Добавил:

Sekretar kiopkiopkiop18@yandex.ru t.me/Prokururor I Вовсе не секретарь, но почту проверяю Опубликованный материал нарушает ваши авторские права? Сообщите нам.

Вуз:

Ростовский Государственный Медицинский Университет

Предмет:

Медицина общая

Файл:

Книга_2806_Библиотеки_им_академика_М_И_Перельмана

.pdf

Скачиваний:

Добавлен:

02.09.2026

Размер:

20 Мб

Скачать

☆

<<< < Предыдущая 17 18 19 20 21 22 23 24 25 26 27 2829 / 4429 30 31 32 33 34 35 36 37 38 39 40 41 > Следующая >>>

15 Quality of Life and Patient Reported Outcome Measures Following Percutaneous Aortic Intervention…

(continued)

Yes 80%

VASC

277

31.5%

Aortic pathology: AAA

Open AAA repair

Male: 99.5%, Age: 71, HTN: NR, DM: 22.9%

Smoking: 44.2%, IHD: 42.3%, CVA: 16%, CKD:

31.1%

OR Smoking: 38.3%, IHD: 39.2%, CVA: 15.1%, CKD:

n=437 Elective: 100%, Emergency: 0%

Study objectives: Long-term survival and QOL after EVAR and open AAA repair (EVAR vs. open AAA repair vs. general population)

Lederle [18] EVAR P EVAR Ye s SF-36, EQ-5D

2009 n=444 Male: 99.3%, Age: 70, HTN: NR, DM: 22.5%

Elective: 100%, Emergency: 0%

Aortic pathology: AAA

repair)

Study objectives: Compare early postoperative outcomes after EVAR and open AAA repair (preoperative vs. postoperative, EVAR vs. open AAA

Elective: 100%, Emergency: 0%

Aortic pathology: AAA

Kurz [61] EVAR R Male: 91%, Age: 71.5, HTN: 67%, DM: 14% Yes NHP Yes 57.1%

2010 n=270 Smoking: 71%, IHD: 66%, CVA: 16%, CKD: NR

7.1%

Aortic pathology: AAA

Surveillance

Male: 97%, Age: 68.8, HTN: 76%, DM: 11%

Smoking: 53%, IHD: 42%, CVA: 19%, CKD: 9%

Elective: 100%, Emergency: 0%

Aortic pathology: AAA

EVAR P EVAR Ye s SF-36 Yes 76%

Study objectives: QOL after EVAR in octogenarians compared to younger patients (Older vs. younger patients)

DeRango

Surveillance Smoking: 58%, IHD: 36%, CVA: 11.5%, CKD:

n=166 Elective: 100%, Emergency: 0%

[62]

2011 n=173 Male: 95%, Age: 69, HTN: 74%, DM: 16%

278

Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/

Response

rateYear

Follow-up

method

reported

QOL instruments

used

Validated QOL

instrument

L. L. Shan et al.

31.5%

Aortic pathology: AAA

Open AAA repair

Male: 96%, Age: 70.5, HTN: 75.5%, DM: 22.9%

Smoking: 44.2%, IHD: 42.3%, CVA: 16.0%, CKD:

31.1%

Elective: 100%, Emergency: 0%

Aortic pathology: AAA

Study

design Patient demographics

Patients

Original studies—abdominal aorta

Author

Table 15.1 (continued)

Study objectives: QOL after EVAR or surveillance in subthreshold aneurysms (EVAR vs. surveillance, preoperative vs. postoperative)

OR Smoking: NR, IHD: 50%, CVA: 5%, CKD: 5%

Kisis [63] EVAR P EVAR Ye s SF-36 Yes 100%

2012 n=20 Male: 85%, Age: 70, HTN: NR, DM: 15%,

Aortic pathology: AAA

Open AAA repair

Male: 80%, Age: 67, HTN: NR, DM: 10%,

n=20 Elective: 100%, Emergency: 0%

Smoking: NR, IHD: 40%, CVA: 0%, CKD: 10%

Elective: 100%, Emergency: 0%

Aortic pathology: AAA

Study objectives: QOL after EVAR and open AAA repair (preoperative vs. postoperative, EVAR vs. open AAA repair)

Lederle [12] EVAR P EVAR Ye s SF-36 Yes 85%

OR Smoking: 38.3%, IHD: 39.2%, CVA: 15.1%, CKD:

n=437 Elective: 100%, Emergency: 0%

2012 n=444 Male: 99%, Age: 69.6, HTN: 78.2%, DM: 22.5%

15 Quality of Life and Patient Reported Outcome Measures Following Percutaneous Aortic Intervention…

279

(continued)

