Living activities limitation of population of Ukraine due to chronic venous diseases of lower limbs

Abstract

The aim — to analyze the level and structure of primary (PD) and accumulated disability (AD) due to chronic venous diseases of the lower extremities (CVDLE) over the past five years in Ukraine.Materials and methods. The analysis of primary and accumulated disability due to CVDLE was done. The data was obtained from all centers and bureaus of medical and social expertise of the regions of Ukraine and the city of Kyiv, except for Donetsk, Lugansk regions and the Autonomous Republic of Crimea. The main nosological forms that led to disability were varicose and post‑thrombotic disease (PTD) of the lower extremities. The demographic, social and gender structure of PD and AD was analyzed with consideration of severity of disability.Results and discussion. Over the past five years, in Ukraine, the PD level due to peripheral vascular diseases decreased from 0.84 to 0.76 per 10 thousand adults and from 0.69 to 0.62 per 10 thousand of working‑age population. In the structure of PD due to peripheral vascular diseases in the adult population in 2017, the proportion of CVDLE was 30.8 %. In the structure of PD of working‑age population it was 48.9 %, which was 1.3 and 1.2 times higher than the corresponding figures in 2013. The overall level of disability due to CVDLE compared with 2013 tended to decrease from 1.26 to 1.19 due to PD. Over five years, PD due to CVDLE was characterized by almost two times increase in the number of young people with disabilities, with a simultaneous 1.3 times decrease in the proportion of persons with disabilities in mature age due to PTD. In the group of patients under 30 years of age, the disability group due to CVDLE was initially established in 2.8 % of cases. In the structure of AD due to PTD, an increase in the number of persons of mature age was determined.Conclusions. In the structure of peripheral vascular diseases over five years, the proportion of CVDLE increased by 1.3 times among adults and 1.2 times — among the working‑age population. The main cause of PD due to CVDLE remains PTD (71.4 %) with an increase in the incidence of severe disability by 1.2 times. Over the course of five years, the proportion of PD among young people due to varicose vein disease increased by 1.9 times, indicating a low level of medical rehabilitation. The analysis of the level and structure of disability due to CVDLE over the past five years in Ukraine has identified a negative tendency, which requires improved approaches to medical and social expertise and rehabilitation.