Improvement of quality of life six months after infrageniculate bypass surgery: diabetic patients benefit less than non-diabetic patients
M Engelhardt, H Bruijnen, C Scharmer, N Jezdinsky, K Wölfle, M Engelhardt, H Bruijnen, C Scharmer, N Jezdinsky, K Wölfle
Abstract
Objectives: The aim of the study was to assess the change in health related quality of life (HRQoL) after infrageniculate bypass grafting in patients with critical limb ischaemia (CLI).
Design: Observational, prospective clinical study.
Materials and methods: In total, 86 patients (72% male; age 71 (IQR, 64-78) years) undergoing infrageniculate bypass grafting for limb salvage were assessed by the short form (SF)-36 questionnaire before and 6 months after surgery. In subgroup analysis, the influence of diabetes mellitus, age, gender, and stage of peripheral arterial occlusive disease on HRQoL-outcome were assessed.
Results: Following revascularization HRQoL significantly improved in all eight dimensions of the SF-36. While baseline HRQoL-values of diabetic and non-diabetic patients did not differ significantly, postoperative improvement was significantly less in the diabetes group.
Conclusions: An aggressive approach towards infrageniculate bypass surgery for limb salvage is justified by quality of life improvement. However, this improvement tends to be less in patients with diabetes mellitus.
Source: PubMed