Attributable risks of varicose veins in the population of a large region of the Central Federal District of the Russian Federation

Abstract

The article presents the results of a study of the attributable risks of varicose veins in the population of a large region of the Central Federal District of the Russian Federation. A retrospective study of statistical data from medical documents of patients with a diagnosis of lower limb varicose veins who underwent outpatient treatment in the private medical organization Yaroslavl Phlebology Center «Doktor Ven» from 2015 to 2021 was conducted. The homogeneity of the studied population was assessed by age and time criteria, and the analysis of risk factors for the development of varicose veins recorded by experts in patients with an established diagnosis of I83.0, I83.1, I83.2, and I83.9 according to the ICD-10 was carried out. It is known that the prevalence of varicose veins is at the level of 12–26 % among the adult population. This study made it possible to prove that socio-economic, socio-biological, and medical attributable risk factors are the key factors influencing the excessive incidence of varicose disease, its progression and recurrence. Stratification of risks from the perspective of their management capabilities is the first step towards the development of integrated approaches and measures aimed at preventing the varicose veins disease and reducing its prevalence in the population at all levels: from individual to state level. The analysis of attributable risks without taking into account the uncertainty factor and randomness in the data sample and determining the confidence interval in which the true value of the parameter of the general population is located with a certain degree of probability requires reliability correction. In this regard, further study of the pathoepidemiology of varicose veins using sufficiently reliable statistical research methods is of great scientific and practical interest.