Arterial Reconstruction for Patients with Chronic Limb Ischemia Improves Ambulatory Function and Health-related Quality of Life

Sasajima, Tadahiro; Sasajima, Yumi; Akazawa, K; Saito, Yukihiro

doi:10.1016/j.avsg.2020.01.103

Cited by 9 publications

(8 citation statements)

References 21 publications

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“…An additional 16 studies139–154 were included from the secondary database search and 16 studies155–170 from the reference list search. In total, 146 studies25–170 were included for review (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…Of 6470 records identified in the primary database search, 114 studies25–138 were included. An additional 16 studies139–154 were included from the secondary database search and 16 studies155–170 from the reference list search.…”

Section: Resultsmentioning

confidence: 99%

“…Characteristics of each instrument are shown in Supplemental Table 3 (Table, Supplemental Digital Content 2, Supplemental Table 3, http://links.lww.com/SLA/D911). Sixteen of these instruments were used in 103 studies25–30,32–40,42–44,46–52,54–79,81,82,84–93,97–108,110–118,120–128,130–138,157 on QOL outcomes and CUA. These studies were conducted across 23 countries and published between 1992 and 2021.…”

Section: Resultsmentioning

confidence: 99%

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Measuring Quality of Life in Chronic Limb-threatening Ischemia Patients and Informal Carers: A Scoping Review

et al. 2022

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Objective: To review quality of life (QOL) instruments for chronic limb-threatening ischemia (CLTI) patients and informal carers, and their use in QOL and cost-utility analysis (CUA) studies. Background: CLTI is a global health problem with significant morbidity affecting patients and informal carers. QOL is increasingly measured for holistic outcomes assessment and CUA. However, measurement instruments in CLTI are poorly understood. Methods: MEDLINE, EMBASE, PsycINFO, CINAHL, COSMIN, PROQOLID, CEA registry, and NHS EED databases were searched for all English language studies up to May 2021. Features of instruments, evidence of measurement property appraisal, and trends in use were assessed. Prospective protocol registration (Open Science Framework: https://doi.org/10.17605/OSF.IO/KNG9U). Results: A total of 146 studies on QOL instruments (n=43), QOL outcomes (n=97), and CUA (n=9) were included. Four disease-specific QOL instruments are available for lower extremity arterial disease (intermittent claudication or CLTI). VascuQoL-25 and VascuQoL-6 have been used in CLTI. There is no CLTI-specific instrument. Of 14 generic instruments, SF-36, EQ-5D-3L, NHP, and WHOQOL-BREF were most common. Studies reporting partial measurement property appraisal favored VascuQoL-25, VascuQoL-6, and SF-36. Feasibility considerations include mode of administration and responder burden. None of 4 available carer-specific instruments have been used in CLTI. Since 1992, the number of QOL studies has increased considerably, but CUA studies are scarce. Informal carers have not been assessed. Conclusions: This review provides a comprehensive reference for QOL measurement in CLTI that helps end-users with instrument selection, use, and interpretation. However, a CLTI-specific instrument is needed. There is an opportunity to benefit society through future CUA studies and evaluation of QOL in informal carers.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Measuring Quality of Life in Chronic Limb-threatening Ischemia Patients and Informal Carers: A Scoping Review

et al. 2022

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“…Improved quality of life has come to be one of the most critical effects of lower extremity peripheral arterial disease [37][38][39][40]. The research has cautioned that the experience and recovery process after a cardiovascular operation may be more complicated than anticipated [41].…”

Section: Discussionmentioning

confidence: 99%

“…Clinicians, patients, and relatives should be aware about this probability, and an attempt should be made at the preoperative identification of patients predisposed to severe chronic stress [37,40,43]. Moreover, cardiovascular surgeons need to be aware of their patients' psychosocial functioning and, if necessary, advise them to take expert guidance and help to maximize well-being.…”

Section: Discussionmentioning

confidence: 99%

Assessment of anxiety and health-related quality of life in patients with lower extremity peripheral arterial occlusive disease

Guzelhan¹,

Öztaş²,

Conkbayır³

et al. 2020

Arch Med Sci Atheroscler Dis

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The aim of this study was to investigate the effect of chronic occlusive vascular disease on anxiety with adverse outcome with health-related quality of life (HRQoL). Material and methods: Three hundred and thirty-five patients who were treated for peripheral arterial occlusive disease were enrolled in this study. 187 patients who had undergone percutaneous transluminal angioplasty and 148 patients who had one or more surgical revascularizations enrolled in the study. Mean age of the patients was 62.6 ±10 years. Two hundred and eighty-nine patients were male, 46 patients were female. Physical and mental domains of quality of life were measured using the 36-item Medical Outcomes Short-Form Health Survey (SF-36) self-administered questionnaire and anxiety symptoms were assessed using the Spielberger State-Trait Anxiety Inventory (STAI). At baseline 335 patients filled out the SF-36 and STAI, and 304 patients (90.7 % of the series) filled them out at 6-month follow-up. Results: There was no mortality and no significant morbidity after vascular interventions in the series. Significant improvement was found in two of eight health domains. The score of social functioning increased to 60.4 from 52.6 (p < 0.03) and general health perception increased to 75.1 from 60.5 (p < 0.04) at 6-month follow-up. The two STAI sub-scores, the State Anxiety Inventory (STAI-S) and the Trait Anxiety Inventory (STAI-T) were found high (≥ 40) both preoperatively and 6 months postoperatively. Postoperatively there was no significant decrease of the levels of anxiety. Conclusions: This study suggests that the assessment of psychosocial factors, particularly the ongoing assessment of anxiety, could help in risk stratification and prediction of functional status in patients suffering from lower extremity peripheral arterial occlusive disease.

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Quality of Life in Chronic Limb Threatening Ischaemia: Systematic Review and Meta-Analysis

Shan

Yang

Tew

et al. 2022

European Journal of Vascular and Endovascular Surgery

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Arterial Reconstruction for Patients with Chronic Limb Ischemia Improves Ambulatory Function and Health-related Quality of Life

Cited by 9 publications

References 21 publications

Measuring Quality of Life in Chronic Limb-threatening Ischemia Patients and Informal Carers: A Scoping Review

Measuring Quality of Life in Chronic Limb-threatening Ischemia Patients and Informal Carers: A Scoping Review

Assessment of anxiety and health-related quality of life in patients with lower extremity peripheral arterial occlusive disease

Quality of Life in Chronic Limb Threatening Ischaemia: Systematic Review and Meta-Analysis

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