Correlation of venous clinical severity score and venous disability score with dermatology life quality index in chronic venous insufficiency

Abstract

Background: Chronic venous insufficiency (CVI) is an underestimated public health problem involving the lower limbs. It exerts a significant impact on patient's quality of life (QoL). The severity of the disease was measured by venous clinical severity score (VCSS) and venous disability score (VDS). Aims: The aim of the study was to evaluate VCSS, VDS, and dermatology life quality index (DLQI) among the patients of CVI and to evaluate the correlation among DLQI with VCSS, VDS, and leg ulcer. Materials and Methods: In this institution-based cross-sectional study, clinically and sonographically confirmed cases of CVI were included. Clinical severity of the disease and disability were assessed by using VCSS and VDS, respectively. QoL was assessed by a validated DLQI questionnaire. Correlation between DLQI with VCSS and VDS was analyzed. The association between DLQI with different characteristics of the ulcer was also evaluated. Results: Mean VCSS, VDS, and DLQI in the study population were 11 ± 4.96, 1.47 ± 0.67, and 6.94 ± 3.87, respectively. Both VCSS and VDS had a strong positive correlation with DLQI. The number of active ulcers, size of the ulcer, and duration of the ulcer had a strong positive correlation, whereas the age of onset of the disease had a negative correlation and duration of the disease had poor correlation with DLQI. Pain ( P = 0.03) and edema ( P = 0.04) had significant association with VDS. Conclusion: VCSS and VDS are important tools for measuring severity and disability in CVI, respectively. CVI had a strong impact on patients QoL more than it was thought hitherto.

Correlation of Venous Clinical Severity Score With Dermatology Life Quality Index Among Patients With Chronic Venous Insufficiency: A Cross-Sectional Study

“…In this study, the proportion of males was higher than females (6.1:1). A study done by Mallick et al [ 15 ] in 2020 showed VCSS positively correlating with DLQI and CVI exerting small to moderate effect on patient’s QoL, whereas in our study it showed moderate to very large effect. In a study done by Gillet et al [ 21 ] on 60 patients, it was found that increased VCSS values directly correlate with increased CEAP scores.…”

“…The CEAP classification was developed by an international consensus conference for the notification of diagnostic details in chronic venous disease, as well as for routine patient documentation and treatment [3,[13][14]. DLQI is the first dermatology-specific quality of life questionnaire published to measure dermatological distress [15][16][17][18][19]. In the Edinburg vein study, the prevalence of CVI is 9.4% in men and 6.6% in women [20].…”

Patient Explanation of Adherence and Non-Adherence to Venous Leg Ulcer Treatment: A Qualitative Study

“…The consequences of non-adherence to treatment recommendations include chronicity of VLUs, increased recurrence rate ( Finlayson et al, 2018 ), infection ( Bui et al, 2019 ) and secondary squamous cell carcinoma ( Reich-Schupke et al, 2015 ). Disease progression ( Meulendijks et al, 2020 ) and associated complications exacerbate wound pain ( Leren et al, 2020 ), increase wound exudate, and reduce patients’ mobility, which in turn contributes to disease progression ( Meulendijks et al, 2019 ), leads to premature disability ( Mallick et al, 2020 ), and inadvertently influences patients’ quality of life ( Barnsbee et al, 2019 ). Management of these complications require complex interventions and highlights the need for optimal care for this underestimated condition.…”

Efficacy and safety of ultrasound‐guided foam sclerotherapy combined with endoluminal radiofrequency closure in patients with varicose veins of lower extremities

“…Originally proposed by Rutherford, the VCSS is currently the most commonly used scoring system, which can be objective and truly reflect the severity of chronic venous disease in patients, and its evaluation involves 10 aspects, including pain, oedema, ulcer extent, and inflammatory response 20 . Liu pointed out that ultrasound‐guided endoluminal radiofrequency ablation combined with lauromacrogol is effective in the treatment of VVLE, reducing pain in patients, and can reduce the VCSS 21 .…”

“…19 Originally proposed by Rutherford, the VCSS is currently the most commonly used scoring system, which can be objective and truly reflect the severity of chronic venous disease in patients, and its evaluation involves 10 aspects, including pain, oedema, ulcer extent, and inflammatory response. 20 Liu pointed out that ultrasound-guided endoluminal radiofrequency ablation combined with lauromacrogol is effective in the treatment of VVLE, reducing pain in patients, and can reduce the VCSS. 21 The results of this study showed that acoustic-guided foam sclerotherapy combined with endovascular radiofrequency ablation was superior to surgical treatment for the improvement of VCSS score, with more significant therapeutic effect, which could effectively relieve the condition of patients with VVLE.…”