| Intermittent claudication: functional capacity and quality of life after exercise training or percutaneous transluminal angioplasty--systematic review. | |
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MedLine Citation:
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PMID: 15860674 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To systematically review published data about the short- and long-term effects of exercise training and angioplasty on functional capacity and quality of life of patients with intermittent claudication. MATERIALS AND METHODS: Articles published between January 1980 and February 2003 were included if patients had intermittent claudication treated with exercise training or angioplasty and if both functional capacity and quality-of-life scores from Medical Outcomes Study 36-Item Short Form health survey were reported for at least 3 months of follow-up. Data were pooled by using a random effects model and weighted means. Pooled results were compared between the treatment groups by using the chi2 test and the Student t test (alpha = .05, two sided). RESULTS: In the analyses, five studies (202 patients) were included in the exercise group, and three studies (470 patients), in the angioplasty group. At 3 months of follow-up, the ankle-brachial index was significantly improved in the angioplasty group (mean change, 0.18; P < .01) but not in the exercise group (mean change, 0.01; P = .29). At 3 months, quality of life was significantly improved with regard to ratings of physical functioning and bodily pain in the exercise group (mean change, 18 and 10, respectively; P < .01) and physical role functioning in the angioplasty group (mean change, 30; P = .03). Mean change in ankle-brachial index significantly differed between the two treatment groups at 3 and 6 months (P < .01); mean change in quality-of-life scores did not. CONCLUSION: Improvement in quality of life was demonstrated after both exercise training and angioplasty, whereas functional capacity showed significant improvement after angioplasty. The ankle-brachial index significantly differed between the two treatment groups at 3 and 6 months, whereas the quality-of-life scores did not. |
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Authors:
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Sandra Spronk; Johanna L Bosch; Hermanus F Veen; Pieter T den Hoed; M G Myriam Hunink |
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Publication Detail:
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Type: Comparative Study; Journal Article; Review Date: 2005-04-28 |
Journal Detail:
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Title: Radiology Volume: 235 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-05-25 Completed Date: 2005-06-28 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: United States |
Other Details:
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Languages: eng Pagination: 833-42 Citation Subset: AIM; IM |
Copyright Information:
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Copyright RSNA, 2005. |
Affiliation:
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Vascular Laboratory and Department of Surgery, Ikazia Hospital, Rotterdam, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon* Female Humans Intermittent Claudication / therapy* Male Quality of Life* Recovery of Function Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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