Male: 91%, Age: 70.1, HTN: 77%, DM: 20%,

Study objectives: Long-term morbidity and mortality after EVAR vs. open AAA repair (EVAR vs. open AAA repair)

Pol [64] EVAR P <80years old Ye s EQ-5D VASC Yes 82.1%

2012 <80years

14.2%

old

n=926 Smoking: 56%, IHD: 54%, CVA: 12%, CKD:

EVAR Elective: 100%, Emergency: 0%

Aortic pathology: AAA

>80years

Male: 86.5%, Age: 83.3, HTN: 73.1%, Chol:

55.1%, DM: 15.1%

Smoking: 24.6%, IHD: 55.5%, CVA: 16.8%, CKD:

Elective: 100%, Emergency: 0%

old

n=274 >80years old

Aortic pathology: AAA

OR Smoking: 40%, IHD: 28%, CVA: NR, CKD: 2%

Study objectives: 30-day outcome and QOL after EVAR in octogenarians (preoperative vs. postoperative, EVAR vs. open AAA repair)

AJAX [65] EVAR P EVAR Ye s SF-36 Yes 77%

2014 n=57 Male: 86%, Age: 74.9, HTN: 23%, DM: 4%

Aortic pathology: AAA

Open AAA repair

Male: 85%, Age: 74.5, HTN: 17%, DM: 2%

n=59 Elective: 0%, Emergency: 100%

Smoking: 34%, IHD: 24%, CVA: NR, CKD: 3%

Elective: 0%, Emergency: 100%

Aortic pathology: AAA

EVAR R Male: NR, Age: NR, HTN: NR, DM: NR, Yes SF-12 No NR

Study objectives: Cost effectiveness and utility of EVAR compared to open AAA repair for ruptured AAA (EVAR vs. open AAA repair)

Klocker

Elective: NR, Emergency: NR

Aortic pathology: Descending thoracic aneurysm,

[66]

2014 n=138 Smoking: NR, IHD: NR, CVA: NR, CKD: NR

dissection, trauma

280

Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/

Response

rateYear

L. L. Shan et al.

Follow-up

method

reported

QOL instruments

used

Validated QOL

instrument

Yes 70%

VASC

7.5%

Aortic pathology: AAA

Open AAA repair

Male: 90%, Age: 69.6, HTN: 54.5%, DM: 9.6%

Smoking: 54.5%, IHD: 47.2%, CVA: NR, CKD:

Elective: 100%, Emergency: 0%

Male: 90.4%, Age: 70.1, HTN: 75.9%, DM: 19.9%

Study

design Patient demographics

Patients

Original studies—abdominal aorta

Author

Table 15.1 (continued)

Study objectives: Incidence of left arm ischemia, function, quality of life after TEVAR (left subclavian coverage vs. no coverage)

Pol [67] EVAR P <80years old Ye s EQ-5D VASC Yes 67.9%

2014 <80years

old

13.9%

Aortic pathology: AAA

n=973 Smoking: 56.5%, IHD: 53%, CVA: 11.7%, CKD:

EVAR Elective: 100%, Emergency: 0%

>80years

old

Male: 86.2%, Age: 83.3, HTN: 73.9%, DM: 19.9%

Smoking: 24.6%, IHD: 55.2%, CVA: 15.9%, CKD:

20.1%

Elective: 100%, Emergency: 0%

Aortic pathology: AAA

n=290 >80years old

EVAR P EVAR Ye s SF-36, EQ-5D

Study objectives: QOL after EVAR in octogenarians (<80years old vs. >80years old, preoperative vs. postoperative)

De Bruin

[68]

2016 n=173 Male: 93%, Age: 70.7, HTN: 58.4%, DM: 10.4%

OR Smoking: 63.6%, IHD: 41%, CVA: NR, CKD:

n=178 Elective: 100%, Emergency: 0%

Aortic pathology: AAA

15 Quality of Life and Patient Reported Outcome Measures Following Percutaneous Aortic Intervention…

281

(continued)

OR Smoking: NR, IHD: NR, CVA: NR, CKD: NR AneurysmTSQ

Study objectives: Long-term QOL after EVAR and open AAA repair (preoperative vs. postoperative, EVAR vs. open AAA repair)

