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[Intermittent claudication--social aspects in young patients not undergoing surgical treatment]
Insights
Intermittent claudication (CI) significantly impacts patients under 50, with high mortality and reduced quality of life. Close monitoring and surgical intervention are recommended when working ability is threatened.
Area of Science:
- Vascular Surgery
- Clinical Medicine
Context:
- Study focuses on patients under 50 diagnosed with intermittent claudication (CI).
- Long-term follow-up of 107 patients over a mean of 5.9 years.
- Excludes patients who underwent surgical intervention.
Purpose:
- To evaluate the long-term outcomes and prognosis of young patients with intermittent claudication.
- To determine the impact of CI on mortality, disability, and quality of life.
- To inform clinical recommendations for managing CI in this demographic.
Summary:
- A significant mortality rate (29%) was observed in the study cohort.
- A majority of surveyed patients (78% response rate) reported limitations in spare-time activities due to CI.
- 33% of patients received disability pensions, indicating substantial socioeconomic impact.
Impact:
- Highlights the severe long-term consequences of intermittent claudication in young individuals.
- Supports the recommendation for vigilant patient monitoring.
- Underscores the importance of considering reconstructive arterial surgery to preserve working ability.
Abstract:
A total of 107 patients suffering from intermittent claudication (CI) was studied after a mean observation time of 5.9 years. Thirty-one (29%) had died during the observation period. A questionnaire was sent to 76 patients and 78% replied. All patients were under 50 years of age at the first consultation. No patients had been operated upon. The ratio women:men was 1:1.3. 33% received disability pensions or some other kind of pensions. Fifty-eight had limited their spare-time activities because of CI. It is concluded that a close control and reconstructive arteria surgery must still be recommended when the working ability is threatened.