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J P Benigni

Publications and source records attributed to J P Benigni.

4 recordsLinked to original sources
PubMed2006

Is obesity an aggravating factor in chronic venous disease? Results of a French epidemiological study in male patients.

AIM: In a recent epidemiological study on chronic venous disease (CVD) in French male patients, a correlation was found between obesity and disease severity. The objective of this study was to further analyze the relationship between age and/or obesity, and CVD severity as assessed by the CEAP C-class. METHODS: Each physician taking part in this cross-sectional study included the first 3 adult male patients consulting for the first time and presenting at least one sign and one symptom of CVD. Patients' socio-demographic and clinical data were collected, and findings for obese (body mass index BMI: >30 kg/m(2)), overweight (25 60 years experienced trophic disorders, i.e., CEAP classes C4, C5, and C6). CONCLUSIONS: This study does not show any relationship between the CEAP C-class and obesity in male patients. Obesity was thus probably not an aggravating factor in CVD but a simple reflection of ageing.

Adult↗
PubMed2004

Chronic venous disease in the male. An epidemiological survey.

AIM: Chronic venous disease affects large numbers of men but there are fewer references to them than to women in the literature. The aim of our study was to determine the time lapse between the first symptom(s) and/or clinical signs of venous disease in the male and the first consultation with an angiologist to define the status of the veins within this population, and to demonstrate any possible links between the characteristics of the disorder in accordance with the CEAP international classification. METHODS: The design was a cross-sectional descriptive survey. Each physician had to include the first 3 patients examined for the first time. Each male patient had to present at least 1 sign and 1 symptom of chronic venous disease. After randomization, 192 physicians included 561 patients: 494 have been analyzed. RESULTS: The examined patients had a mean age of 49.3+/-13.7 years, mean height of 1.76+/-0.07 m, mean weight of 78.2+/-11.2 kg and a BMI of 25.3+/-3.3. The disorder had been developing for a mean 76.8+/-90.3 months prior to the specialist consultation. The longer the time span between the onset of the condition and the first consultation with a specialist, the more advanced was the condition as was also true with the increasing age of the patients. The following associations were observed: the incidence of trophic disorders increased with age (odds-ratio 1.47). The severity of the disease increased the greater the extent of obesity (odds-ratio 3.5). CONCLUSION: The risk of trophic disorders was higher in shop workers, craftsmen (odds-ratio 3.7) and workers (odds-ratio 2.68) than in executives, in those working in a standing position (odds-ratio 1.5), in those whose father had the condition (odds-ratio 1.9), in the event of a popliteal reflux (odds-ratio 3.2) rather than affecting a saphenous trunk (small saphenous vein odds-ratio 2.5, great saphenous vein odds-ratio 1.9). Thirty-two percent of patients with trophic disorders had already worn elastic compression prior to the specialist consultation. After this consultation, the numbers for whom this was prescribed rose to 87%.

Adolescent↗
PubMed2003

Efficacy of Class 1 elastic compression stockings in the early stages of chronic venous disease. A comparative study.

AIM: The aim of this study was to compare the efficacy of Class 1 (10-15 mmHg at the ankle) compression stockings with that of reference stockings of identical appearance during the early stages of chronic venous disease (CVD). METHODS: A prospective multi-center randomized double blind crossover study was conducted on 2 groups of female patients presenting with CVD with a CEAP classification of C1-3SEp As1-5. The efficacy of Class 1 compression stockings was evaluated with respect to global painful discomfort (visual analog scale), each symptom of CVD, the daily behavior of the patient, changes in the volume of the legs, and the functioning of the venous pump (D-PPG). The compliance level of each patient was measured by the number of days that she wore the stockings for at least 6 hours, and tolerance was measured by the reporting of ensuing undesirable events. RESULTS: A total of 125 patients were included in the study and were analyzed for intent to treat. Highly significant differences favoring Class 1 compression stockings were noted with respect to both global painful discomfort and each symptom of CVD with the exception of paresthesia. The relief of symptoms that resulted from the use of the Class 1 compression stockings was twice that which resulted from the use of the reference stockings. Differences that favored the Class 1 compression stockings were also observed with respect to 2 quality-of-life factors (mood and daily work activity). Good compliance in the use of the stockings was reported for 95% of the patients, and tolerance was higher for the Class 1 compression stockings group than for the reference group. CONCLUSION: The regular wearing of Class 1 graduated elastic compression stockings during a 15-day period results in a significant improvement in the symptomatology of early-stage chronic venous disease, i.e., in the relief of global painful discomfort as well as in quality-of-life criteria. A high level of patient compliance in the wearing of the stockings was achieved in this study.

Adolescent↗