Peach [69] EVAR R EVAR Yes AneurysmDQOL Yes 66.3%

2016 n=103 Male: 86.4%, Age: 76.6, HTN: NR, DM: NR, AneurysmSRQ

Aortic pathology: AAA

Open AAA repair

Male: 97%, Age: 72.7, HTN: NR, DM: NR

n=69 Elective: 100%, Emergency: 0%

Smoking: NR, IHD: NR, CVA: NR, CKD: NR

Elective: 100%, Emergency: 0%

Aortic pathology: AAA

EVAR P EVAR Ye s EQ-5D VASC Yes 78%

Study objectives: QOL, symptoms, satisfaction assessed using AAA specic measures (preoperative vs. postoperative, EVAR vs. open AAA repair)

IMPROVE

Aortic pathology: AAA

Open AAA repair

Male: 79%, Age: 76.7, HTN: NR, DM: NR

Smoking: NR, IHD: NR, CVA: NR, CKD: NR

OR Smoking: NR, IHD: NR, CVA: NR, CKD: NR

n=297 Elective: 0%, Emergency: 100%

[25]

2017 n=316 Male: 78%, Age: 76.7, HTN: NR, DM: NR

Elective: 0%, Emergency: 100%

Aortic pathology: AAA

postoperative, EVAR vs. open AAA repair)

Study objectives: Midterm clinical outcomes and cost effectiveness of EVAR vs. open AAA repair for ruptured AAA (preoperative vs.

Aortic pathology: AAA

Open AAA repair

Male: 93%, Age: 72.8, HTN: NR, DM: 17.7%

Smoking: 23.3%, IHD: NR, CVA: NR, CKD: 30%

OR Smoking: 8%, IHD: NR, CVA: NR, CKD: 28%

n=30 Elective: 100%, Emergency: 0%

Kato [70] EVAR P EVAR Ye s SF-8 Ye s 64%

2017 n=25 Male: 96%, Age: 76, HTN: NR, DM: 28%,

Elective: 100%, Emergency: 0%

Aortic pathology: AAA

282

Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/

Response

rateYear

Follow-up

method

reported

QOL instruments

used

Validated QOL

instrument

L. L. Shan et al.

Aortic pathology: AAA

Open AAA repair

Male: 89%, Age: 67, HTN: NR, DM: 31%,

Smoking: 80%, IHD: 53%, CVA: 5%, CKD: 24%

Elective: 100%, Emergency: 0%

Aortic pathology: AAA

Study objectives: QOL after EVAR and open AAA repair (preoperative vs. postoperative, EVAR vs. open AAA repair)

Study

design Patient demographics

Patients

EVAR R EVAR Ye s SF-36 Yes 72.4%

Original studies—abdominal aorta

Author

Table 15.1 (continued)

Study objectives: QOL changes after EVAR and open AAA repair (preoperative vs. postoperative, EVAR vs. open AAA repair)

Yildirim

[71]

2017 n=45 Male: 93%, Age: 76.4, HTN: NR, Chol: NR, DM:

Smoking: NR, IHD: NR, CVA: NR, CKD: NR

Elective: 0%, Emergency: 100%

Aortic pathology: AAA

Open AAA repair

Male: 86%, Age: 71.4, HTN: NR, Chol: NR, DM:

Smoking: NR, IHD: NR, CVA: NR, CKD: NR

Elective: 0%, Emergency: 100%

Aortic pathology: AAA

EVAR P EVAR Ye s SF-36 No NR

Study objectives: Long-term QOL after EVAR and open AAA repair for ruptured AAA (EVAR vs. open AAA repair vs. general population)

Akbulut

OR Smoking: 83%, IHD: 63%, CVA: 5%, CKD: 31%

[72]

2018 n=68 Male: 87%, Age: 67, HTN: NR, DM: 31%,

n=39 Elective: 100%, Emergency: 0%

15 Quality of Life and Patient Reported Outcome Measures Following Percutaneous Aortic Intervention…

283

Response

rateYear

Follow-up

method

reported

QOL instruments

used

Validated QOL

instrument

(continued)

Study

Original studies—thoracic aorta

Author

Aortic pathology: Thoracic aortic dissection/

aneurysm

Open descending thoracic aortic repair

design Patient demographics

Patients

OR Smoking: 50%, IHD: 35%, CVA: NR, CKD: NR

n=78 Elective: 52%, Emergency: 48%

Dick [73] TEVAR R TEVAR Yes SF-36, HADS Yes 78%

2008 n=58 Male: 83%, Age: 68.8, HTN: 79%, DM: 15%

Male: 84%, Age: 61.6, HTN: 76%, DM: 4%

Smoking: 57%, IHD: 49%, CVA: NR, CKD: NR

Elective: 80%, Emergency: 20%

Aortic pathology: Thoracic aortic dissection/

aneurysm

TEVAR or open repair vs. general population)

n=29 Smoking: 63%, IHD: 59%, CVA: NR, CKD: 30%

Study objectives: Long-term postoperative QOL after TEVAR or open repair for descending thoracic aortic diseases (TEVAR vs. open repair,

