Abstract
SummaryObjectiveBuerger’s disease and atherosclerosis obliterans (ASO) are two peripheral arterial diseases (PAD) that are frequently encountered. The aim of this study was to compare quality of life (QOL) in patients with Buerger’s disease and ASO.MethodsWe prospectively followed 86 patients who were admitted to our hospital due to ASO or Buerger’s disease. Their ischaemia was evaluated according to the clinical category chronic limb ischaemia at the time of hospital admission and at six and 12 months. The QOL was measured at the time of hospital admission and at six and 12 months with the Short Form Health Status Survey (SF-36) and Vascular Quality of Life Questionnaire (VASCUQOL).ResultsA total of 86 patients with ASO or Buerger’s disease (47 and 39, respectively) were included in the study. Pain parameters from both SF-36 and VASCUQOL scores were lower in patients with Buerger’s disease at the time of hospital admission and at six months. The impairment in QOL was found to be proportional to the extent of chronic limb ischaemia. Conversely, when patients with critical limb ischaemia were evaluated, no difference was observed between those with ASO or Buerger’s disease in terms of QOL. Amputations were found to have a negative effect on quality of life.ConclusionBuerger’s disease had a more pronounced negative effect on QOL than ASO, particularly in terms of pain score. When critical limb ischaemia was considered, ASO and Buerger’s disease impaired quality of life at the same rate.
Highlights
The quality of life (QOL) was measured at the time of hospital admission and at six and 12 months with the Short Form Health Status Survey (SF-36) and Vascular Quality of Life Questionnaire (VASCUQOL)
The quality of life of patients whose level of chronic limb ischaemia was category 5 and over at the time of the first admission was worse in terms of pain, general health, social function, emotional status and mental health than that of patients with SF-36 scores less than category 5
The difference in quality of life according to category of the SF-36 questionnaire disappeared at six and 12 months
Summary
This prospective study included patients with ASO and Buerger’s disease who were admitted to the Department of Vascular Surgery, University of Ankara between 2008 and 2010 Those patients with chronic lower limb ischaemia due to ASO or Buerger’s disease were evaluated in terms of symptoms, risk. Patients with Buerger’s disease who matched the criteria for inclusion in this study were those with lower extremity involvement, and patients with Buerger’s disease, diagnosed according to Shionoya’s criteria,[4] at the time of admission These criteria included smoking history; onset before the age of 50 years; infra-popliteal arterial occlusions; either upper limb involvement or phlebitis migrans; and absence of atherosclerotic risk factors other than smoking. Statistical analyses were carried out using SPSS for Windows 15.0 (SPSS Inc., Chicago, Illinois, USA)
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