{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T07:59:38Z","timestamp":1793519978810,"version":"4.5.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T00:00:00Z","timestamp":1726531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T00:00:00Z","timestamp":1726531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Individuals with high body mass index (BMI) are more likely to have symptomatic LLVD than age matched populations with normal BMI. National priorities in venous disease set by the James Lind Alliance focus on improving access to healthcare and patient education. The aims of this study are to determine patient knowledge and potential burden of LLVD in a population of patients attending a UK, regional weight management service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A postal questionnaire containing 12 questions relating to LLVD and obesity was distributed to the active list of patients under the weight management medical service at Dudley Group of Hospitals between May 2022-23. Respondents were provided with a stamped, addressed envelope to return the questionnaire. Ethical approval was granted by the Hampshire Research &amp; Ethics Committee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Some 367 questionnaires were distributed to patients currently enrolled in specialist weight management services. 103 complete responses were received (28%), Most patients were between 50 and 70 years of age. 25% of patients already had a formal diagnosis of LLVD, with a further 84 (82%) reported signs or symptoms which may be related to LLVD. Almost half (49\/103, 48%) had concerns over their skin quality with a similar proportion (25\/103, 51%) having sought medical help. The majority (71\/103, 69%) were unaware of the association between obesity and LLVD. Twelve participants had education regarding simple adjuncts designed to improve symptoms and\/or prevent ulceration (emollients, dressings, stockings, or leg elevation). Four participants had previously undergone treatment for varicose veins.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In a population of patients accessing weight management services, we have demonstrated that a quarter of patients have already received a diagnosis of LLVD, however there is for a greater undiagnosed burden of LLVD in part due to lack of patient and possibly clinician awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555241284179","type":"journal-article","created":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T13:13:42Z","timestamp":1726578822000},"page":"161-166","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The obese population\u2019s views on the symptoms and risks of chronic venous insufficiency - 2 (OBVIOUS-2) cross-sectional survey"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6239-4039","authenticated-orcid":false,"given":"Matthew A","family":"Popplewell","sequence":"first","affiliation":[{"name":"Dudley Group of Hospitals NHS Trust"},{"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sindoora","family":"Mahesh","sequence":"additional","affiliation":[{"name":"Dudley Group of Hospitals NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandip","family":"Nandra","sequence":"additional","affiliation":[{"name":"Newcastle University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"Juszczak","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Ashby","sequence":"additional","affiliation":[{"name":"Dudley Group of Hospitals NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L","family":"Wall","sequence":"additional","affiliation":[{"name":"Dudley Group of Hospitals NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,17]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13366"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2014.05.017"},{"key":"e_1_3_6_4_2","unstructured":"World Health Organisation (WHO) WHO acceleration plan to stop obesity. Switzerland: World Health Organisation 2023 [Available from: https:\/\/www.who.int\/publications\/i\/item\/9789240075634] Accessed 24\/03\/2024."},{"key":"e_1_3_6_5_2","unstructured":"National Health Service Overview. London UK: Health Service obesity National 2023 [Available from: https:\/\/www.nhs.uk\/conditions\/obesity\/] Accessed 24\/03\/2024."},{"key":"e_1_3_6_6_2","volume-title":"The effect of OBesity on venous impedance and Outflow measured by UltraSound \u201cthe OBVIOUS study","author":"Wall M","year":"2011","unstructured":"Wall M. The effect of OBesity on venous impedance and Outflow measured by UltraSound \u201cthe OBVIOUS study. Birmingham, UK: University of Birmingham, 2011."},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355516649333"},{"key":"e_1_3_6_8_2","unstructured":"The James Lind Alliance Venous Top 10 Priorities (priority setting in association with the JLA). Southampton UK: The James Lind Alliance - University of Southampton 2021 [Available from: https:\/\/www.jla.nihr.ac.uk\/priority-setting-partnerships\/vascular-conditions\/venous-top-10-priorities.htm]. Accessed 24\/03\/2024."},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06737-1"},{"key":"e_1_3_6_10_2","volume-title":"Obesity: identification, assessment and management (Clinical Guideline CG189)","author":"National Institute for Health and Care Excellence","year":"2014","unstructured":"National Institute for Health and Care Excellence. Obesity: identification, assessment and management (Clinical Guideline CG189). London, UK: National Institute for Health & Care Excellence, 2014."},{"key":"e_1_3_6_11_2","unstructured":"Dudley Group of Hosptials About us - the Dudley group NHS foundation trust. Dudley UK: The Dudley Group NHS Foundation Trust 2024 [Available from: https:\/\/www.dgft.nhs.uk\/about-us\/]. Accessed 24\/03\/2024."},{"key":"e_1_3_6_12_2","unstructured":"National Institute for Health and Care Research. Good clinical Practice. London UK: Department of Health and Social Care 2023 [Available from: https:\/\/www.nihr.ac.uk\/health-and-care-professionals\/learning-and-support\/good-clinical-practice.htm] Accessed 24\/03\/2024."},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2.1.5"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00439228"},{"key":"e_1_3_6_15_2","volume-title":"Varicose veins: diagnosis and management (clinical guideline CG168)","author":"National Institute for Health and Care Excellence","year":"2013","unstructured":"National Institute for Health and Care Excellence. Varicose veins: diagnosis and management (clinical guideline CG168). London, UK: National Institute for Health and Care Excellence, 2013."},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2014.08.005"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2020.04.006"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12175438"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555241284179","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02683555241284179","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555241284179","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:55:03Z","timestamp":1777658103000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02683555241284179"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,17]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/02683555241284179"],"URL":"https:\/\/doi.org\/10.1177\/02683555241284179","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,17]]}}}