Dick [74] Elective R Elective TEVAR Yes SF-36, HADS Yes 70%

2009 TEVAR Male: 85%, Age: 71, HTN: 78%, DM: 22%,

aneurysm

Male: 80%, Age: 67, HTN: 80%, DM: 8%,

Smoking: 36%, IHD: 8%, CVA: NR, CKD: 16%

Elective: 0%, Emergency: 100%

Emergent Elective: 100%, Emergency: 0%

TEVAR Aortic pathology: Thoracic aortic dissection/

n=29 Emergency TEVAR

Aortic pathology: Thoracic aortic dissection/

aneurysm

284

Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/

Response

rateYear

Follow-up

method

reported

QOL instruments

used

Validated QOL

instrument

L. L. Shan et al.

Smoking: 53%, IHD: 5%, CVA: NR, CKD: NR

Elective: NR, Emergency: NR

Original studies—thoracic aorta

Author

Table 15.1 (continued)

TEVAR vs. general population)

Study

design Patient demographics

Patients

Study objectives: Postoperative QOL after elective or emergent TEVAR for descending thoracic aortic diseases (Elective TEVAR vs. emergent

TEVAR R Male: 70%, Age: 46.7, HTN: NR, DM: NR Yes SF-12 Ye s NR

McBride

[75]

Smoking: 23%, IHD: 31%, CVA: 9%, CKD: 23%

Elective: NR, Emergency: NR

Aortic pathology: TAA

Study objectives: Patient experience, emotional wellbeing, QOL after endovascular thoracoabdominal aneurysm repair (preoperative vs.

postoperative)

Bi [77] TEVAR P TEVAR Yes SF-36 No 97%

Elective: 0%, Emergency: 10.0%

Aortic pathology: Blunt thoracic aortic injury

Study objectives: Long-term QOL and return to normal activities after TEVAR with or without left subclavian artery coverage

Meltzer [76] TA A P Endovascular TAA repair Ye s SF-36 No NR

2015 n=82 Smoking: NR, IHD: NR, CVA: NR, CKD: NR

2017 n=22 Male: 77%, Age: 75.1, HTN: 90.9%, DM: 18%

Aortic pathology: Type B dissection

Study objectives: Midterm outcome and QOL after endovascular repair of Type B aortic dissection (preoperative vs. postoperative)

Reviews

2018 n=40 Male: 88%, Age: 80.9, HTN: 58%, DM: 3%

Peach [46] Review Total studies: 23, Total patients in studies on QOL: 6904

Hypothesise that EVAR patients have better short term QOL while open AAA repair patients have better long term QOL

Review Total studies: 16, Total patients in studies on QOL: 4620

2012

Study objectives: Review evidence on health status changes after EVAR or open AAA repair

Coughlin

[43]

2013

15 Quality of Life and Patient Reported Outcome Measures Following Percutaneous Aortic Intervention…

285

Study objectives: Short and midterm QOL after EVAR and open AAA repair

Propper [47] Review Total studies: 4, Total patients in studies on QOL: 3674

2013

Study objectives: Long-term outcome after EVAR

Kayssi [45] Review Total studies: 5, Total patients in studies on QOL: 2108

2015

Study objectives: Differences in short and long term QOL after EVAR compared to open AAA repair

Jarral [44] Review Total studies: 30, Total patients in studies on QOL: 4746

2016

Study objectives: QOL after intervention on thoracic aorta

Badger [23] Review Total studies: 4; Total patients in studies on QOL: 868

2017

Study objectives: Advantages and disadvantages of EVAR vs. open AAA repair for ruptured AAA

Shan [36] Review Total studies: 13; Total patients in studies on QOL: 1272

2019

Study objectives: QOL after EVAR and open AAA repair in elderly patients

HTN hypertension, Chol hypercholesterolemia, DM diabetes mellitus, IHD ischemic heart disease, CVA cerebrovascular disease, CKD chronic kidney disease, NR not recorded,

AAA abdominal aortic aneurysm, R retrospective, P prospective, QOL quality of life, AneurysmDQOL aneurysm-dependent QOL questionnaire, AneurysmSRQ aneurysm symp-

tom rating questionnaire, Aneurysm TSQ aneurysm treatment satisfaction questionnaire, SF-36 medical outcomes 36-item short-form health survey, SF-12 medical outcomes

