Recovery Expectations and Quality of Life after Revascularization Treatments

Ferrari, Renata; Vidotto, Giulio; Ferraro, T.; Tosato, Federico; Milite, Domenico

doi:10.9734/bjmmr/2015/14264

Cited by 3 publications

(5 citation statements)

References 22 publications

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“…Supervised training is a perfect complement to treatment after revascularization [ 48 ]. The improvement in MCD in our study may seem small compared to some studies [ 47 – 50 ]. However, when combined with improved quality of life and reduced pain, it is significant.…”

Section: Discussioncontrasting

confidence: 93%

“…The decrease in the average pain intensity according to the NRS may seem small, but it is statistically significant, and together with the increase in the length of the intermittent claudication distance, it is a very beneficial effect. This is also confirmed by other studies [ 50 , 56 ]. Many authors in their studies emphasize the low quality of life of patients with PAD [ 57 – 59 ].…”

Section: Discussionsupporting

confidence: 93%

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Enhancing Functional Efficiency and Quality of Life through Revascularization Surgery in Peripheral Arterial Disease: A Comparative Analysis of Objective and Subjective Indicators

et al. 2023

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Background This study aimed to compare the ankle-brachial index (ABI), maximal claudication distance (MCD), pain-free walking distance (PFWD), claudication pain, and quality of life (intermittent claudication questionnaire [ICQ]) before and 3 months after revascularization surgery in 98 patients diagnosed with peripheral arterial disease (PAD) at a single center in Poland. Material/Methods Ninety-eight patients were examined (77% men, 23% women, 65.65±7.27 years old), diagnosed with PAD, and qualified for revascularization. The diagnosis of PAD was made on the basis of ABI ≤0.9 and medical records. The patients underwent a noninvasive examination, including measurement of ABI (by Doppler with the EZ8 probe), assessment of the quality of life by ICQ, distance of intermittent claudication on a treadmill using the Gardner-Skinner protocol (including PFWD and MCD), and pain intensity during walking (numeric rating scale [NRS11]). The assessment was carried out twice: 1 to 5 days before surgery and 3 months after surgery. Results There was an increase of ABI (0.4 vs 0.62, P <0.001), PFWD (26.64 vs 80.21, P <0.001), MCD (60.08 vs 181.85, P <0.001), and ICQ (79.92 vs 60.23, P <0.001) and reduction of PFWD pain (7.26 vs 6.05, P <0.001) and MCD pain (9.24 vs 8.11, P <0.001). Conclusions Revascularization surgery improved the ABI and patients functional efficiency expressed in the improvement of subjective indicators PFWD, MCD, NRS11, and ICQ. Patients who had a longer duration of disease had worse outcomes after revascularization. More attention should be paid to increasing access to preventive examinations aimed at early detection of PAD and the possibility of implementing conservative treatment.

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Section: Discussioncontrasting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Enhancing Functional Efficiency and Quality of Life through Revascularization Surgery in Peripheral Arterial Disease: A Comparative Analysis of Objective and Subjective Indicators

et al. 2023

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“…The Pain Disability Index ( Tait et al, 1990 ) has been recently adapted (PDI-E; Laferton et al, 2013 ) to assess expected disability in seven areas of daily living. So far, it has been used in two independent studies assessing expectations of peripheral arterial disease ( Ferrari et al, 2015 ) or heart surgery ( Rief et al, 2017 ). It was shown to be have good internal consistency ( Laferton et al, 2015b ) and construct validity ( Laferton et al, 2015a ).…”

Section: Operationalization Of Expectationsmentioning

confidence: 99%

Patients’ Expectations Regarding Medical Treatment: A Critical Review of Concepts and Their Assessment

