Does lower-extremity bypass improve quality of life? Is it cost effective?
Does lower-extremity bypass improve quality of life? Is it cost effective?
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DOI：
10.1053/j.semvascsurg.2009.10.011
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发表时间：
2009-12
影响因子：
2.5
通讯作者：
G. Moneta;G. Landry;L. Nguyen
中科院分区：
文献类型：
--
作者：
G. Moneta;G. Landry;L. Nguyen
肢体保留率、手术死亡率和移植物的短期和长期通畅率一直是评估腹股沟下动脉重建的重要变量。最近，人们认识到，在确定任何外科手术的有效性时，以患者和社会为导向的结果测量也是重要的。特别是，从患者的角度和必须做出艰难的卫生政策决策的人的角度来看，干预对患者整体生活质量(QOL)的影响，以及在实现改善QOL方面是否具有成本效益，都是越来越重要的问题。本章回顾了腹股沟下搭桥术在间歇性跛行患者和严重肢体缺血患者中的成本、效果和对患者感知生活质量的影响。这些数据并不可靠，但表明腹股沟下搭桥术在间歇性跛行和严重肢体缺血患者的生活质量和成本效益方面都有良好的影响。
Limb salvage, operative mortality and short and long term graft patency have long been important variables for assessment of infrainguinal arterial reconstructions. More recently it is now appreciated that patient and society oriented measures of outcomes in determining the effectiveness of any surgical procedure are also important. In particular, the impact of an intervention on a patient's overall quality of life (QOL) and whether it is cost effective in achieving improvement of QOL are questions of increasing importance from the patient's perspective and from the perspective of those who must make difficult health policy decisions. This chapter reviews the cost effectiveness and impact of infrainguinal bypass on patient perceived quality of life in patients with intermittent claudication and patients with critical limb ischemia. The data are not robust but suggest favorable impact of infrainguinal bypass in terms of both QOL and cost effectiveness in both patients with intermittent claudication and critical limb ischemia.