12-item short-form health survey, NHP Nottingham health prole, EQ-5D VASC EuroQOL 5-dimensions, OR open AAA repair, EVAR endovascular AAA repair

286

Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/

Table 15.2 Quality of life results in included studies

Original studies—abdominal aorta

Author

Perioperative

Procedure Follow-up time

Lloyd [48] EVAR Pre-op, 6months EVAR: 8.8% NR EVAR: 82% 2000 Open AAA repair Open AAA

Key ndings:

Malina [49]

2000 Open AAA repair Open AAA

Key ndings:

Aquino [50]

2001 Open AAA repair Open AAA

Key ndings:

Arko [51] EVAR <6months, 2003 Open AAA repair Open AAA

Key ndings:

Lederle [52]

2003 Open AAA repair Open AAA

Most SF-36 domains maintained at preoperative levels Signicant worsening of physical function at 6months for both EVAR and open AAA

repair compared to pre-op No signicant difference between open AAA repair and EVAR at 6months across all

SF-36 domains EVAR Pre-op, 5, 30,

90days

Total NHP scores had an initial Day 5 decline after both open AAA repair and EVAR, but improved to better than baseline at 3months post-op

No difference between open AAA repair and EVAR at any time point in all NHP domains Functional status worse in some domains after open AAA repair compared to EVAR at

1month, but no difference at 3months EVAR patients perceive follow-up to be more difcult, open AAA repair patients found

the recovery difcult EVAR Pre-op. 1week,

4weeks, 8weeks, 52weeks

At 1week post-op, physical function, social function, role physical, vitality worse than pre-op for both EVAR and open AAA repair. Open AAA repair had more severe decline

All domains return to baseline at 4weeks after EVAR, and 8weeks after open AAA repair All domains maintained up to 1year All domains similar between EVAR and open AAA repair at 1year

>6months

At 3months, 95% of EVAR patients felt completely recovered compared to 75% of open AAA repair

32days to fully recovery after EVAR, 99days for open AAA repair 5% after EVAR felt decreased activity level, 23% for open AAA repair No signicant difference in functional outcome after 6months between EVAR and open

AAA repair No difference in ambulation, independent living, employment status before and after

either treatment Surveillance Pre-op,

6-monthly to 8years

mortality

repair: 4.2%

EVAR: 4.8% NR EVAR: 95%

repair 4.8%

EVAR: 0% EVAR: 0% EVAR: 96%

repair: 0%

EVAR: 0.7% EVAR: 10.5% EVAR: 82%

repair: 3.6%

Surveillance:

2.6%

repair: 3.0%

Major perioperative complications

Open AAA repair: 0%

Open AAA repair: 9.2%

NR Surveillance:

L. L. Shan et al.

Survival at time of QOL assessmentYear

Open AAA repair: 90%

Open AAA repair: 95%

Open AAA repair: 92%

Open AAA repair: 96%

78.4% Open AAA

repair: 74.9%

<<< < Предыдущая 17 18 19 20 21 22 23 24 25 26 27 2829 / 4429 30 31 32 33 34 35 36 37 38 39 40 41 > Следующая >>>

Соседние файлы в папке Библиотека им академика М.И. Перельмана

#
31.08.202626 Мб0Книга_28_библиотеки_им_акад_М_И_Перельмана.pdf
#
02.09.202621 Мб0Книга_2800_Библиотеки_им_академика_М_И_Перельмана.pdf
#
02.09.202621 Мб0Книга_2801_Библиотеки_им_академика_М_И_Перельмана.pdf
#
02.09.202621 Мб0Книга_2803_Библиотеки_им_академика_М_И_Перельмана.pdf
#
02.09.202621 Мб0Книга_2804_Библиотеки_им_академика_М_И_Перельмана.pdf
#
02.09.202620 Мб0Книга_2806_Библиотеки_им_академика_М_И_Перельмана.pdf
#
02.09.202620 Мб0Книга_2812_Библиотеки_им_академика_М_И_Перельмана.epub
#
02.09.202619 Мб0Книга_2815_Библиотеки_им_академика_М_И_Перельмана.pdf
#
02.09.202619 Мб0Книга_2816_Библиотеки_им_академика_М_И_Перельмана.pdf
#
02.09.202619 Мб0Книга_2817_Библиотеки_им_академика_М_И_Перельмана.pdf
#
02.09.202619 Мб0Книга_2818_Библиотеки_им_академика_М_И_Перельмана.pdf