Zusammenfassung
Ziel
Übersicht über den gegenwärtigen Erkenntnisstand zur Epidemiologie chronischer Venenkrankheiten.
Methodik
Systematische Suche und Aufarbeitung aktueller Studien zur Epidemiologie chronischer Venenkrankheiten.
Ergebnisse
Fasst man die jüngeren epidemiologischen Studien zusammen, in denen die CEAP Klassifikation verwendet wurde, so lassen sich ca. 60–70 % in die Klassen C0 und C1 einordnen, ca. 25 % in C2 und C3 mit Varizen und/oder Ödem und bis zu 5 % in C4 bis C6 mit Hautveränderungen bis hin zum Ulcus cruris. Die Inzidenz für Varikose und CVI liegt jeweils bei ca. 2 % pro Jahr.
Schlussfolgerungen
Chronische Venenkrankheiten wie die Varikose und die Chronische Venöse Insuffizienz gehören zu den häufigsten Erkrankungen in der erwachsenen Durchschnittsbevölkerung weltweit.
Summary
Aim
Overview of the recent knowledge in epidemiology of chronic venous diseases.
Methods
Systematic search and discussion of recent studies concerning epidemiology of chronic venous diseases.
Results
The more recent epidemiologic studies of venous diseases in which the CEAP classification was used showed a prevalence of 60–70 % CEAP clinical class C0 and C1, app. 25 % for C2 and C3 and up to 5 % for C4 to C6 with skin changes or venous ulcers. The incidence of varicose veins is app. 2 % per year.
Conclusions
Chronic venous diseases like varicose veins and chronic venous insufficiency belong to the most frequent diseases in our adult population.
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Literatur
Rabe E, Bauersachs R, Pannier F. S Venenerkrankungen der Beine. Gesundheitsberichterstattung des Bundes Heft 44. Berlin: List; 2009.
Eklöf B, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, Kistner RL, Meissner MH, Moneta GL, Myers K, Padberg FT, Perrin M, Ruckley CV, Coleridge SP, Wakefield TW. Revision of the CEAP classification for chronic venous disorders: Consensus statement. J Vasc Surg. 2004;40:1248–52.
Beebe-Dimmer JL, Pfeifer J, Engle JS, Schottenfeld D. The Epidemiology of Chronic venous insufficiency and varicose veins. AEP. 2005;15:175–84.
Evans CJ, Fowkes FGR, Hajivassiliou CA, Harper DR, Ruckley C. Epidemiology of varicose veins – a review. Int Angiol. 1994;13:263–70.
Evans CJ, Fowkes FGR, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency n men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health. 1999;53:149–53.
Fischer H. (Hrsg.) Urban und Schwarzenberg. 1981.
Fowkes FGR, Evans CJ, Lee AJ. Prevalence and risk factors of chronic venous insufficiency. Angiology. 2001;52:S5–S15.
Heit JA, Rooke TW, Silverstein MD, Mohr DN, Lohse CM, Petterson TM. o’Fallon M, Melton J: Trens in the incidence of venous stasis syndrome and venous ulcer: A 25-year population-based study. J Vasc Surg. 2001;33:1022–7.
Ruckley CV, Evans CJ, Allan PL, Lee AJ, Fowkes FG. Chronic venous insufficiency: clinical and duplex correlations. The Edinburgh Vein Study of venous disorders in the general population. J Vasc Surg. 2002;36:520–5.
Widmer LK, Stählin HB, Nissen C, Da SA. (Hrsg.) Bern Stuttgart Wien. : Verlag Hans Huber; Basler Studie. 1978.
Brand FN, Dannenberg AL, Abbott RD, Kannel WB. The epidemiology of varicose veins: the Framingham Study. Am J Prev Med. 1988;4:96–101.
Rabe E, Pannier-Fischer F, Bromen K, Schuld K, Poncar Ch, Wittenhorst M, Bock E, Weber S, Jöckel KH. Bonner Venenstudie der Deutschen Gesellschaft für Phlebologie – epidemiologische Untersuchung zur Frage der Häufigkeit und Ausprägung von chronischen Venenkrankheiten in der städtischen und ländlichen Wohnbevölkerung. Phlebologie. 2003;32:1–14.
Carpentier PH, Maricq HR, Biro C, Poncot-Makinen CO, Franco A. Prevalence, risk factors and clinical patterns of chronic venous disorders of lower limbs: A population-based study in France. J Vasc Surg. 2004;40:650–9.
Chiesa R, Marone EM, Limoni C, Volonté M, Schaefer E, Petrini O. Demographic factors and their relationship with the presence of CVI sigs in Italy. The 24-Cities Cohort Study. Eur J Vasc Endovasc Surg. 2005;30:674–80.
Chiesa R, Marone EM, Limoni C, Volonté M, Schaefer E, Petrini O. Chronic venous insufficiency in Italy: The 24-cities-cohort study. Eur J Vasc Endovasc Surg. 2005;30:422–9.
Criqui MH, Jamosmos JM, Fronek AT, Denenberg JO, Langer RD, Bergan J, Golomb BA. Chronic venous disease in an ethnically diverse population. The San Diego Population Study. Am J Epidemiol. 2003;158:448–56.
Jawien A, Grzela T, Ochwat A. Prevalence of chronic venous insufficiency in men and women in Poland : multicenter cross-sectional study in 40095 patients. Phlebology. 2003;18:110–21.
Rabe E, Guex JJ, Puskas A, Scuderi A, Fernandez QF. VCP Coordina- tors. Epidemiology of chronic venous disorders in geographically diverse populations: Results from the vein consult program. Int Angiol. 2012;31:105–15.
Rabe E, Pannier F, Ko A, et al. Incidence of Varicose Veins, Chronic Venous Insufficiency, and Progression of Disease in the Bonn Vein Study II. J Vasc Surg. 2010;51:791.
Robertson LA, Evans CJ, Lee AJ, Allan PL, Ruckley CV, Fowkes FGR. Incidence and Risk Factors for Venous Reflux in the General Population: Edinburgh Vein Study. EJVES. 2014;48:208–14.
Lee AJ, Robertson LA, Boghossian SM, Allan PL, Ruckley CV, Fowkes FGR, Evans CJ. Progression of varicose veins and chronic venous insufficiency in the general population in the Edinburgh Vein Study. J Vasc Surg: Venous Lym Dis. 2015;3:18–26.
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E. Rabe, G. Berboth und F. Pannier geben an, dass kein Interessenkonflikt besteht.
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Rabe, E., Berboth, G. & Pannier, F. Epidemiologie der chronischen Venenkrankheiten. Wien Med Wochenschr 166, 260–263 (2016). https://doi.org/10.1007/s10354-016-0465-y
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DOI: https://doi.org/10.1007/s10354-016-0465-y