Smoking cessation has no influence on quality of life in patients with peripheral arterial disease 5 years post-vascular surgery.
Eur J Vasc Endovasc Surg
; 40(3): 355-62, 2010 Sep.
Article
en En
| MEDLINE
| ID: mdl-20580273
ABSTRACT
OBJECTIVES:
Smoking is an important modifiable risk factor in patients with peripheral arterial disease (PAD). We investigated differences in quality of life (QoL) between patients who quitted smoking during follow-up and persistent smokers.DESIGN:
Cohort study.METHODS:
Data of 711 consecutively enrolled patients undergoing vascular surgery were collected in 11 hospitals in the Netherlands. Smoking status was obtained at baseline and at 3-year follow-up. A 5-year follow-up to measure QoL was performed with the EuroQol-5D (EQ-5D) and Peripheral Arterial Questionnaire (PAQ).RESULTS:
After adjusting for clinical risk factors, patients, who quit smoking within 3 years after vascular surgery, did not report an impaired QoL (EQ-5D odds ratio (OR) = 0.63, 95% confidence interval (CI) = 0.28-1.43; PAQ OR = 0.76, 95% CI = 0.35-1.65; visual analogue scale (VAS) OR = 0.88, 95% CI = 0.42-1.84) compared with patients, who continued smoking. Current smokers were significantly more likely to have an impaired QoL (EQ-5D OR = 1.86, 95% CI = 1.09-3.17; PAQ OR = 1.63, 95% CI = 1.00-2.65), although no differences in VAS scores were found (OR = 1.17, 95% CI = 0.72-1.90).CONCLUSIONS:
There was no effect of smoking cessation on QoL in PAD patients undergoing vascular surgery. Nevertheless, given the link between smoking, complications and mortality in this patient group, smoking cessation should be a primary target in secondary prevention.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Calidad de Vida
/
Procedimientos Quirúrgicos Vasculares
/
Fumar
/
Cese del Hábito de Fumar
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Enfermedades Vasculares Periféricas
/
Prevención Secundaria
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Eur J Vasc Endovasc Surg
Asunto de la revista:
ANGIOLOGIA
Año:
2010
Tipo del documento:
Article
País de afiliación:
Países Bajos