Abstract
Chronic venous insufficiency (CVI) may have an impact on the daily lives of afflicted individuals. The study is aimed at identifying impact of CVI on patients' quality of life (QoL) using Dermatology Life Quality Index (DLQI). A cross-sectional non probabilistic sampling study was conducted among 100 patients with Chronic venous Insufficiency over a period of 16 months. A sociodemographic survey and clinical grading using CEAP classification along with duplex ultrasound scanning was performed for each patient. DLQI questionnaires in English and the native languages of Kannada and Urdu were used. Statistical analysis was performed using Pearson's chi-squared test. 100 patients with a male to female ratio of 7.8:1 were assessed. Mean age was 48.5 years. Majority of the patients in the study belonged to CEAP clinical grade C4a. 66% of the patients had mild to moderate impact while 34% had great impact of the disease on their QoL. The disease severity showed positive correlation with DLQI score (p <0.05). CVI has an adverse impact on various facets of life and the impact increases proportionately with severity of the disease. Hence incorporation of QoL assessment tools like DLQI helps in a multipronged management of the diseaseG.S. Asha, Fairuza Abdu Nazir, Leelavathy B, T.N. Revathi, Shilpa K, Eswari L.
Highlights
Chronic venous insufficiency (CVI) may have an impact on the daily lives of afflicted individuals
The World Health Organization (WHO) defines quality of life as ”the individuals’ perception of their position in life, in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.”[1]. QoL measures have only recently been used as assessment parameters in the management and evaluation of chronic skin diseases
HRQOL can be assessed with generic instruments such as Short Form-36 &12(SF-36 and -12), NHP (Nottingham Health Profile), SIP (Sickness Impact Profile), dermatology specific instruments such as Dermatology Life Quality Index (DLQI), DQOLS (Dermatology Quality Of Life Scales)
Summary
Chronic venous insufficiency (CVI) may have an impact on the daily lives of afflicted individuals. Objectives: The study is aimed at identifying impact of CVI on patients’ quality of life (QoL) using Dermatology Life Quality Index (DLQI). The World Health Organization (WHO) defines quality of life as ”the individuals’ perception of their position in life, in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.”[1] QoL measures have only recently been used as assessment parameters in the management and evaluation of chronic skin diseases. Though disease specific QoL measures for CVI exist namely CIVIQ (Chronic Venous Insufficiency Quality of Life Questionnaire) and VEINES-QOL, the native language adaptations of the same have not been made available yet. DLQI, developed by A.Y. Finlay and G.K. Khan in the year 1994, is considered as the first specific assessment instrument of QoL in dermatology.
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