Madar G, Widmer L K
FMH Innere Medizin, Venen- und Arterienkrankheiten, Basel.
Z Lymphol. 1990 Aug;14(1):36-46.
The controversial question of the incidence and significance of varicoses and chronic venous insufficiency is analysed by a critical review of epidemiological studies. It is seen that many of the results which initially appear to diverge are attributable to different, in part unsatisfactory epidemiological methods; e.g. patient groups of different ages and sex, different interview and examination techniques in addition to, above all, different weighting of varicosis. Thus, studies in general practice showed that the prevalence for varicoses in women was four times that in men; CVI was, in fact, 15 times more frequent than in epidemiological studies. The different weighting of varicoses and chronic venous insufficiency may well be one of the major reasons for the absent "unité de doctrine".
通过对流行病学研究的批判性回顾，分析了静脉曲张和慢性静脉功能不全的发病率及意义这一存在争议的问题。可以看出，许多最初看似存在分歧的结果归因于不同的、部分并不令人满意的流行病学方法；例如，不同年龄和性别的患者群体、不同的访谈和检查技术，尤其是对静脉曲张的不同加权。因此，全科医学研究表明，女性静脉曲张的患病率是男性的四倍；事实上，慢性静脉功能不全的患病率比流行病学研究中的患病率高15倍。静脉曲张和慢性静脉功能不全的不同加权很可能是缺乏“统一学说”的主要原因之一。
