Treatment Efficacy of Intermittent Claudication by Invasive Therapy, Supervised Physical Exercise Training Compared to No Treatment in Unselected Randomised Patients II: One-year Results of Health-related Quality of Life

Taft, Charles; Karlsson, Jan; Gélin, J; Jivegård, Lennart; Sandström, Rolf; Arfvidsson, Berndt; Dahllöf, Ann‐Gret; Lundholm, Kent; Sullivan, Marianne

doi:10.1053/ejvs.2001.1406

Cited by 54 publications

(36 citation statements)

References 38 publications

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“…However, extensive effect on social life and emotional impact has not commonly been documented in the literature. On the contrary, several studies have not been able to demonstrate any significant difference in social isolation or mental health between patients with PAD and controls by using different generic quality of life instruments (Khaira et al, 1996;Breek et al, 2001;Taft et al, 2001). Generic quality of life instruments have a broad application in healthy as well as ill populations and reflect different aspects of emotional and social activities, which are not directly related to health.…”

Section: Discussion Of the Findingsmentioning

confidence: 95%

Patients’ experiences of living with peripheral arterial disease awaiting intervention: a qualitative study

Wann-Hansson

Hallberg

Klevsgård

et al. 2005

International Journal of Nursing Studies

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The aim of this study was to investigate patients' experiences of living with peripheral arterial disease (PAD) and the influence on activities of daily living. Twenty-four patients with various degrees of PAD were interviewed. The transcribed texts were analysed using manifest and latent content analysis. Living with PAD meant carrying a hard-to-bear physical, social and emotional burden, and struggling for relief. The experience of burden was interpreted in the following themes representing consequences and strategies for gaining control in daily life: (I) "being limited by the burden" (II) "striving to relieve the burden" (III) "accepting and adapting to the feeling of burden". The use of different coping strategies was crucial to achieve some relief. Pain and sleep disturbance emerged as a major feature of living with PAD, and by combining both analgesics and non-pharmacological methods some pain relief was received. To provide optimal alleviation of pain for these patients, education about pain and pain management is of great importance followed by regular evaluations of the pain and pain management. Furthermore, the study underlines the importance of preventing the progression of the vascular disease and from the individual power and knowledge support and preserve as independent life as possible.

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Section: Discussion Of the Findingsmentioning

confidence: 95%

Patients’ experiences of living with peripheral arterial disease awaiting intervention: a qualitative study

Wann-Hansson

Hallberg

Klevsgård

et al. 2005

International Journal of Nursing Studies

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“…Authors confirmed that two publications reported on the same group of patients [7,8]. Therefore the final number of studies was 23, of which five were randomised controlled trials [7][8][9][10][11][12] (see Table 1). …”

Section: Resultsmentioning

confidence: 80%

“…QoL improvements were associated with increases in walking distances in all studies except one [10].…”

Section: Generic Assessment Of Qol Following Participation In Supervimentioning

confidence: 82%

“…Of the seven studies that used disease-specific measures [10, 14, [10] used the Sickness Impact Profile -Intermittent Claudication scale (a twelve-item IC-specific scale [35]) and a study-specific Symptoms and Complaints Scale .…”

Section: Disease-specific Qol Measuresmentioning

confidence: 99%

“…In a study administering a battery of tests, only a change in the SIP Recreation and Pastimes category and a global rating for physical condition were noted [10], with no change in the SIP IC scale.…”

Section: Generic Assessment Of Qol Following Participation In Supervimentioning

confidence: 99%

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Exercise-based interventions and health-related quality of life in intermittent claudication: a 20-year (1989–2008) review

Guidon

McGee

2010

European Journal of Cardiovascular Prevention & Rehabilitat

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Peripheral arterial disease (PAD) is a chronic, progressive disease with significant cardiovascular risk. Symptoms include pain in leg muscles on walking, relieved by rest (intermittent claudication). Treatment aims to maintain or improve quality of life (QoL) by minimising ischaemic symptoms and preventing progression to vascular occlusion. Management strategies include exercise-based interventions. Research from 1989 to 2008 was systematically reviewed to identify the QoL impact of exercise-based interventions in patients with intermittent claudication. Twenty-three studies were identified. Five were randomized controlled trials. Studies were summarized in terms of exercise interventions, QoL measures used and QoL findings. The majority used a generic QoL instrument; most commonly the Short Form Health Survey (SF-36). Eleven studies reported beneficial effects on the SF-36 Physical Functioning scale. Some also reported positive effects on the scales of Bodily Pain, Role-Physical, Vitality, General Health and the Physical Component Score. In seven studies, a disease-specific measure was used. In six of these, both generic and disease-specific questionnaires were used. Diseasespecific measures demonstrated greater improvements across a range of QoL domains. Greater use of disease-specific measures and an extended follow-up period may enable a more definitive picture to emerge regarding effects of exercise on QoL in intermittent claudication.

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Exercise for intermittent claudication

Watson¹,

Ellis²,

Leng³

2008

Cochrane Database of Systematic Reviews

213

171

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Treatment Efficacy of Intermittent Claudication by Invasive Therapy, Supervised Physical Exercise Training Compared to No Treatment in Unselected Randomised Patients II: One-year Results of Health-related Quality of Life

Cited by 54 publications

References 38 publications

Patients’ experiences of living with peripheral arterial disease awaiting intervention: a qualitative study

Patients’ experiences of living with peripheral arterial disease awaiting intervention: a qualitative study

Exercise-based interventions and health-related quality of life in intermittent claudication: a 20-year (1989–2008) review

Exercise for intermittent claudication

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