Measures of Success and Health-Related Quality of Life in Lower-Extremity Vascular Surgery

Lower-extremity vascular surgery is most often indicated for patients with critical leg ischemia but has increasingly been used for patients with disabling intermittent claudication. This article reviews indications, follow-up protocols, and procedure-related outcomes including perioperative and lat...

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Bibliographic Details
Published in:Annual review of medicine 2000-01, Vol.51 (1), p.101-113
Main Authors: Feinglass, Joe, Morasch, Mark, McCarthy, Walter J
Format: Article
Language:English
Subjects:
Amputation
Angioplasty
Asymptomatic
Biological and medical sciences
claudication
Exercise Test
FDA approval
Fitness training programs
Follow-Up Studies
functional status
Gangrene
Health Status
Heart surgery
Humans
Intermittent claudication
Ischemia
Leg - blood supply
Leg - surgery
limb salvage
Medical sciences
Mortality
Patients
peripheral vascular disease
Peripheral Vascular Diseases - surgery
Postoperative Complications - epidemiology
Prostheses
Quality of Life
Reconstructive surgery
Recovery of Function
Remission Induction
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical outcomes
Surveillance
Time Factors
Treatment Outcome
Vascular Patency
Vascular surgery
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Veins & arteries
Walking
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Description
Summary:Lower-extremity vascular surgery is most often indicated for patients with critical leg ischemia but has increasingly been used for patients with disabling intermittent claudication. This article reviews indications, follow-up protocols, and procedure-related outcomes including perioperative and late mortality, complications, and long-term patency rates, which vary with patient risk factors, vascular disease severity, and hospital volume. Population-based studies have yet to establish whether rates of limb-preserving bypass surgery are related to overall amputation rates, partly because of the continued high rate of primary amputation. The functional benefits of vascular surgery have been traditionally assessed by treadmill protocols and batteries of physical tests. Claudication treatment is increasingly being measured by both generic and disease-specific functional and health-related quality-of-life questionnaires. Patient self-reported measures of physical functioning and walking ability are reviewed. Finally, conclusions are presented about trends in lower-extremity bypass surgery rates.
ISSN:0066-4219
1545-326X
DOI:10.1146/annurev.med.51.1.101