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. 1993 Mar;2(1):5–10. doi: 10.1136/qshc.2.1.5

Towards measurement of outcome for patients with varicose veins.

A M Garratt 1, L M Macdonald 1, D A Ruta 1, I T Russell 1, J K Buckingham 1, Z H Krukowski 1
PMCID: PMC1055054  PMID: 10132081

Abstract

OBJECTIVE--To develop a valid and reliable outcome measure for patients with varicose veins. DESIGN--Postal questionnaire survey of patients with varicose veins. SETTING--Surgical outpatient departments and training general practices in Grampian region. SUBJECTS--373 patients, 287 of whom had just been referred to hospital for their varicose veins and 86 who had just consulted a general practitioner for this condition and, for comparison, a random sample of 900 members of the general population. MAIN MEASURES--Content validity, internal consistency, and criterion validity. RESULTS--281(76%) patients (mean age 45.8; 76% female) and 542(60%) of the general population (mean age 47.9; 54% female) responded. The questionnaire had good internal consistency as measured by item-total correlations. Factor analysis identified four important health factors: pain and dysfunction, cosmetic appearance, extent of varicosity and complications. The validity of the questionnaire was demonstrated by a high correlation with the SF-36 health profile, which is a general measure of patients' health. The perceived health of patients with varicose veins, as measured by the SF-36, was significantly lower than that of the sample of the general population adjusted for age and a lower proportion of women. CONCLUSION--A clinically derived questionnaire can provide a valid and reliable tool to assess the perceived health of patients with varicose veins. IMPLICATIONS--The questionnaire may be used to justify surgical treatment of varicose veins.

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Selected References

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  1. Beresford S. A., Chant A. D., Jones H. O., Piachaud D., Weddell J. M. Varicose veins: A comparison of surgery and infection/compression sclerotherapy. Five-year follow-up. Lancet. 1978 Apr 29;1(8070):921–924. doi: 10.1016/s0140-6736(78)90694-3. [DOI] [PubMed] [Google Scholar]
  2. Brazier J. E., Harper R., Jones N. M., O'Cathain A., Thomas K. J., Usherwood T., Westlake L. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992 Jul 18;305(6846):160–164. doi: 10.1136/bmj.305.6846.160. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Chant A. D., Jones H. O., Weddell J. M. Varicose veins: a comparison of surgery and injection-compression sclerotherapy. Lancet. 1972 Dec 2;2(7788):1188–1191. doi: 10.1016/s0140-6736(72)92607-4. [DOI] [PubMed] [Google Scholar]
  4. Dixon J., Welch H. G. Priority setting: lessons from Oregon. Lancet. 1991 Apr 13;337(8746):891–894. doi: 10.1016/0140-6736(91)90213-9. [DOI] [PubMed] [Google Scholar]
  5. Hobbs J. T. Surgery and sclerotherapy in the treatment of varicose veins. A random trial. Arch Surg. 1974 Dec;109(6):793–796. doi: 10.1001/archsurg.1974.01360060063016. [DOI] [PubMed] [Google Scholar]
  6. Jachuck S. J., Brierley H., Jachuck S., Willcox P. M. The effect of hypotensive drugs on the quality of life. J R Coll Gen Pract. 1982 Feb;32(235):103–105. [PMC free article] [PubMed] [Google Scholar]
  7. Jakobsen B. H. The value of different forms of treatment for varicose veins. Br J Surg. 1979 Mar;66(3):182–184. doi: 10.1002/bjs.1800660313. [DOI] [PubMed] [Google Scholar]
  8. Joliffe I. T., Morgan B. J. Principal component analysis and exploratory factor analysis. Stat Methods Med Res. 1992;1(1):69–95. doi: 10.1177/096228029200100105. [DOI] [PubMed] [Google Scholar]
  9. McHorney C. A., Ware J. E., Jr, Rogers W., Raczek A. E., Lu J. F. The validity and relative precision of MOS short- and long-form health status scales and Dartmouth COOP charts. Results from the Medical Outcomes Study. Med Care. 1992 May;30(5 Suppl):MS253–MS265. doi: 10.1097/00005650-199205001-00025. [DOI] [PubMed] [Google Scholar]
  10. Nabatoff R. A., Stark D. C. Treatment of varicose veins. Lancet. 1973 Jan 27;1(7796):201–202. doi: 10.1016/s0140-6736(73)90029-9. [DOI] [PubMed] [Google Scholar]
  11. Piachaud D., Weddell J. M. The economics of treating varicose veins. Int J Epidemiol. 1972 Autumn;1(3):287–294. doi: 10.1093/ije/1.3.287. [DOI] [PubMed] [Google Scholar]
  12. Stewart A. L., Hays R. D., Ware J. E., Jr The MOS short-form general health survey. Reliability and validity in a patient population. Med Care. 1988 Jul;26(7):724–735. doi: 10.1097/00005650-198807000-00007. [DOI] [PubMed] [Google Scholar]
  13. Ware J. E., Jr, Sherbourne C. D. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473–483. [PubMed] [Google Scholar]

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