This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Borchard, K. L. A. Articles by Stary, D. Search for Related Content PubMed Articles by Borchard, K. L. A. Articles by Stary, D. Social Bookmarking                         What's this?

Quality of Life After Abdominal Aortic Aneurysm Repair: A Retrospective Comparison of Endovascular Versus Open Repair

Department of Surgery, Launceston General Hospital, Tasmania, Australia; kborchar@postoffice.utas.edu.au

A. R. Scott, MBChB (Glas)

D. Stary, MBBS (Tas)

Department of Surgery, Launceston General Hospital, Tasmania, Australia

Purpose: To compare the postoperative quality of life (QOL) of endovascular abdominal aortic aneurysm (AAA) repair (EVR), open AAA repair, and hernia repair patients, as well as to assess the impact of age, gender, American Society of Anesthesiologists (ASA) grade, complications, and re-interventions on QOL.

Methods: Sixty EVR, 48 open repair and 50 hernia repair patients who had undergone surgery with AS or DS between March 1996 and September 2001 were studied retrospectively using the Medical Outcomes Short Form (SF-36) Health Survey. KB conducted all interviews; none were conducted over the phone.

Results: No significant differences between the EVR and open repair groups were demonstrated (P > .05). Significant differences between these groups and the hernia repair group were found. Patients aged less than 70 years scored better than their older counterparts, men scored better than women, and patients graded as ASA I to III scored better than those graded ASA IV in various domains of the SF-36 (P < .05). No significant differences were found between patients who had experienced complications or required re-interventions and those who had not (P > 0.05).

Conclusions: Patient QOL is similar after open repair and EVR; however, the QOL of these groups differs significantly with that of hernia repair patients. The patient's age, gender, and ASA grade impact upon QOL more than the type of surgery or aneurysm repair. Complications and re-interventions do not significantly impact upon patient QOL.

Key Words: quality of life (QOL) • abdominal aortic aneurysm (AAA) • endovascular

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 16, No. 3, 213-218 (2004)
DOI: 10.1177/153100350401600311


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?