Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (8)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Müller-Bühl, U.
Right arrow Articles by Wiesemann, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Müller-Bühl, U.
Right arrow Articles by Wiesemann, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Family Practice Vol. 20, No. 1, 36-40
© Oxford University Press 2003

Clinical Research

Quality of life and objective disease criteria in patients with intermittent claudication in general practice

Uwe Müller-Bühl, Peter Engeser, Hans-Dieter Klimm and Armin Wiesemann

Department of General Medicine, University of Heidelberg, Germany.

Correspondence to Dr Uwe Müller-Bühl, Universitätsklinikum Heidelberg, Sektion Allgemeinmedizin und Versorgungsforschung, Im Neuenheimer Feld 347, D-69115 Heidelberg, Germany; E-mail: office_allmed{at}med.uni-heidelberg.de

Background. The quality of life (QoL) of patients with chronic diseases is an important decision criterion for medical treatment, especially in primary care settings. It is known that subjective sickness feelings often cannot be correlated with objective disease criteria.

Objective. The aim of the study was to determine the QoL of patients with intermittent claudication with the arterial morphology, haemodynamic parameters and functional disability of peripheral arterial occlusive disease (PAOD).

Methods. In 150 patients with stable intermittent claudication, the health-related QoL was compared with the angiogram score, the resting Doppler pressure values, and the initial claudication distance (ICD) and absolute claudication distance (ACD) with treadmill exercise.

Results. The QoL did not correlate significantly with either the angiogram score or the ankle systolic blood pressure and ankle brachial index. ICD and ACD correlated significantly with the QoL activity subscales of pain, complaints and functional status (P < 0.001). In a multiple regression analysis, ACD and body mass index were the most predictive variables for the QoL.

Conclusion. The QoL of PAOD patients is independent of the peripheral Doppler pressure and the angiographic severity of the disease. The most important criterion for the QoL is the patient’s functional disability.

Keywords. General practice, intermittent claudication, peripheral arterial occlusive disease, quality of life.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Vasc MedHome page
B. Ketenci, A. K. Tuygun, A. Gorur, M. Bicer, B. Ozay, R. Gunay, M. R. Guney, M. Sargin, S. Cimen, M. M. Demirtas, et al.
An approach to cultural adaptation and validation: the Intermittent Claudication Questionnaire
Vascular Medicine, May 1, 2009; 14(2): 117 - 122.
[Abstract] [PDF]

Home page
 BMJHome page
T De Backer, R Vander Stichele, P Lehert, and L Van Bortel
Naftidrofuryl for intermittent claudication: meta-analysis based on individual patient data
BMJ, March 10, 2009; 338(mar10_1): b603 - b603.
[Abstract] [Full Text] [PDF]

Home page
 Mayo Clin Proc.Home page
E. A. Hahn, D. Cella, O. Chassany, D. L. Fairclough, G. Y. Wong, R. D. Hays, and Clinical Significance Consensus Meeting Group
Precision of Health-Related Quality-of-Life Data Compared With Other Clinical Measures
Mayo Clin. Proc., October 1, 2007; 82(10): 1244 - 1254.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
W. M. Klein, Y. v. d. Graaf, J. Seegers, J. H. Spithoven, E. Buskens, J. G. v. Baal, J. Buth, F. L. Moll, T. T. C. Overtoom, M. R. H. M. v. Sambeek, et al.
Dutch Iliac Stent Trial: Long-term Results in Patients Randomized for Primary or Selective Stent Placement
Radiology, December 21, 2005; (2005) 2382041053.
[Abstract] [Full Text]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.