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Gepubliceerd in: Quality of Life Research 3/2018

30-09-2017

Factors affecting the quality of life before and after surgery in patients with chronic thromboembolic pulmonary hypertension

Auteurs: Oksana Kamenskaya, Asya Klinkova, Irina Loginova, Alexander Chernyavskiy, Vladimir V. Lomivorotov, Alexander Karaskov

Gepubliceerd in: Quality of Life Research | Uitgave 3/2018

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Abstract

Purpose

To test the hypothesis that quality of life (QoL) parameters before surgery in patients with chronic thromboembolic pulmonary hypertension (CTEPH) are influenced by clinical determinants related to the underlying disease and to examine QoL parameters affected in the long-term after the operation by complications presenting in the early postoperative period.

Methods

This prospective cohort study included 128 patients who presented with CTEPH before and after pulmonary thromboendarterectomy (PTE; 1-year follow-up). All patients were examined regarding QoL using the Short-Form 36 Health Survey Questionnaire (SF-36).

Results

In patients with CTEPH, PTE provided immediate improvement in terms of pulmonary hemodynamic parameters and favorable effects on long-term outcome, including QoL 1 year after surgery. Multivariate analysis showed that systolic pulmonary arterial pressure, right ventricular ejection fraction, and the presence of coronary artery disease and chronic obstructive pulmonary disease (COPD) were independent factors affecting QoL on several SF-36 subscales in patients with CTEPH prior to surgery. The factors that affect patient QoL 1 year after surgery on some SF-36 subscales included the presence of coronary artery disease, COPD, heart failure, residual pulmonary hypertension, and prolonged ventilation, neurological complications in the early postoperative period of PTE.

Conclusions

Surgical treatment for CTEPH leads to an increase in QoL in all SF-36 subscales, excluding general health perceptions. Factors affecting QoL in patients with CTEPH included severity of pulmonary arterial hypertension, comorbidity, and complications in the early postoperative period after PTE, such as heart failure, neurologic problems, residual pulmonary hypertension, and prolonged ventilation.
Literatuur
5.
go back to reference Urushibara, T., Tanabe, N., Suda, R., Kato, F., Kasai, H., Takeuchi, T., et al. Tatsumi, K (2015). Effects of surgical and medical treatment on quality of life for patients with chronic thromboembolic pulmonary hypertension. Circulation Journal, 79(12), 2696–2702. doi: 10.​1253/​circj.​cj-15-0538. CrossRefPubMed Urushibara, T., Tanabe, N., Suda, R., Kato, F., Kasai, H., Takeuchi, T., et al. Tatsumi, K (2015). Effects of surgical and medical treatment on quality of life for patients with chronic thromboembolic pulmonary hypertension. Circulation Journal, 79(12), 2696–2702. doi: 10.​1253/​circj.​cj-15-0538. CrossRefPubMed
8.
go back to reference Jamieson, S. W., Kapelanski, D. P., Sakakibara, N., Manecke, G. R., Thistlethwaite, P. A., Kerr, K. M., et al. (2003). Pulmonary endarterectomy: Experience and lessons learned in 1500 cases. The Annals of Thoracic Surgery, 76(5), 1457–1464. doi: 10.​1016/​s0003-4975(03)00828-2. CrossRefPubMed Jamieson, S. W., Kapelanski, D. P., Sakakibara, N., Manecke, G. R., Thistlethwaite, P. A., Kerr, K. M., et al. (2003). Pulmonary endarterectomy: Experience and lessons learned in 1500 cases. The Annals of Thoracic Surgery, 76(5), 1457–1464. doi: 10.​1016/​s0003-4975(03)00828-2. CrossRefPubMed
9.
go back to reference Yoshimi, S., Tanabe, N., Masuda, M., Sakao, S., Uruma, T., Shimizu, H., et al. (2008). Survival and quality of life for patients with peripheral type chronic thromboembolic pulmonary hypertension. Circulation Journal, 72(6), 958–965. doi: 10.​1253/​circj.​72.​958. CrossRefPubMed Yoshimi, S., Tanabe, N., Masuda, M., Sakao, S., Uruma, T., Shimizu, H., et al. (2008). Survival and quality of life for patients with peripheral type chronic thromboembolic pulmonary hypertension. Circulation Journal, 72(6), 958–965. doi: 10.​1253/​circj.​72.​958. CrossRefPubMed
10.
11.
go back to reference O’Boyle, F., Mediratta, N., Chalmers, J., Al-Rawi, O., Mohan, K., Shaw, M., & Poullis, M. (2012). Long-term survival of patients with pulmonary disease undergoing coronary artery bypass surgery. European Journal of Cardio-Thoracic Surgery, 43(4), 697–703. doi: 10.​1093/​ejcts/​ezs454. CrossRefPubMed O’Boyle, F., Mediratta, N., Chalmers, J., Al-Rawi, O., Mohan, K., Shaw, M., & Poullis, M. (2012). Long-term survival of patients with pulmonary disease undergoing coronary artery bypass surgery. European Journal of Cardio-Thoracic Surgery, 43(4), 697–703. doi: 10.​1093/​ejcts/​ezs454. CrossRefPubMed
12.
go back to reference Miravitlles, M., Alvarez-Sala, J. L., Lamarca, R., Ferrer, M., Masa, F., Verea, H., et al. (2002). Treatment and quality of life in patients with chronic obstructive pulmonary disease. Quality of Life Research, 11(4), 329–338. doi: 10.​1023/​a:​1015520110663. CrossRefPubMed Miravitlles, M., Alvarez-Sala, J. L., Lamarca, R., Ferrer, M., Masa, F., Verea, H., et al. (2002). Treatment and quality of life in patients with chronic obstructive pulmonary disease. Quality of Life Research, 11(4), 329–338. doi: 10.​1023/​a:​1015520110663. CrossRefPubMed
14.
go back to reference Vuylsteke, A., Sharples, L., Charman, G., Kneeshaw, J., Tsui, S., Dunning, J., et al. (2011). Circulatory arrest versus cerebral perfusion during pulmonary endarterectomy surgery (PEACOG): A randomised controlled trial. Lancet, 378(9800), 1379–1387. doi: 10.​1016/​s0140-6736(11)61144-6. CrossRefPubMed Vuylsteke, A., Sharples, L., Charman, G., Kneeshaw, J., Tsui, S., Dunning, J., et al. (2011). Circulatory arrest versus cerebral perfusion during pulmonary endarterectomy surgery (PEACOG): A randomised controlled trial. Lancet, 378(9800), 1379–1387. doi: 10.​1016/​s0140-6736(11)61144-6. CrossRefPubMed
Metagegevens
Titel
Factors affecting the quality of life before and after surgery in patients with chronic thromboembolic pulmonary hypertension
Auteurs
Oksana Kamenskaya
Asya Klinkova
Irina Loginova
Alexander Chernyavskiy
Vladimir V. Lomivorotov
Alexander Karaskov
Publicatiedatum
30-09-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 3/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1712-4

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