Top

Gepubliceerd in:

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

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.

vorige artikel Association of generic health-related quality of life (EQ-5D dimensions) and inactivity with lung function in lung-healthy German adults: results from the KORA studies F4L and Age

volgende artikel Establishing clinical severity for PROMIS® measures in adult patients with rheumatic diseases

Hoeper, M. M., Madani, M. M., Nakanishi, N., Meyer, B., Cebotari, S., & Rubin, L. J. (2014). Chronic thromboembolic pulmonary hypertension. The Lancet Respiratory Medicine, 2(7), 573–582. doi:10.1016/s2213-2600(14)70089-x.CrossRefPubMed

Delcroix, M., Lang, I., Pepke-Zaba, J., Jansa, P., D’Armini, A. M., Snijder, R., et al. Simonneau, G (2016). Long-term outcome of patients with chronic thromboembolic pulmonary hypertension clinical perspective. Circulation, 133(9), 859–871. doi:10.1161/circulationaha.115.016522.CrossRefPubMed

Mathai, S. C., Ghofrani, H.-A., Mayer, E., Pepke-Zaba, J., Nikkho, S., & Simonneau, G. (2016). Quality of life in patients with chronic thromboembolic pulmonary hypertension. European Respiratory Journal, 48(2), 526–537. doi:10.1183/13993003.01626-2015.CrossRefPubMedPubMedCentral

Kim, N. H., Delcroix, M., Jenkins, D. P., Channick, R., Dartevelle, P., Jansa, P., et al. (2013). Chronic thromboembolic pulmonary hypertension. Journal of the American College of Cardiology, 62(25), 92–99. doi:10.1016/j.jacc.2013.10.024.CrossRef

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

Data processing instructions obtained by the SF-36 questionnaire. Electronic resource. Company Evidence http://therapy.irkutsk.ru/doc/sf36a.pdf (date of the application: 19.08.2014).

Ware, J. E. (2000). SF-36 Health survey update. Spine, 25(24), 3130–3139. doi:10.1097/00007632-200012150-00008.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

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.

Lang, I. M., Pesavento, R., Bonderman, D., & Yuan, J. X.-J. (2012). Risk factors and basic mechanisms of chronic thromboembolic pulmonary hypertension: A current understanding. European Respiratory Journal, 41(2), 462–468. doi:10.1183/09031936.00049312.CrossRefPubMed

11.

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.

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

13.

Jones, P. W., Brusselle, G., Dal Negro, R. W., Ferrer, M., Kardos, P., Levy, M. L., et al (2011). Health-related quality of life in patients by COPD severity within primary care in Europe. Respiratory Medicine, 105(1), 57–66. doi:10.1016/j.rmed.2010.09.004.CrossRefPubMed

14.

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

15.

Jenkins, D. P., Madani, M., Mayer, E., Kerr, K., Kim, N., Klepetko, W., et al. (2012). Surgical treatment of chronic thromboembolic pulmonary hypertension. European Respiratory Journal, 41(3), 735–742. doi:10.1183/09031936.00058112.CrossRefPubMed

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

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2018

Bias in retrospective assessment of perceived dental treatment effects when using the Oral Health Impact Profile

Prospective associations of social isolation and loneliness with poor sleep quality in older adults

Lifestyle factors and social ties associated with the frequency of laughter after the Great East Japan Earthquake: Fukushima Health Management Survey

Comparing and transforming PROMIS utility values to the EQ-5D

Development of a practical outcome measure to account for individual differences in quality-of-life appraisal: the Brief Appraisal Inventory

Health-related quality of life and recovery patterns among hospitalised injury patients in Vietnam