Midterm follow-up of quality of life following peripheral bypass surgery.

Abstract

BACKGROUND:

Peripheral bypass surgery is an important treatment option for patients with peripheral arterial disease. Short-term results of quality of life (QoL) after peripheral bypass surgery showed an increase in QoL at 3 months. Little is known about QoL at more than 2 years of follow-up. This study was performed to analyze QoL at midterm follow-up, and overall survival after peripheral bypass surgery.

METHODS:

This study was part of a randomized control trial in which intermittent pneumatic compression was compared with compression stockings in the treatment of edema after bypass surgery. Patients completed a QoL questionnaire before surgery, 14 days and 3 months postoperatively, and at least 2 years after the original operation. A survival analysis was performed to calculate survival for patients who received both autologous and polytetrafluoroethylene (PTFE) bypass grafts.

RESULTS:

The original study consisted of 93 patients, and QoL midterm follow-up was achieved for 42. QoL scores at midterm follow-up were comparable to the preoperative baseline scores for both the autologous and the PTFE groups. Three-year survival rates were 75% and 54%, respectively.

CONCLUSION:

Although peripheral bypass surgery significantly increased QoL 3 months after surgery, midterm follow-up showed a return to baseline scores. No significant difference was found in survival between patients in the autologous and PTFE groups.

• Authors: Jeroen M W Donker, Alexander te Slaa, Jolanda de Vries, Gwan H Ho, Paul G H Mulder, Lijckle van der Laan
• Journal: Annals of vascular surgery (Ann Vasc Surg) Vol. 27 Issue 8 Pg. 1115-23 (Nov 2013) ISSN: 1615-5947 [Electronic] Netherlands
• PMID: 23816388 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
• Copyright: Copyright © 2013 Elsevier Inc. All rights reserved.

Topics

• Aged
• Aged, 80 and over
• Blood Vessel Prosthesis Implantation (adverse effects, mortality)
• Edema (etiology, prevention & control, psychology)
• Female
• Humans
• Intermittent Pneumatic Compression Devices
• Male
• Middle Aged
• Netherlands
• Peripheral Arterial Disease (diagnosis, mortality, psychology, surgery)
• Proportional Hazards Models
• Quality of Life
• Risk Factors
• Stockings, Compression
• Surveys and Questionnaires
• Survival Rate
• Time Factors
• Treatment Outcome