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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1997-11-19
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pubmed:abstractText |
The objectives of the study were to analyse the impact of increasing lower-limb ischaemia upon quality of life and to assess the correlation between clinical indicators of lower-limb ischaemia and such quality. A prospective observational study of a consecutive series of 235 patients (144 men and 91 women; median age 68 (range 41-87) years presenting with varying degrees of lower-limb ischaemia graded according to ISCVS criteria was performed. Data was collected at interview before any intervention. Clinical indicators of lower-limb perfusion included: intermittent claudication and maximum walking distance on standardized treadmill testing; ankle:brachial pressure indices and isotope limb blood flow. Quality of life analysis was performed using the EuroQol (EQ) questionnaire. This is a standardized generic instrument for describing health-related quality of life and consists of a descriptive system of five dimensions, each measured on three levels. Thus, a profile and two single indices of quality of life were derived using different methods. Increasing lower-limb ischaemia results in a statistically significant deterioration in both global quality of life and in all EQ-measured quality of life dimensions (P < 0.01 Kruskal-Wallis, ANOVA). The correlation between clinical indicators and quality of life is statistically significant but not sufficiently close (correlation coefficients < 0.6) to assume that variations in clinical indicators result in reciprocal variations in quality of life. In conclusion, as might be expected, a significant correlation exists between clinical indicators of lower-limb ischaemia and health-related quality of life. However, the low correlation coefficients emphasize how tenuous the association is. Thus, a significant improvement in the clinical indicators of lower-limb ischaemia cannot be assumed to impart a similar benefit on quality of life. The latter concept must therefore be analysed independently.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0967-2109
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
5
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
361-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9350789-Activities of Daily Living,
pubmed-meshheading:9350789-Adult,
pubmed-meshheading:9350789-Aged,
pubmed-meshheading:9350789-Aged, 80 and over,
pubmed-meshheading:9350789-Disease Progression,
pubmed-meshheading:9350789-Female,
pubmed-meshheading:9350789-Health Surveys,
pubmed-meshheading:9350789-Humans,
pubmed-meshheading:9350789-Intermittent Claudication,
pubmed-meshheading:9350789-Ischemia,
pubmed-meshheading:9350789-Leg,
pubmed-meshheading:9350789-Male,
pubmed-meshheading:9350789-Middle Aged,
pubmed-meshheading:9350789-Pain Measurement,
pubmed-meshheading:9350789-Prospective Studies,
pubmed-meshheading:9350789-Quality of Life,
pubmed-meshheading:9350789-Questionnaires
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pubmed:year |
1997
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pubmed:articleTitle |
Correlating clinical indicators of lower-limb ischaemia with quality of life.
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pubmed:affiliation |
Department of Vascular and Endovascular Surgery, St James's and Seacroft University Hospitals, Leeds, UK.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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