Quality of Life Improves After Renal Artery Stenting

2006 ◽  
Vol 8 (2) ◽  
pp. 129-137
Author(s):  
David J. Kennedy ◽  
Mark W. Burket ◽  
Sadik A. Khuder ◽  
Joseph I. Shapiro ◽  
Robert V. Topp ◽  
...  

Although treatment of renal artery stenosis (RAS) with stents has been shown to improve blood pressure (BP) and renal function in some patients, little is known about the effect on health-related quality of life. A composite quality of life survey was administered in a cross-sectional cohort fashion to 149 patients presenting with angiographically and hemodynamically confirmed RAS either before (baseline, n= 37) or after (follow-up, n= 112) stent revascularization. BP, renal function, and antihypertensive medication use were also assessed. Systolic BP was lower in the revascularized patients (166 ± 23 vs. 153 ± 26, p < .01). The Short Form–36 Physical Component Summary (PCS) scores were higher (better) in revascularized patients (37 ± 9 vs. 31 ± 9, p < .01), whereas Mental Component Summary scores were equivalent (49 ± 13 vs. 51 ± 11, p = ns ). Sleep dysfunction scores were lower (better) in the revascularized patients (32 ± 26 vs. 48 ± 32, p < .001 ), whereas self-reported appetite was higher (better; 62% ± 29% vs. 73% ± 27%,p < .05 ). After matching for age and gender, Short Form–36 PCS remained higher in the revascularized cohort (37 ± 8 vs. 32 ± 8, p < .05 ). Importantly, in multivariate analysis, revascularization was the most significant determinant of a higher PCS score (r2 = .07, β = 5.21, p < .01 ). The current data suggest that renal artery stenting may improve health-related quality of life in patients with renovascular disease.

2018 ◽  
Vol 4 ◽  
pp. 233372141878281 ◽  
Author(s):  
Esmeralda Valdivieso-Mora ◽  
Mirjana Ivanisevic ◽  
Leslie A. Shaw ◽  
Mauricio Garnier-Villarreal ◽  
Zachary D. Green ◽  
...  

Rheumatology ◽  
2019 ◽  
Vol 58 (Supplement_2) ◽  
Author(s):  
Tanaz Kermani ◽  
Antoine Sreih ◽  
Gunnar Tomasson ◽  
David Cuthbertson ◽  
Renee Borchin ◽  
...  

2020 ◽  
pp. 112067212090169
Author(s):  
Áine Ní Mhéalóid ◽  
Richard Conway ◽  
Lorraine O’Neill ◽  
Barbara Clyne ◽  
Eamonn Molloy ◽  
...  

Objective: To establish if there is a difference in health-related quality of life and vision-related quality of life in patients with a confirmed diagnosis of giant cell arteritis compared with those with clinical features suspicious for the disease at initial presentation but in whom giant cell arteritis is ultimately excluded. Methods: A cross-sectional study of 116 patients who presented to two tertiary referral hospitals in Ireland with symptoms suspicious for giant cell arteritis was performed between August 2011 and June 2017. The Vision Core Measurement 1 and Short Form-36 questionnaires were used as assessment tools. Results: The mean (standard deviation) age of all 116 participants was 69.4 (9.3) years of whom 74 (63.8%) were female. In the giant cell arteritis group, 19.7% had permanent loss of vision and 54.7% had non-permanent visual disturbance. Vision Core Measurement 1 score in the giant cell arteritis group correlated with worse eye visual acuity (r = 0.4233, p = 0.0002). The Short Form-36 subscales of role physical (p = 0.0002), role emotional (p = 0.024), and the mental composite score (p = 0.012) were significantly worse in patients with giant cell arteritis. A significant correlation was found between vision-related quality of life scores and all Short Form-36 subscale scores except bodily pain (r = −0.215 to −0.399, p < 0.05 for all), and between social functioning and visual acuity in the better eye (r = −0.242, p = 0.038). Conclusion: Vision-related quality of life is an important subjective concern for both patients presenting with a suspicion of giant cell arteritis and those with a definite diagnosis of giant cell arteritis. Features of giant cell arteritis impact on patients’ physical and emotional states and vision influences global quality of life in giant cell arteritis. A long-term multidisciplinary approach is warranted for clinical, physical, and psychological treatment and support.


2016 ◽  
Vol 25 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Sharon McKinley ◽  
Mary Fien ◽  
Rosalind Elliott ◽  
Doug Elliott

Background Intensive care unit survivors often have diminished health-related quality of life. Objectives To describe health-related quality of life of former intensive care patients and identify associated factors 6 months after hospital discharge. Methods Six months after discharge, 193 patients from an intensive care unit completed the Short Form-36 Health Survey; measures of sleep; Intensive Care Experience Questionnaire; Depression, Anxiety and Stress Scales; and Posttraumatic Stress Disorder Checklist. Norm-based scores were calculated for the Short Form-36. Bivariate associations with Short Form-36 scores were tested by using the Pearson correlation. Multiple linear regression was used to identify independent associations with health-related quality of life. Results All scores on the Short Form-36 (physical component summary, 41.8; mental component summary, 48.2) were less than population norms. Bivariate associations with health-related quality of life (P &lt; .05) were scores on the Acute Physiology and Chronic Health Evaluation II, hospital length of stay, awareness of surroundings and frightening experiences, depression, anxiety, stress, posttraumatic symptoms, and sleep quality at 2 and 6 months. In linear regression, scores on the Acute Physiology and Chronic Health Evaluation II, hospital length of stay, and sleep quality at 6 months were independently associated with Short Form-36 physical summary scores (P &lt; .001); depression and stress were independently associated with mental summary scores (P &lt; .001). Conclusion Sleep, depression, and stress are potential targets for interventions to improve health-related quality of life and improve recovery.


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