et al. 2017

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Patients’ expectations in the context of medical treatment represent a growing area of research, with accumulating evidence suggesting their influence on health outcomes across a variety of medical conditions. However, the aggregation of evidence is complicated due to an inconsistent and disintegrated application of expectation constructs and the heterogeneity of assessment strategies. Therefore, based on current expectation concepts, this critical review provides an integrated model of patients’ expectations in medical treatment. Moreover, we review existing assessment tools in the context of the integrative model of expectations and provide recommendations for improving future assessment. The integrative model includes expectations regarding treatment and patients’ treatment-related behavior. Treatment and behavior outcome expectations can relate to aspects regarding benefits and side effects and can refer to internal (e.g., symptoms) and external outcomes (e.g., reactions of others). Furthermore, timeline, structural and process expectations are important aspects with respect to medical treatment. Additionally, generalized expectations such as generalized self-efficacy or optimism have to be considered. Several instruments assessing different aspects of expectations in medical treatment can be found in the literature. However, many were developed without conceptual standardization and psychometric evaluation. Moreover, they merely assess single aspects of expectations, thus impeding the integration of evidence regarding the differential aspects of expectations. As many instruments assess treatment-specific expectations, they are not comparable between different conditions. To generate a more comprehensive understanding of expectation effects in medical treatments, we recommend that future research should apply standardized, psychometrically evaluated measures, assessing multidimensional aspects of patients’ expectations that are applicable across various medical treatments. In the future, more research is needed on the interrelation of different expectation concepts as well as on factors influencing patients’ expectations of illness and treatment. Considering the importance of patients’ expectations for health outcomes across many medical conditions, an integrated understanding and assessment of such expectations might facilitate interventions aiming to optimize patients’ expectations in order to improve health outcomes.

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“…23 The most important outcome for patients was relief of chest pain, which can be considered a rather realistic expectation, as older age has been found to correlate with fewer instances of angina and better health-related quality of life among patients surviving acute myocardial infarction. 24 However, it is essential that healthcare professionals listen to their patients, especially concerning their life expectations after treatment, and reach an agreement to help make these expectations reasonable, 25,26 as unmet expectations have been associated with outcome dissatisfaction, 22 lower quality of life and psychological distress. 25 Shared decision-making is an ethical imperative, meaning that clinicians and patients must make decisions together using the best available evidence about treatment options.…”

Section: Discussionmentioning

confidence: 99%

“…24 However, it is essential that healthcare professionals listen to their patients, especially concerning their life expectations after treatment, and reach an agreement to help make these expectations reasonable, 25,26 as unmet expectations have been associated with outcome dissatisfaction, 22 lower quality of life and psychological distress. 25 Shared decision-making is an ethical imperative, meaning that clinicians and patients must make decisions together using the best available evidence about treatment options. 27 Patients act as active partners in making treatment decisions, in which physicians and patients together clarify the differences between the medical options and the corresponding risks and benefits, so the patient can ultimately make a sound decision.…”

Section: Discussionmentioning

confidence: 99%

Octogenarian preferences and expectations for acute coronary syndrome treatment

Widell

Andréen

Albertsson

et al. 2020

European Journal of Cardiovascular Nursing

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Background: The number of elderly persons with cardiovascular disease is increasing. In Sweden, the incidence of acute myocardial infarction is the highest among individuals aged 85 years and over. However, there is still little evidence about whether this population benefits from established treatments. Furthermore, the values and preferences of octogenarians (age ⩾80 years), as well as how they could be involved in treatment decisions, have been largely overlooked in research. Overall, increased knowledge about the preferences and expectations of octogenarians is needed to incorporate their treatment expectations into the decision-making process. Aims: This study aimed to describe the treatment choice preferences and post-treatment life expectations of octogenarians with acute coronary syndrome. Methods: A total of 19 patients (eight women, 11 men) aged 80 years and older and diagnosed with non-ST-elevation myocardial infarction or unstable angina were enrolled in this qualitative study. Data were collected between May 2011 and June 2013 through semistructured interviews. The data were analysed using qualitative content analysis. Results: We identified two main categories: Wanting the best and Hope for increased wellbeing. Participant preferences were influenced by their own and others’ previous experiences and their confidence in healthcare professionals. With respect to treatment outcomes, the participants hoped to get well, stay active, experience fewer symptoms and regain vitality. Conclusion: The studied octogenarians desired the best treatment option and trusted that their healthcare providers will make appropriate recommendations. These patients expected their treatment to result in increased wellbeing and fewer symptoms.

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Recovery Expectations and Quality of Life after Revascularization Treatments

Cited by 3 publications

References 22 publications

Enhancing Functional Efficiency and Quality of Life through Revascularization Surgery in Peripheral Arterial Disease: A Comparative Analysis of Objective and Subjective Indicators

Enhancing Functional Efficiency and Quality of Life through Revascularization Surgery in Peripheral Arterial Disease: A Comparative Analysis of Objective and Subjective Indicators

Patients’ Expectations Regarding Medical Treatment: A Critical Review of Concepts and Their Assessment

Octogenarian preferences and expectations for acute coronary syndrome treatment

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