Escalas de Qualidade de Vida Após Amputação Major do Membro Inferior em Cirurgia Vascular: Revisão da Literatura

Authors

  • Joana Cruz Silva Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal https://orcid.org/0000-0003-4119-9506
  • Vânia C. Oliveira Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Pedro Lima Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Mafalda Correia Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Mário Moreira Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Gabriel Anacleto Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal
  • Manuel Fonseca Centro Hospitalar e Universitário de Coimbra - Coimbra, Portugal

DOI:

https://doi.org/10.48750/acv.359

Keywords:

Qualidade de Vida, Amputação Membro Inferior, Doença Arterial Periférica, Vascular

Abstract

Introdução: Apesar dos esforços das equipas de saúde, a taxa da amputação em doentes com Isquémia Crítica Ameaçadora de Membro (CLTI) é bastante elevada. Cada vez mais se torna relevante um tratamento individualizado do doente por forma a melhorar a sua qualidade de vida. Contudo, não existe uma escala de qualidade de vida validada para doentes amputados por isquémia crítica. Os autores propõem uma revisão sistemática da literatura com vista a sumarizar as escalas de avaliação de qualidade de vida após amputação.

Métodos: Foi feita uma pesquisa por todos os estudos relacionados com avaliação funcional e da qualidade de vida após amputação na base de dados Pubmed.

Resultados: Dos 228 artigos foram incluídos 28. Dos artigos analisados apenas 3 avaliaram exclusivamente doentes vasculares com CLTI. 24 escalas diferentes foram usadas 44 vezes: 11 escalas (44%) de avaliação de saúde e 14 escalas (56%) de qualidade de vida, das quais 2 escalas (18%) de avaliação de saúde e 4 das escalas (29%) de qualidade de vida são específicas para doentes amputados e uma escala para doença arterial periférica.

Conclusões: A heterogeneidade de escalas torna difícil uma comparação de resultados. Na população de doentes amputados vasculares, escalas gerais podem não ser representar corretamente os domínios mais valorizados por esta população. Escalas específicas para protetisados ou de avaliação da progressão de doença arterial periférica também parecem não ser as mais adequadas para este subtipo de doentes mais idosos e com limitações prévias. São essenciais novos estudos para validar uma escala específica para esta população.

Downloads

Download data is not yet available.

References

Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FGR et al. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg 2007;45(1):S5–S67.

Reinecke H, Unrath M, Freisinger E, Bunzemeier H, Meyborg M, et al. Peripheral arterial disease and critical limb ischaemia: still poor outcomes and lack of guideline adherence. Eur Heart J 2015;36(15):932–938.

Conte MS, Bradbury AW, Kolh P, White JV, Dick F, Fitridge R, et al. Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia. Eur J Vasc Endovasc Surg 2019;58(1):S1-S109.e33.

Forbes JF, Adam DJ, Bell J, Fowkes FG.R, Gillespie I, Raab GM, et al. Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial: Health- related quality of life outcomes, resource utilization, and cost-effectiveness analysis. J Vasc Surg 2010;51(5):43S-51S.

The WHOQOL GROUP. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med 1998;28:551-558.

Dijkers MP Individualization in quality of life measurement: Instruments and approaches. Arch Phys Med Rehabil 2003;84:S3–S14.

Johnston MV, Graves DE. Towards guidelnes for evaluation of measures: an introduction with application to spinal cord injury. J Spinal Cord Med 2008;31:13-26.

Deathe AB, Wolfe DL, Devlin M. et al. Selection of outcome measures in lower extremity amputation rehabilitation ICF activities. Disabil Rehabil 2009;31:1455-1473.

Boonstra AM, Fidler V, Eisma WH. Walking speed of normal subjects and amputees: aspects of validity of gait analysis. Prosthet Orthot Int 1993;17:78e82.

Tekin L, Safaz Ý, Göktepe AS and Yazýcýođlu K. Comparison of Quality of Life and Functionality in Patients with Traumatic Unilateral below Knee

Amputation and Salvage Surgery. Prosthetics and Orthotics International 2009;33(1):17–24.

Akarsu S, Tekin L, Safaz I, Göktepe AS and Yazıcıoğlu K. Quality of life and functionality after lower limb amputations: comparison between uni- vs. bilateral amputee patients. Prosthet Orthot Int 2012;37(1):9–13.

Bhangdu S, Devlin M, Pauley T. Outcomes of individuals with transfemoral and contralateral transtibial amputation due to dysvascular etiologies. Prosthet Orthol Int 2009;33:33-40.

Rau B, Bonvin F, de Bie R. Short-term effect of physiotherapu rehabilitation on functional performance of lower limb amputees. Prosthet Orthol Int 2009;33:33-40.

Munin MC, Espejo DE Gunzman MC, Boninger ML, et al. Predictive factors for successful early prosthetic amputation among lower-limb amputees. J Rehabil Res Dev 2001;38:379-384.

