Health-related quality of life after vascular surgery and endovascular treatment in subjects with critical limb ischemia

dc.contributor.authorKhalil, Emced
dc.contributor.authorOzcan, Sedat
dc.date.accessioned2025-01-27T21:01:27Z
dc.date.available2025-01-27T21:01:27Z
dc.date.issued2020
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground & Objective: Revascularization of the target vessel and restoration of distal flow is critical not only to reduce mortality and morbidity but also improve health-related quality of life (HRQoL) in patients with critical limb ischemia. However, data concerning the impact of surgical bypass and percutaneous transluminal angioplasty (PTA) on HRQoL is limited. This study aimed to compare the impact of surgical bypass and PTA on HRQoL in subjects undergoing superficial femoral artery (SFA) or popliteal artery revascularization. Methods: Seventy-one subjects who underwent successful revascularization of the SFA or popliteal artery either with surgical revascularization or PTA were enrolled in this study. Three months after revascularization, all subjects underwent ankle-brachial index (ABI) measurement, 6-minute walking test and completed the Nottingham Health Profile (NHP) questionnaire. The NHP score differences (measured at the post-procedural 3rd month) between subjects undergoing surgical or endovascular (PTA) revascularization subjects was the primary outcome measure of the study. Results: Both groups experienced significant improvements in ABI and 6-minute walking distance at post-procedure three months. NHP total scores of Part I and Part II at post-procedural six months were similar in the two groups. However, social isolation [77.98 (0 - 85) vs. 22.53 (0 - 100), p=0.002] and physical abilities [78.7 (30.31 - 87.7) vs. 54.47 (0 - 100), P=0.014] domain scores of the surgical revascularization group were significantly higher than that of the endovascular treatment group. Conclusion: This study shows that total scores obtained from the NHP questionnaire applied three months after revascularization of SFA stenosis are similar in subjects undergoing surgical revascularization or PTA. However, the social isolation and physical abilities domains of the NHP are significantly higher in subjects receiving surgical revascularization compared to those receiving PTA.
dc.identifier.doi10.12669/pjms.36.5.2680
dc.identifier.endpage883
dc.identifier.issn1682-024X
dc.identifier.issn1681-715X
dc.identifier.issue5
dc.identifier.pmid32704256
dc.identifier.scopus2-s2.0-85086840302
dc.identifier.scopusqualityQ1
dc.identifier.startpage877
dc.identifier.urihttps://doi.org/10.12669/pjms.36.5.2680
dc.identifier.urihttps://hdl.handle.net/20.500.12428/27041
dc.identifier.volume36
dc.identifier.wosWOS:000557357500006
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherProfessional Medical Publications
dc.relation.ispartofPakistan Journal of Medical Sciences
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectPeripheral arterial disease
dc.subjectPeripheral bypass surgery
dc.subjectEndovascular treatment
dc.subjectQuality of life
dc.titleHealth-related quality of life after vascular surgery and endovascular treatment in subjects with critical limb ischemia
dc.typeArticle

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