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This consensus intentionally focuses only on the acquired chronic venous disease (CVD). One of the biggest risk factors for CVD is prolonged standing. Certain occupations that require people to stand for a long time (like nursing, teaching, traffic police work, office work, housework, etc.) increase the risk of acquired CVD. In the female gender there is an increased risk of post-partum CVD. Based on this we will conduct a nationwide survey of the disease prevalence, pattern, and epidemiology to give a guideline useful for the Indian set up, as well as many countries other than India having diversified conditions. In India, awareness of the warning symptoms of CVD among the general population is far from satisfactory. This lack of awareness leads to a delay in receiving medical advice from primary care doctors and a delay in adequate treatment. A high prevalence of CVD has been documented in India and hence studies need to be conducted in different parts of India to develop an understanding at a national level of the pattern of chronic venous disease and our Indian observation. This will help us search in our country for a better way to understand and treat the disease. This is because India is a multi-ethnic, multi-cultural country with vast geographic variance, which could influence the patients’ lifestyle and its impact on CVD. There is now an urgent need to undertake health education measures about the awareness of risk factors and early warning signs of CVD in the community, so that people, and affected subjects specifically, can receive early therapy through modern means.

A consensus statement – part I. Recommendations for the management of chronic venous disease (CVD) in India and the key role of primary care doctors