Return to well-being and function after infrainguinal revascularization

Gibbons, G. W.; Burgess, Anne M.; Guadagnoli, Edward; Pomposelli, Frank B.; Freeman, Dorothy V.; Campbell, David R.; Miller, Arnold; Marcaccio, Edward J.; Nordberg, Paul; LoGerfo, Frank W.

doi:10.1016/s0741-5214(95)70242-3

Cited by 106 publications

(52 citation statements)

References 19 publications

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“…In contrast, those undergoing limb salvage surgery have been reported to have reductions in physical functioning, whether or not their bypass grafts remain patent [10]. The general health status of the veterans undergoing LES in the present study was worse than that of patients undergoing infrainguinal revascularization [13].…”

Section: Discussioncontrasting

confidence: 57%

Health Status in Veterans Undergoing Noninvasive Lower Extremity Arterial Evaluation

Kazmers

Striplin

Jacobs

et al. 1999

Journal of Surgical Research

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Section: Discussioncontrasting

confidence: 57%

Health Status in Veterans Undergoing Noninvasive Lower Extremity Arterial Evaluation

Kazmers

Striplin

Jacobs

et al. 1999

Journal of Surgical Research

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“…16 Considered together, these may suggest poorer outcome in treated patients or, even worse, may completely discourage any aggressive treatment in these patients. Previous studies from our institution have demonstrated successful limb salvage 17 and functional outcome 18 following distal arterial reconstruction in diabetic patients, with low perioperative morbidity and mortality rates. In an effort to better define the long-term outcome of these patients, we herein present our experience with a cohort of diabetic and nondiabetic patients undergoing lower extremity revascularization, with follow-up of at least 5 years.…”

mentioning

confidence: 77%

Lower Extremity Revascularization in Diabetes

Akbari

Pomposelli²,

Gibbons³

et al. 2000

Arch Surg

105

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“…Some have reported significant improvements in health status 6 months after surgical revascularization. 9 Others found no difference in health status between peripheral balloon angioplasty and a medical therapy. 10 In the longest reported follow-up (mean, 9.3 years), no difference in health status existed among 77 patients who underwent peripheral balloon angioplasty.…”

Section: Editorial P 550 Clinical Perspective P 575mentioning

confidence: 99%

Quantifying Improvement in Symptoms, Functioning, and Quality of Life After Peripheral Endovascular Revascularization

et al. 2007

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Background— Patients with peripheral arterial disease often undergo peripheral endovascular revascularization (PER) to alleviate symptoms. Despite the growth of PER, little information exists quantifying the health status benefits after the procedure. Methods and Results— From February 2001 to August 2004, 477 consecutive patients underwent PER for symptomatic peripheral arterial disease. Of these, 300 consented to participate in a longitudinal follow-up study of their health status. Health status was quantified with the disease-specific Peripheral Artery Questionnaire and the generic Short Form-12 and the EuroQol 5 Dimensions (EQ5D)questionnaire. Scores range from 0 to 100; higher scores represent fewer symptoms and better health status. The average age of the cohort was 68±11 years (mean±SD); 186 (62%) were male, 288 (96%) were white, and 118 (39%) were diabetic. Clinical follow-up was attained in 99% of patients; health status assessments were made in 86%. Mean Peripheral Artery Questionnaire summary scores improved significantly after revascularization from 31±19 to 62±27 at 1 year ( P <0.0001). Generic health status scores also improved significantly ( P <0.001 for all). Despite a technically successful procedure in 98% of patients, 21% of patients did not achieve the minimal clinically important improvement of an 8-point change in Peripheral Artery Questionnaire Summary score after PER (35±19 at baseline versus 31±16 at 1 year; P =0.09). Conclusions— For most patients, significant and sustained improvements in symptoms, functioning, and quality of life occur after PER. Identifying and counseling patients less likely to benefit from PER is an important future research direction.

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Return to well-being and function after infrainguinal revascularization

Abstract: Reported health status at baseline was a predictor of improved function, mental well-being, and resolution of symptoms after infrainguinal revascularization. Expected return to "normal" may take longer than 6 months.

Cited by 106 publications

References 19 publications

Health Status in Veterans Undergoing Noninvasive Lower Extremity Arterial Evaluation

Health Status in Veterans Undergoing Noninvasive Lower Extremity Arterial Evaluation

Lower Extremity Revascularization in Diabetes

Quantifying Improvement in Symptoms, Functioning, and Quality of Life After Peripheral Endovascular Revascularization

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