Logo of qualhcLink to Publisher's site
Qual Health Care. Mar 1993; 2(1): 5–10.
PMCID: PMC1055054

Towards measurement of outcome for patients with varicose veins.


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.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.0M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Chant AD, Jones HO, Weddell JM. Varicose veins: a comparison of surgery and injection-compression sclerotherapy. Lancet. 1972 Dec 2;2(7788):1188–1191. [PubMed]
  • Piachaud D, Weddell JM. The economics of treating varicose veins. Int J Epidemiol. 1972 Autumn;1(3):287–294. [PubMed]
  • Beresford SA, Chant AD, Jones HO, Piachaud D, Weddell JM. Varicose veins: A comparison of surgery and infection/compression sclerotherapy. Five-year follow-up. Lancet. 1978 Apr 29;1(8070):921–924. [PubMed]
  • Dixon J, Welch HG. Priority setting: lessons from Oregon. Lancet. 1991 Apr 13;337(8746):891–894. [PubMed]
  • Nabatoff RA, Stark DC. Treatment of varicose veins. Lancet. 1973 Jan 27;1(7796):201–202. [PubMed]
  • Hobbs JT. Surgery and sclerotherapy in the treatment of varicose veins. A random trial. Arch Surg. 1974 Dec;109(6):793–796. [PubMed]
  • Jakobsen BH. The value of different forms of treatment for varicose veins. Br J Surg. 1979 Mar;66(3):182–184. [PubMed]
  • Ware JE, Jr, Sherbourne CD. 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]
  • Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, 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. [PMC free article] [PubMed]
  • McHorney CA, Ware JE, Jr, Rogers W, Raczek AE, Lu JF. 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. [PubMed]
  • Joliffe IT, Morgan BJ. Principal component analysis and exploratory factor analysis. Stat Methods Med Res. 1992;1(1):69–95. [PubMed]
  • Stewart AL, Hays RD, Ware JE., Jr The MOS short-form general health survey. Reliability and validity in a patient population. Med Care. 1988 Jul;26(7):724–735. [PubMed]
  • Jachuck SJ, Brierley H, Jachuck S, Willcox PM. 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]

Articles from Quality in Health Care : QHC are provided here courtesy of BMJ Group


Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...


  • MedGen
    Related information in MedGen
  • PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...