Email this article Quality of life in carotid stenosis
- Authors: Burkin М.М.1, Dudanov I.Р.1, Terevnikov V.A.1, Subbotina N.S.1, Dudanova I.I.1
-
Affiliations:
- Karelian Research Medical Center of the North-West Branch of the Russian Academy of Medical Sciences, Petrozavodsk State University
- Issue: Vol 2, No 1 (2002)
- Pages: 52-57
- Section: Clinical medicine
- Published: 21.02.2002
- URL: https://journals.eco-vector.com/MAJ/article/view/693967
- ID: 693967
Cite item
Open Access
Access granted
Subscription or Fee Access
Abstract
There is a lack of evidence concerning the influence of occlusive carotid disease upon the health-related quality of life (HR-QOL). The aim of the study has been to reveal this influence and to determine whether carotid endarterectomy (CEA) and nonoperative treatment improve the HR-QOL of patients with carotid stenosis.
97 patients with symptomatic carotid stenosis were examined using the Quality of Life Enjoyment and Satisfaction Questionnaire. The degree of stenosis was more than 60% in all cases.
We have revealed impairment of the main determinants of the HR-QOL in 89,7 % patients. Factors, which most negatively influence the HR-QOL are presence of contralateral occlusive carotid disease, history of ischemic stroke, arterial hypertension and diabetes mellitus. The patients’ age, gender, the degree and side of the atherosclerotic lesion were not found to decrease the main parameters of the quality of life. Psychiatric symptoms, such as depression, and severe cognitive impairment also contribute to patients’ HR-QOL worsening. Patients, who underwent carotid endarterectomy, show a greater improvement of the HR-QOL than those treaed non operatively. This difference becomes more apparent by the end of the second year of long-term follow up.
About the authors
М. М. Burkin
Karelian Research Medical Center of the North-West Branch of the Russian Academy of Medical Sciences, Petrozavodsk State University
Email: shabanov@mail.rcom.ru
Russian Federation, Petrozavodsk
I. Р. Dudanov
Karelian Research Medical Center of the North-West Branch of the Russian Academy of Medical Sciences, Petrozavodsk State University
Email: shabanov@mail.rcom.ru
Russian Federation, Petrozavodsk
V. A. Terevnikov
Karelian Research Medical Center of the North-West Branch of the Russian Academy of Medical Sciences, Petrozavodsk State University
Email: shabanov@mail.rcom.ru
Russian Federation, Petrozavodsk
N. S. Subbotina
Karelian Research Medical Center of the North-West Branch of the Russian Academy of Medical Sciences, Petrozavodsk State University
Email: shabanov@mail.rcom.ru
Russian Federation, Petrozavodsk
I. I. Dudanova
Karelian Research Medical Center of the North-West Branch of the Russian Academy of Medical Sciences, Petrozavodsk State University
Author for correspondence.
Email: shabanov@mail.rcom.ru
Russian Federation, Petrozavodsk
References
- Шмуклер А. Б. Социальная и клиническая психиатрия. 1994. Т. 6. №1. С. 100-104.
- Katsching Н. How useful is the concept of quality of life in psychiatry? // Psychological Medicine. 1998. Vol. 2 8. № 2. P. 15 9-164.
- Guyatt G. H., Feeny D. H., Patric D. L. Measuring health-related quality of life // Ann. Int. Med. 1993. Vol. 118. P. 622-629.
- Fallowfield L. Quality of life data // Lancet. 1996. Vol. 3 4 8. P. 421-422.
- Oliver J., Huxley P., Dridges K. et al. Quality of life and mental health services. New York, 1996.
- Hunt S. M. The problem of quality of life // Qual. Life Res. 1997. Vol. 6. № 6. P. 205-212.
- Kauhanen M.-L. Quality of life after stroke. Clinical, functional, psychosocial and cognitive correlates //Acta Univ. Oul. D 559. Oulu, 1999.
- World Health Organization: The first ten years of the World Health Organization. WHO. Geneva, 1958.
- Ware J. E., Sherbourne C. D. The MOS 36-item short form health survey. Conceptual framework and item selection // Med. Care. 1992. Vol. 30. P. 473-483.
- Dardik A., Minor J, Watson C. et al. Improved quality of life among patients with symptomatic carotid artery disease undergoing carotid endarterectomy // J. Vase. Surg. 2001. Vol. 33. №2. P. 329-333.
- Vriens E. M., Post M. W, Jacobs H. M. et al. Changes in health-related quality of life after carotid endarterectomy // Eur. J. Vase. Endovasc. Surg. 1998. Vol. 16. №5. P. 395-400.
- Sirkka A., Salenius J. P, Portin R. et al. Quality of life and cognitive performance after carotid endarterectomy during long-term follow-up // Acta Neurol. Scand. 1992. Vol. 85. №1. R 58-62.
- Parker J. C., Granberg B. W, Nichols W. K. et al. Mental status outcomes following carotid endarterectomy: a six-month analysis // J. Clin. Neuropsychol. 1983. Vol. 5. №4. P. 345-353.
- De Leo D., Serraiotto L., Pellegrini C. et al. Outcome from carotid endarterectomy. Neuropsychological performances, depressive symptoms and quality of life: 8-month follow-up // Int. J. Psychiatry Med. 1987. Vol. 17. №4. P. 317-325.
- Trudel L., Fabia J, Bouchard J. P. Quality of life of 50 carotid endarterectomy survivors: a long-term follow-up study // Arch. Phys. Med. Rehabil. 1984. Vol. 65. № 6. P. 310-312.
- Salenius J. P, Harju E., Kuukasjarvi P. et al. Late results of surgical and nonoperative treatment of carotid stenosis. Eighty-four patients documented by angiography in 1974-1976 // J. Cardiovasc. Surg. (Torino). 1990. Vol. 31. № 2. P. 156-161.
- Endicott J., Nee J., Harrison W. et al. Quality of life enjoyment and satisfaction questionnaire: A new measure // Psychopharmacol. Bull. 1993. Vol. 29. № 3. P. 321-326.
- Duncan P. W, Samsa G. P, Weinberger M. et al. Health status of individuals with mild stroke // Stroke. 1997. Vol. 28. P. 740-745.
- Niemi M-L., Laaksonen R., Kotila M. et al. Quality of life 4 years after stroke // Stroke. 1988. Vol. 19. P. 1101-1107.
- Kwa V. I. H, Limburg M., de Haan R. J. The role of cognitive impairment in the quality of life after ischemic stroke // J. Neurol. 1996. Vol. 243. P. 599-604.
- Viitanen M., Fugl-Meier K.S., Bernspang B. et al. Life satisfaction in long-term survivors after stroke // Scand. J. Rehabil. Med. 1988. Vol. 20. P. 17-24.
- Wyller T. B., Holmen J., Laake P. et al. Correlates of subjective well-being in stroke patients // Stroke. 1998. Vol. 29. P. 363-367.
- Williams L. S. Health-related quality of life outcomes in stroke // Neuroepidemiology. 1998. Vol. 17. P. 116-120.
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).