Evaluation of Changes in the Quality of Life of Patients with Peripheral Arterial Disease (PAD) Following Successful Revascularization Using Endovascular Techniques with the Vascular Quality of Life Questionnaire-6 (Vascuqol-6) at Dr. Cipto Mangunkusumo National General Hospital
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Background: Peripheral arterial disease (PAD) is a chronic vascular disease that significantly affects physical function and quality of life. Endovascular revascularization is a primary treatment modality for symptomatic PAD; however, evaluation of its success should include patient-reported outcomes, such as quality of life. This study aimed to evaluate changes in quality of life among patients with PAD after endovascular revascularization using the VascuQoL-6 instrument. Methods: This was an analytic observational study with a pre–post design involving patients with PAD who underwent endovascular revascularization at Dr. Cipto Mangunkusumo National General Hospital. Quality of life was assessed using the VascuQoL-6 before and one month after the procedure. Changes in scores were analyzed using paired comparative tests. Results: A total of 32 patients were enrolled in this study. The mean ankle-brachial index (ABI) increased after endovascular revascularization compared with before the procedure. The median total VascuQoL-6 score increased significantly after the procedure, with all patients showing improvements in quality of life. Improvements occurred across all quality-of-life domains, with the greatest improvements observed in the activity and pain domains. Conclusion: Endovascular revascularization effectively improved the quality of life of patients with PAD based on the VascuQoL-6 instrument, particularly in the activity and pain domains.
Abaraogu, U. O., Ezenwankwo, E. F., Dall, P. M., & Seenan, C. A. (2018). Living a burdensome and demanding life: A qualitative systematic review of the patients’ experiences of peripheral arterial disease. PLOS ONE, 13(11), e0207456.
European Society of Cardiology, & European Society for Vascular Surgery. (2018). 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS). European Heart Journal. https://doi.org/10.1093/eurheartj/ehx095
Black, N., Burke, L., Forrest, C. B., Ravens-Sieberer, U. H., Ahmed, S., Valderas, J. M., Bartlett, S. J., & Alonso, J. (2016). Patient-reported outcomes: Pathways to better health, better services, and better societies. Quality of Life Research, 25(5), 1103–1112.
Cella, D., & Stone, A. A. (2015). Health-related quality of life measurement in oncology: Advances and opportunities. American Psychologist, 70(2), 175–185.
U.S. Food and Drug Administration. (2006). Guidance for industry: Patient-reported outcome measures: Use in medical product development to support labeling claims. Health and Quality of Life Outcomes, 4, 79. https://doi.org/10.1186/1477-7525-4-79
Fayers, P. M., & Machin, D. (2015). Quality of life: The assessment, analysis and reporting of patient-reported outcomes (3rd ed.). John Wiley & Sons.
Fowkes, F. G. R., Rudan, D., Rudan, I., Aboyans, V., Denenberg, J. O., McDermott, M. M., et al. (2013). Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: A systematic review and analysis. The Lancet, 382(9901), 1329–1340. https://doi.org/10.1016/S0140-6736(13)61249-0
Fowkes, F. G. R., Aboyans, V., Fowkes, F. J. I., McDermott, M. M., Sampson, U. K. A., & Criqui, M. H. (2017). Peripheral artery disease: Epidemiology and global perspectives. Nature Reviews Cardiology, 14(3), 156–170.
Korosoglou, G. (2025). European journal of vascular medicine. Vasa, 54, 114.
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159–174.
Larsen, A. S. F., Reiersen, A. T., Jacobsen, M. B., Kløw, N.-E., Nordanstig, J., Morgan, M., et al. (2017). Validation of the Vascular Quality of Life Questionnaire–6 for clinical use in patients with lower limb peripheral arterial disease. Health and Quality of Life Outcomes, 15(1), 184. https://doi.org/10.1186/s12955-017-0760-3
Larsen, A. S. F., Reiersen, A. T., Nådland, I. H., & Wesche, J. (2020). Self-reported health status and disease-specific quality of life one year after treatment for peripheral arterial disease in clinical practice. Health and Quality of Life Outcomes, 18(1), 235.
McDermott, M. M. (2015). Lower extremity manifestations of peripheral artery disease: The pathophysiologic and functional implications of leg ischemia. Circulation Research, 116(9), 1540–1550. https://doi.org/10.1161/CIRCRESAHA.114.303517
Morgan, M. B. F., Crayford, T., Murrin, B., & Fraser, S. C. A. (2001). Developing the Vascular Quality of Life Questionnaire: A new disease-specific quality of life measure for use in lower limb ischemia. Journal of Vascular Surgery, 33(4), 679–687. https://doi.org/10.1067/mva.2001.112326
Nordanstig, J., Taft, C., Hensäter, M., Perlander, A., Österberg, K., & Jivegård, L. (2014). Improved quality of life after 1 year with an invasive versus a noninvasive treatment strategy in claudicants: One-year results of the invasive revascularization or not in intermittent claudication (IRONIC) trial. Circulation, 130(12), 939–947. https://doi.org/10.1161/CIRCULATIONAHA.114.009867
Nordanstig, J., Pettersson, M., Morgan, M., Falkenberg, M., & Kumlien, C. (2017). Assessment of minimum important difference and substantial clinical benefit with the Vascular Quality of Life Questionnaire-6 when evaluating revascularisation procedures in peripheral arterial disease. European Journal of Vascular and Endovascular Surgery, 54(3), 340–347.
Puteri, A., Theofany, F., Dwi, R., & Komala, S. (2024). Efektivitas taping dan walking exercise untuk mengurangi nyeri pada pasien diabetes mellitus tipe 2 dengan peripheral artery disease: Case study. Jurnal Ilmiah Global Education, 5(4), 3932–3945. https://doi.org/10.55681/JIGE.V5I4.3638
Rezvani, F., Pelt, M., Härter, M., & Dirmaier, J. (2022). Effects of walking impairment on mental health burden, health risk behavior and quality of life in patients with intermittent claudication: A cross-sectional path analysis. PLOS ONE, 17(9), e0273747.
Richard, E., Bernatchez, J., Rheaume, P., Savoie-White, F. H., & Milot, A. (2025). Endovascular revascularization vs open bypass surgery for patients with chronic limb-threatening ischemia: A systematic review and meta-analysis of randomized controlled trials. JVS-Vascular Insights, 3, 100191. https://doi.org/10.1016/J.JVSVI.2025.100191
Shermatov, M. M., & Zufarov, M. M. (2025). EQ-5D-5L and VascuQoL-6 in assessing the quality of life of patients with critical lower limb ischemia after endovascular treatment. American Journal of Medicine and Medical Sciences, 16(4).
Sidawy, A. N., & Perler, B. A. (2018). Rutherford’s vascular surgery and endovascular therapy (9th ed.). Elsevier.
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