protective factor (aOR: 0.18; 95%CI: 0.10-0.30; p < .001). Conclusion: Chronic venous disease is frequent in Cameroon and main traditional cardiovascular risk factors are associated to this condition. Systematic screening of the CVD in these specific groups could reduce the burden of the disease and its economic impact. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
فهرسة مساهمة:	Keywords: Cameroon; Chronic venous disease; clinical presentation; population-based study; prevalence; risk factors
تواريخ الأحداث:	Date Created: 20231230 Date Completed: 20240405 Latest Revision: 20240405
رمز التحديث:	20240405
DOI:	10.1177/02683555231224111
PMID:	38158837
قاعدة البيانات:	MEDLINE

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تدمد:	1758-1125
DOI:	10.1177/02683555231224111