The effect of thoracoabdominal aneurysm repair on quality of life

Coroneos, Chris J.; Mastracci, Tara M.; Barlas, Shahzaib; Cinà, Claudio S.

doi:10.1016/j.jvs.2009.01.006

Cited by 16 publications

(7 citation statements)

References 28 publications

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“…22,23 In general, patients treated by open surgical repair for TAAAs have poorer health-related QOL status preoperatively than a healthy control population. 24,25 In this study, we identified that physical domains of patients with TAAAs were lower than those of patients with PAAs. The exact reason for this difference is unclear, given that age and most of the cardiovascular risk factors were similar in both groups.…”

Section: Discussionmentioning

confidence: 73%

Prospective assessment of health-related quality of life after endovascular repair of pararenal and thoracoabdominal aortic aneurysms using fenestrated-branched endografts

Kärkkäinen¹,

Sandri²,

Tenorio³

et al. 2019

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 73%

Prospective assessment of health-related quality of life after endovascular repair of pararenal and thoracoabdominal aortic aneurysms using fenestrated-branched endografts

Kärkkäinen¹,

Sandri²,

Tenorio³

et al. 2019

Journal of Vascular Surgery

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“…Endovascular repair is appealing, because many believe that extensive aortic operations may adversely affect long-term quality of life (QoL) [9,10]. Few studies, however, have evaluated QoL after extensive thoracoabdominal aortic operations [9][10][11], and no study has specifically evaluated this in patients with MFS. MFS, a systemic connective tissue disorder, has many cardiovascular and noncardiovascular symptoms that affect QoL [12].…”

mentioning

confidence: 99%

Midterm Survival and Quality of Life After Extent II Thoracoabdominal Aortic Repair in Marfan Syndrome

Ghanta

Green

Price

et al. 2016

The Annals of Thoracic Surgery

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“…This tool serves as a convenient and fairly universal way to assess any treatment method with the maximum accuracy of the estimated values. 29–32 Using 5-point Likert scale instrument, Thors et al, reported high satisfaction in 100% of patients after endovascular treatment for PCS. 33…”

Section: Discussionmentioning

confidence: 99%

“…This tool serves as a convenient and fairly universal way to assess any treatment method with the maximum accuracy of the estimated values. [29][30][31][32] Using 5-point Likert scale instrument, Thors et al, reported high satisfaction in 100% of patients after endovascular treatment for PCS. 33 In the present study, the authors focused the attention of patients only on assessing the outcomes of endovascular embolization and endoscopic resection of the gonadal veins for treating PeVD.…”

Section: Patients' Satisfaction With Treatment At Month 6 After Inter...mentioning

confidence: 99%

Use of a novel Likert scale instrument to assess patient satisfaction following endovascular and surgical treatment of pelvic venous disorders

Grishenkova

Mishakina

et al. 2022

Phlebology

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Objective The study was aimed at assessing satisfaction with endovascular and surgical treatment, using a novel Likert scale procedure satisfaction instrument, in patients with pelvic venous disorder (PeVD) caused by the gonadal vein reflux. Methods This prospective cohort study included 100 women with PeVD who underwent gonadal veins embolization with coils (GVE group, n = 71) or gonadal veins endoscopic resection (GVR group, n = 29) in 2012–2020. The GVE was performed under local anesthesia and sedation, and was left-sided in 61, right-sided in three, and bilateral in seven patients. The GVR was performed under general anesthesia through transperitoneal ( n = 19) or retroperitoneal ( n = 10) access with three access ports in both cases. The GVR was left-sided in 19, right-sided in one, and bilateral in nine patients. To assess satisfaction with GVE and GVR treatment of PeVD, patients were asked to evaluate statements related to their experience using a new Likert scale instrument. The responses for each item were compared between the groups at Day 7 (D7) and at Month 6 (M6) after the procedure, as was a summary score of all the responses at both time points. The summary score allowed categorization on a spectrum from “completely satisfied” to “completely dissatisfied.” Results The comparison between GVЕ and GVR groups at D7 showed that 80% and 100% of patients, accordingly, reported the overall summary satisfaction, 49% and 79% agreed with a complete pelvic pain relief by D7, 79% and 0% agreed with the absence of a significant discomfort during the first postoperative day, 71% and 100% reported no need for analgesics to relief pain in the assess area, 80% and 100% reported fast return to daily activity, and 19.7% and 100% still experienced pelvic pain at D7 (pain in the GVR group was more severe and required the use of analgesics) (all p < .05). At the same time, 94% and 96% patients were satisfied with the aesthetic result of the procedure at D7 ( p = n.s.). The comparison between GVЕ and GVR groups at M6 showed that 100% of patients in both groups reported overall satisfaction with treatment ( p = n.s.), 96% and 100% confirmed a complete pelvic pain relief by M6, 79% and 65% agreed with the absence of a significant discomfort after the procedure, 79% and 65% reported no need for analgesics, 83% and 100% reported about the return to daily activity (all p < .05), and 100% in both groups were satisfied with the aesthetic result of the procedure ( p = n.s.). Conclusions In patients with PeVD, both GVE and GVR are associated with a high, although not significantly different, overall treatment satisfaction in the long term and have advantages and disadvantages. GVE is associated with less severe post-procedural pain, while GVR provides faster relief of pelvic pain and a return to usual daily activity.

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The effect of thoracoabdominal aneurysm repair on quality of life

Cited by 16 publications

References 28 publications

Prospective assessment of health-related quality of life after endovascular repair of pararenal and thoracoabdominal aortic aneurysms using fenestrated-branched endografts

Prospective assessment of health-related quality of life after endovascular repair of pararenal and thoracoabdominal aortic aneurysms using fenestrated-branched endografts

Midterm Survival and Quality of Life After Extent II Thoracoabdominal Aortic Repair in Marfan Syndrome

Use of a novel Likert scale instrument to assess patient satisfaction following endovascular and surgical treatment of pelvic venous disorders

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