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Titolo:
Quality of life of chronic stable angina patients 4 years after coronary angioplasty or coronary artery bypass surgery
Autore:
Brorsson, B; Bernstein, SJ; Brook, RH; Werko, L;
Indirizzi:
Swedish Council Technol Assessment Hlth Care, Stockholm, Sweden Swedish Council Technol Assessment Hlth Care Stockholm Sweden m, Sweden Norrland Univ Hosp, Ctr Heart, Umea, Sweden Norrland Univ Hosp Umea Sweden rland Univ Hosp, Ctr Heart, Umea, Sweden Vet Affairs Hlth Serv Res & Dev Field Program, Ann Arbor, MI USA Vet Affairs Hlth Serv Res & Dev Field Program Ann Arbor MI USA r, MI USA Univ Michigan, Dept Med, Ann Arbor, MI 48109 USA Univ Michigan Ann Arbor MI USA 48109 n, Dept Med, Ann Arbor, MI 48109 USA Univ Michigan, Dept Hlth Policy & Management, Ann Arbor, MI 48109 USA UnivMichigan Ann Arbor MI USA 48109 Management, Ann Arbor, MI 48109 USA Inst Salud Carlos III, Hlth Serv Res Unit, Madrid, Spain Inst Salud CarlosIII Madrid Spain I, Hlth Serv Res Unit, Madrid, Spain Univ Calif Los Angeles, Dept Med, Los Angeles, CA 90024 USA Univ Calif LosAngeles Los Angeles CA USA 90024 Los Angeles, CA 90024 USA Univ Calif Los Angeles, Dept Hlth Serv, Los Angeles, CA USA Univ Calif LosAngeles Los Angeles CA USA Hlth Serv, Los Angeles, CA USA RAND Corp, Santa Monica, CA USA RAND Corp Santa Monica CA USARAND Corp, Santa Monica, CA USA
Titolo Testata:
JOURNAL OF INTERNAL MEDICINE
fascicolo: 1, volume: 249, anno: 2001,
pagine: 47 - 57
SICI:
0954-6820(200101)249:1<47:QOLOCS>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
OF-LIFE; FOLLOW-UP; TRIAL;
Keywords:
coronary artery bypass graft surgery; outcomes; percutaneous transluminal coronary angioplasty; quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Brorsson, B SBU, POB 5650, S-11486 Stockholm, Sweden SBU POB 5650 Stockholm Sweden S-11486 11486 Stockholm, Sweden
Citazione:
B. Brorsson et al., "Quality of life of chronic stable angina patients 4 years after coronary angioplasty or coronary artery bypass surgery", J INTERN M, 249(1), 2001, pp. 47-57

Abstract

Objective. To evaluate the quality of life experienced by chronic stable angina patients with one- or two-vessel coronary artery disease treated withpercutaneous transluminal coronary angioplasty (PTCA) or coronary artery bypass graft (CABG). Design. Prospective survey and review of medical records. Patients. Consecutive series of 601 Swedish chronic stable angina patientswith one- or two-vessel disease who underwent CABG (n = 252) or PTCA (n = 349) between May 1994 and January 1995. Main outcome measures. We assessed five components of the Swedish Quality of Life Survey, anginal frequency, sublingual nitroglycerin use, and survival at 6, 21 and 48 months following coronary revascularization. Results. Anginal frequency and sublingual nitroglycerin use decreased for all patients by 6 months, but more amongst surgery patients than amongst angioplasty patients (P < 0.05). At 48 months, more bypass patients reported that they had not used sublingual nitroglycerin during the preceding 4 weeks (73.1 vs. 63.4%, P < 0.05). At 6 months, bypass patients had greater levels of improvement in physical functioning (15.3 vs. 10.5, P < 0.05) and general health perception (16.5 vs. 10.2, P < 0.05) than angioplasty patients,Bypass patients also had better relief from pain (19.4 vs. 14.6, P < 0.05), quality of sleep (17.6 vs. 4.6, P < 0.05) and general health perception (17.3 vs. 12.1, P < 0.05) at 21 months. By 48 months follow-up, there was nolonger ally difference in these measures between groups. Conclusions. Both bypass surgery and angioplasty lead to improved quality of life for patients with chronic stable angina and one- or two-vessel coronary artery disease. Bypass surgery is associated with better quality of life at 6 months, but by 48 months quality of life is similar for patients initially treated by either procedure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 16:07:14