Arch Hellen Med, 27(6), November-December 2010, 918-923
Comparison of the quality of life of patients with endovascular (EVAR)
G. PIERRAKOS,1 I. PATERAS,2 V. TZIALIS,3 M. LAZARIDES,2 C. SIMOPOULOS,2 J. DAYANTAS,4 V. KATSIKAS,4 M. SARRIS,1 J. YFANTOPOULOS5
OBJECTIVE To compare the quality of life (QoL) in patients who had endovascular (EVAR) and open abdominal repair of an aortic aneurysm.
METHOD The research was carried out in 2005−2006 in the Heart Surgery Departments of hospitals in Athens ("G. Gennimatas" Hospital), Thessaloniki ("Hippokration" Hospital) and Alexandroupolis (Alexandroupolis University Hospital) over a period of 3 to 6 months. The study population comprised 69 patients in two groups: (a) 42 patients who had EVAR, and (b) 27 patients who had open abdominal aortic aneurysm repair. Data on health status and QoL were collected using the SF-36 health survey, 6 months after the procedure.
RESULTS Patients who had EVAR gave a QoL score lower on the SF-36 scale of 1−10 (mean: 6.88, SD: 1.87) in comparison with open repair patients (mean: 8.33, SD: 1.36). Correspondingly, patients who had open repair registered higher scores on all SF-36 health survey scales than those who had EVAR.
CONCLUSIONS Although EVAR is associated with a shorter and less intrusive hospital stay and with fewer post-operative complications, patients who had EVAR had lower scores in the SF-36 QoL scale 6 months after the operation than patients who had the standard open method of abdominal aortic aneurysm repair.
Key words: Abdominal aortic aneurysm, Endovascular, Quality of life, SF-36.