Advanced

Quality of life before and after endovascular and open repair of asymptomatic AAAs: a prospective study

Malina, Martin LU ; Nilsson, Marie; Brunkwall, Jan; Ivancev, Krassi LU ; Resch, Tim LU and Lindblad, Bengt LU (2000) In Journal of Endovascular Therapy 7(5). p.372-379
Abstract
PURPOSE: To assess how patients perceive health-related quality of life (HRQOL) after endovascular and open abdominal aortic aneurysm (AAA) repair. METHODS: Forty-two consecutive patients (33 men; mean age 74 years, range 46-81) were assessed prospectively before and after elective endovascular (n = 21) and open (n = 21) AAA repair. Aneurysm morphology dictated the type of repair. The two patient groups were similar regarding age, gender, comorbidities, and cardiopulmonary function. Data concerning surgical trauma were compiled. The Nottingham Health Profile (NHP) score was used to assess the perceived HRQOL (criteria: pain, mobility, sleep, emotion, energy, and isolation) preoperatively and at 5, 30, and 90 days postoperatively. Specific... (More)
PURPOSE: To assess how patients perceive health-related quality of life (HRQOL) after endovascular and open abdominal aortic aneurysm (AAA) repair. METHODS: Forty-two consecutive patients (33 men; mean age 74 years, range 46-81) were assessed prospectively before and after elective endovascular (n = 21) and open (n = 21) AAA repair. Aneurysm morphology dictated the type of repair. The two patient groups were similar regarding age, gender, comorbidities, and cardiopulmonary function. Data concerning surgical trauma were compiled. The Nottingham Health Profile (NHP) score was used to assess the perceived HRQOL (criteria: pain, mobility, sleep, emotion, energy, and isolation) preoperatively and at 5, 30, and 90 days postoperatively. Specific treatment perception questions were added. RESULTS: One patient from each group died, leaving 40 patients to complete the study. Two patients with open repair and 1 patient with endovascular repair were unfit to answer the questionnaire on day 5. The HRQOL improved at 3 months compared with the preoperative values (p < 0.05). No significant difference was found at any time between the open and endovascular groups regarding the NHP score, although the operative time, blood loss, analgesic use, and hospital stay were significantly in favor of endovascular repair. Reinterventions were required in 5 patients with endovascular and 2 patients with open repair. CONCLUSIONS: In general, 3 months after AAA repair, the perceived HRQOL seems better than before treatment. Perceived HRQOL is similar after endovascular and open AAA repair despite greater surgical trauma in open surgery. This may reflect the higher number of reinterventions following endovascular repair but also difficulties in defining HRQOL. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
endografting, aortomonoiliac, Vanguard endograft, QOL assessment instruments, Nottingham Health Profile questionnaire
in
Journal of Endovascular Therapy
volume
7
issue
5
pages
372 - 379
publisher
International Society of Endovascular Specialists
external identifiers
  • pmid:11032255
  • scopus:0033775388
ISSN
1545-1550
DOI
10.1583/1545-1550(2000)007<0372:QOLBAA>2.0.CO;2
language
English
LU publication?
yes
id
b51a0cc0-459f-4b60-b753-46440a6cf93b (old id 1116487)
date added to LUP
2008-07-01 13:44:28
date last changed
2017-01-01 04:27:50
@article{b51a0cc0-459f-4b60-b753-46440a6cf93b,
  abstract     = {PURPOSE: To assess how patients perceive health-related quality of life (HRQOL) after endovascular and open abdominal aortic aneurysm (AAA) repair. METHODS: Forty-two consecutive patients (33 men; mean age 74 years, range 46-81) were assessed prospectively before and after elective endovascular (n = 21) and open (n = 21) AAA repair. Aneurysm morphology dictated the type of repair. The two patient groups were similar regarding age, gender, comorbidities, and cardiopulmonary function. Data concerning surgical trauma were compiled. The Nottingham Health Profile (NHP) score was used to assess the perceived HRQOL (criteria: pain, mobility, sleep, emotion, energy, and isolation) preoperatively and at 5, 30, and 90 days postoperatively. Specific treatment perception questions were added. RESULTS: One patient from each group died, leaving 40 patients to complete the study. Two patients with open repair and 1 patient with endovascular repair were unfit to answer the questionnaire on day 5. The HRQOL improved at 3 months compared with the preoperative values (p &lt; 0.05). No significant difference was found at any time between the open and endovascular groups regarding the NHP score, although the operative time, blood loss, analgesic use, and hospital stay were significantly in favor of endovascular repair. Reinterventions were required in 5 patients with endovascular and 2 patients with open repair. CONCLUSIONS: In general, 3 months after AAA repair, the perceived HRQOL seems better than before treatment. Perceived HRQOL is similar after endovascular and open AAA repair despite greater surgical trauma in open surgery. This may reflect the higher number of reinterventions following endovascular repair but also difficulties in defining HRQOL.},
  author       = {Malina, Martin and Nilsson, Marie and Brunkwall, Jan and Ivancev, Krassi and Resch, Tim and Lindblad, Bengt},
  issn         = {1545-1550},
  keyword      = {endografting,aortomonoiliac,Vanguard endograft,QOL assessment instruments,Nottingham Health Profile questionnaire},
  language     = {eng},
  number       = {5},
  pages        = {372--379},
  publisher    = {International Society of Endovascular Specialists},
  series       = {Journal of Endovascular Therapy},
  title        = {Quality of life before and after endovascular and open repair of asymptomatic AAAs: a prospective study},
  url          = {http://dx.doi.org/10.1583/1545-1550(2000)007<0372:QOLBAA>2.0.CO;2},
  volume       = {7},
  year         = {2000},
}