Objectives
The association between socioeconomic status (SES) and chronic venous insufficiency
has not been rigorously studied. This study aimed to determine the influence of SES
on the clinical stage of patients presenting for chronic venous disease therapy.
Methods
We performed a retrospective study of a prospectively collected data from the Vascular
Quality Initiative Varicose Vein Registry at our tertiary referral center. Medical
records of patients who underwent therapy for chronic venous disease between January
2015 and June 2019 were queried. SES was quantified using the neighborhood deprivation
index (NDI), which summarizes 8 domains of socioeconomic deprivation and is based
on census tract data derived from the patients’ addresses at the time of the treatment.
High NDI scores correspond with lower SES. The association between SES and severity
of vein disease at presentation was assessed with bivariate analysis of variance and
linear regression analysis.
Results
A total of 449 patients with complete SES and clinical-etiology-anatomy-pathophysiology
(CEAP) class data were included in the study. The mean age was 58 years, 67% were
female, and 60% were White. CEAP classes were distributed as follows C2, 22%; C3,
50%; C4, 15%; C5, 5%; and C6, 8%. Patients with lower SES (higher NDI score) tended
to have a higher CEAP class at presentation (P < 0.05). SES was not associated with history of deep venous thrombosis, use of compression
therapy, or venous clinical severity score.
Conclusions
At our institution, patients with more advanced venous disease tended to belong to
a lower SES group. This may reflect that patient with a lower SES have a longer time
to presentation due to delay in seeking medical help for venous disease.
Keywords
Abbreviations:
CEAP (clinical-etiology-anatomy-pathophysiology), CVD (chronic venous disease), NDI (neighborhood deprivation index), SES (socioeconomic status)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: December 22, 2021
Accepted:
December 3,
2021
Received in revised form:
November 22,
2021
Received:
August 23,
2021
Footnotes
Previous Presentation: This study was presented as an oral presentation at the 2020 American Venous Forum 32nd Annual Meeting, Amelia Island, FL, March 3-6, 2020.
Identification
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