Brooks D, Hunter JP, Parsons J, et al. Reliability of the two minute walk test in individuals with transtibial amputation. Arch Phys Med Rehabil 2002;83:1562e5.

Brooks D, Parsons J, Hunter JP, Devlin M and Walker J. The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Arch Physical Med Rehab 2001;82(10):1478–1483.

Fioravanti M, Maman P, Curvale G, Rochwerger A. and Mattei JC. Amputation versus conservative treatment in severe open lower-limb fracture: A functional and quality-of-life study. Ortho Traumatol Surg Res 2018;104(2):277–281.

Nazri MY, Aminudin CA, Ahmad FS, Mohd Jazlan MA, Jamalludin Ab R and Ramli M. Quality of life of diabetes amputees following major and minor lower limb amputations. Med J Malaysia 2019;74(1):25–29.

Schoppen T, Boonstra A, Groothoff JW, et al. The timed ‘‘up and go‘‘ test: reliability and validity in persons with unilateral lower limb amputation. Arch Phys Med Rehabil 1999; 80:825e8.

Hegber K, Tranberg R, Zugner R, Danelsson A. Reproducibility of the physiological cost index among individuals with a lower-limb amputation ad healthy adults. Physiother Res Int 2011;16:92-100.

Malek F, Somerson JS, Mitchel S and Williams RP. Does Limb-salvage Surgery Offer Patients Better Quality of Life and Functional Capacity than Amputation? Clin Orthop Relat Res 2012;470(7):2000–2006.

Asano M, Rushton P, Miller WC and Deathe BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int 2008;32(2):231–243.

Faraji E, Allami M, Feizollahi N, Karimi A, Yavari A, Soroush M, et al. Health concerns of veterans with high-level lower extremity amputations. Military Medical Research 2018:5(1).

Li L, Reinhardt J, Zhang X, Pennycott A, Zhao Z, Zeng X and Li J. Physical function, pain, quality of life and life satisfaction of amputees from the 2008 Sichuan earthquake: A prospective cohort study. J Rehabil Med 2015;47(5):466–471.

Traballesi M, Porcacchia P, Avena T, et al. Prognostic factors in prosthetic rehabilitation of bilateral dysvascular above-knee amputee: is the stump condition na influencing factor? Eur Medicophys 2007;43:1-6.

Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel index for stroke rehabilitation. J Clin Epidemiol 1989;42:703-709.

Morris JN, Fries BE, Morris SA. Scaling ADLs within the MDS. J Gerontol. 1999;54(11):546-53.

Vogel TR, Petroski GF and Kruse RL. Impact of amputation level and comorbidities on functional status of nursing home residents after lower extremity amputation. J Vasc Surg 2014;59(5):1323-1330.

Holbrook M, Skilbeck CE. An activities index for use with stroke patients. Age Ageing 1983;12:166-170.

Begner M, Bobbit RA, Carter WB, et al. The sickness impact profile: development and final revision of a health status measure. Med Care 1981;19:787-805.

Bruin AF, Buys M, Witte LP, et al. The sickness impact profile: SIP68, a short generic version,First evaluation of the reliabitily and reproducibility. J Clin Epidemiol 1994;47:863-871.

Peters EJ, Childs MR, Wunderlich RP, Harkless LB, Armstrong DG and Lavery LA. Functional status of persons with diabetes-related lower- extremity amputations. Diabetes Care 2001;24(10):1799–1804.

Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1977;1:385-401.

Zhong W, O ́Brien N, Forrest J, e al. Validating a shortened depression scale (10 item CES-D) among HIV-positive people in British Columbia, Canada. Plos One 2012;7:e40793.

Houghton AD, Taylor PR, Thurlow S, et al. Success rates for rehabilitation of vascular amputess: implications for preoperative assessment and amputation level. Br J Surg 1992;79:753-5.

Gauthier-Gagnon C, Grise MC. Prosthetic profile of the amputee questionnaire: validity and reliability. Arch Phys Med Rehabil 1994;75:1309e14.

Fortington L, Dijkstra P, Bosmans J, Post W and Geertzen J. Change in health-related quality of life in the first 18 months after lower limb amputation: A prospective, longitudinal study. J Rehab Med 2013;45(6)587– 594.

Hagberg K and Brånemark R. Consequences of non-vascular trans- femoral amputation: A survey of quality of life, prosthetic use and problems. Prosthet Orthot Int 2001;25(3):186–194.

Van der Schans CP, Geertzen JHB, Schoppen T and Dijkstra PU. Phantom pain and health-related quality of life in lower limb amputees. J Pain Symptom Management 2002;24(4):429–436.

Boutoille D, Feraille A, Maulaz D, et al. Quality of life with diabetes associated foot complications: comparison between lower-limb amputation and chronic foot ulceration. Foot Ankle Int 2008;29:1074-1078.

