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Eur J Vasc Endovasc Surg. 2010 Nov;40(5):618-25. doi: 10.1016/j.ejvs.2010.03.028. Epub 2010 Apr 24.

Quality of life among lower extremity peripheral arterial disease patients who have undergone endovascular or surgical revascularization: a case-control study.

Author information

1
Institute of Clinical Medicine, Department of Public Health, University of Turku, Finland; Turku City Hospital, Finland. leena.remes@utu.fi

Abstract

OBJECTIVES:

To assess the quality of life (QoL) of peripheral arterial disease (PAD) patients who have undergone either percutaneous transluminal angioplasty (PTA) only and/or one or more surgical revascularizations.

DESIGN:

A postal questionnaire study in which a case-control methodology was applied.

MATERIALS AND METHODS:

131 patients with PTAs (mean age 70.7, SD 10.4 yrs; range 39-89, 58% men) and 100 with surgical revascularizations (mean age 67.8, SD 10.4 yrs; range 43-91, 62% men), in 1998-2003, and their age- and gender-matched controls were studied. The mean time since the last revascularization for PTA was 2.7, SD 1.3 yrs and for operated patients 3.5, SD 1.8 yrs. Ankle-brachial pressure index (ABI) and Mini-Mental-State Examination (MMSE) score were obtained from 70% of the patients. QoL was assessed using 15D Health-related QoL instrument, Rand-36 Physical Functioning subscale, 6-item Brief Social Support Questionnaire, Geriatric Depression Scale (GDS), Self-reported Life Satisfaction (LS) score, and one 'perceived state of health' question.

RESULTS:

Patients after endovascular and/or surgical revascularization (most with ABIs 0.5-0.89 and without cognitive impairment), had similarly lower QoL, GDS and LS indicated more depression than their controls.

CONCLUSION:

Poor QoL and depression should be thoroughly considered, alongside proper follow-up and ABI-measurements.

PMID:
20418121
DOI:
10.1016/j.ejvs.2010.03.028
[Indexed for MEDLINE]
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