Association of Age and Surgical Technique with the Quality of Life of Male Patients Treated for Abdominal Aorta Aneurysms: A Cross-Sectional Study

Silvestra Barrena-Blázquez, Manuel Díez-Alonso, Luis Felipe Riera del Moral, Salvador Sanchez-Coll, Melchor Alvarez-Mon, Miguel A. Ortega and Fernando Ruiz-Grande
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Silvestra Barrena-Blázquez: Department of General Surgery, Príncipe de Asturias Hospital, 28801 Alcalá de Henares, Spain
Manuel Díez-Alonso: Department of General Surgery, Príncipe de Asturias Hospital, 28801 Alcalá de Henares, Spain
Luis Felipe Riera del Moral: Department of Vascular Surgery, Nuestra Señora del Rosario Hospital, 28834 Madrid, Spain
Salvador Sanchez-Coll: Department of Vascular Surgery, Nuestra Señora del Rosario Hospital, 28834 Madrid, Spain
Melchor Alvarez-Mon: Department of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, 28801 Alcalá de Henares, Spain
Miguel A. Ortega: Department of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, 28801 Alcalá de Henares, Spain
Fernando Ruiz-Grande: Department of Vascular Surgery, Nuestra Señora del Rosario Hospital, 28834 Madrid, Spain

IJERPH, 2022, vol. 19, issue 11, 1-12

Abstract: OBJECTIVES. The achievement of a good health-related quality of life (HRQoL) has become one of the primary objectives of medical–surgical interventions. The objective of this study is to determine the HRQoL of patients who underwent abdominal aortic aneurysm (AAA) surgery and to analyse the influence of age on HRQoL. MATERIALS AND METHODS. This is an observational cross-sectional study with 151 male patients who underwent an operation for AAAs between January 2013 and December 2020 in two hospital centres. HRQoL was assessed with the Spanish version of the 36-Item Short Form Survey (SF-36), starting in the month following the surgical intervention. Statistical analyses were performed using hypothesis tests and multivariate linear regression. RESULTS: The mean age of the patients was 73 years (SD: 7), and the mean interval between surgery and the interview was 37 months (SD: 27). The scores of the Physical Function ( p = 0.001), Vitality ( p = 0.016), Social Function ( p = 0.014), and Mental Health ( p = 0.007) dimensions of the SF-36 were significantly lower in the older age groups. In addition, the scores on the Physical Summary Component ( p = 0.003) and the Mental Summary Component ( p = 0.026) were significantly lower among individuals older than 70 years of age. The HRQoL in patients who underwent operations for AAAs was similar to that reported in the general population of Spain. Patients with an aorto-aortic shunt had better scores on the Physical Function (Beta: 10; p = 0.014) and Mental Health (Beta: 8.12; p = 0.040) dimensions than those who had an aorto-bi-iliac or bifemoral shunt, regardless of the age of the patients at operation. CONCLUSION: Among patients who underwent an operation for an AAA, there was a negative association between the age at operation and scores on the Physical Function, Vitality, Social Function, and Mental Health dimensions of the SF-36. The type of surgical technique influences the evolution of Physical Function and Mental Health scores, regardless of age.

Keywords: abdominal aortic aneurysm; open abdominal repair; EVAR; SF-36; age; health-related quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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