Quigley M, Dillon MP, Duke EJ. Comparison of quality of life in people with partial foot and transtibial amputation: a pilot study. Prosthet Orthol Int 2016;40:467-474.

Ware J, Kosinski M and Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med care 1996;34(3):220–33.

Deans SA, McFadyen AK and Rowe PJ. Physical activity and quality of life: A study of a lower-limb amputee population. Prosthet Orthot Int 2008;32(2):186–200.

Peters CM, de Vries J, Veen EJ, de Groot HG, Ho GH, Lodder P, et al. Is amputation in the elderly patient with critical limb ischemia acceptable in the long term? Clin Interv Aging 2019;14:1177–1185.

Peters CML, de Vries J, Lodder P, Steunenberg SL, Veen EJ, de Groot HGW, et al. Quality of Life and not Health Status Improves After Major Amputation in the Elderly Critical Limb Ischaemia Patient. Eur J Vasc Endovasc Surg 2019; 57(4):547–553.

Shankar P, Grewal VS, Agrawal S and Nair SV. A study on quality of life among lower limb amputees at a tertiary prosthetic rehabilitation center. Med J Armed Forces India 2020;76:89-94.

Gallagher P, MacLachlen M. The trinity amputation and prosthesis experience scales and quality of life in people with lower limb amputation, Arch Phys Med Rehabil 2004;85:730-736.

EuroQol Group. EuroQol - A new facility for the measurement of health- related quality of life. Health Policy 1990; 16:199e208.

Giannoudis PV, Harwood PJ, Kontakis G, et al. Long-term quality of life in trauma patients following the full spectrum of tibial injury (fasciotomy, closed f racture, grade IIIB/IIIC open f racture and amputation). Injury 2009;40:213-219.

Hunt SM, McEwen J. The development of a subjective health indicator. Sociol Health Illn 1980;2:231e46.

Demet K, Martinet N, Guillemin F, et al. Health related quality of life and related factors in 539 persons with amputation of upper and lower limb.

Spitzer WO, Dobson AJ, Hall AJ, et al. Measuring the quality of life of cancer patients: a concise QL-INDEX for use by physicians. J Chron Dis 1981;34:585-597.

Albers M, Fratezi AC and De Luccia N. Walking ability and quality of life as outcome measures in a comparison of arterial reconstruction and leg amputation for the treatment of vascular disease. European Journal of Vascular and Endovascular Surgery: The Official Journal of the European Society for Vascular Surgery 1996 11(3):308–314.

Thompson MM, Sayers RD, Rei A, Underwood MJ and Bell PR. Quality of life following infragenicular bypass and lower limb amputation. Eur J Vasc Endovasc Surg 1995;9(3):310–313.

Morgan MBF, Crayford T, Murrin B and Fraser SCA. Developing the Vascular Quality of Life Questionnaire: A new disease-specific quality of life measure for use in lower limb ischemia. J Vasc Surg 2001;33(4):679–687.

Frans FA, Met R, Koelemay MJW, Bipat S, Dijkgraaf MGW, Legemate DA and Reekers JA. Changes in functional status after treatment of critical limb ischemia. J Vasc Surg 2013;58(4):957–965.

Gallagher P, MacLachlan M. Development and Psychometric evaluation of the Trinity Amputation and Prosthesis Experience Scales (TAPES). Rehab Psychol 2000;45:130-154.

Legro MW, Reiber GD, Smith DG, et al. Prosthesis evaluation questionnaire for persons with lower limb amputations: assessing prosthesis-related quality of life. Arch Phys Med Rehabil 1998;79:931e8.

Suckow BD, Goodney PP, Nolan BW, Veeraswamy RK, Gallagher P, Cronenwett JL et al. Domains that Determine Quality of Life in Vascular Amputees. Ann Vasc Surg 2015;29(4):722–730.

de Vries M, Ouwendijk R, Kessels AG, de Haan MW, Flobbe K, Hunink MGM, et al. Comparison of generic and disease-specific questionnaires for the assessment of quality of life in patients with peripheral arterial disease. J Vasc Surg 2005;41(2):261–268.

Mays RJ, Casserly JP, Kohrt WM, et al. Assessment of functional status and quality of life in claudication. J Vasc Surg 2011;53:1410-1421.

Published

2022-07-01

How to Cite

1.
Cruz Silva J, C. Oliveira V, Lima P, Correia M, Moreira M, Anacleto G, Fonseca M. Escalas de Qualidade de Vida Após Amputação Major do Membro Inferior em Cirurgia Vascular: Revisão da Literatura. Angiol Cir Vasc [Internet]. 2022 Jul. 1 [cited 2024 Oct. 9];18(1):21-9. Available from: https://acvjournal.com/index.php/acv/article/view/359

Issue

Section

Review Article