Evaluation of Quality of Life after Surgical Treatment of Thoracic Outlet Syndrome.


Journal

Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 23 11 2021
revised: 01 03 2022
accepted: 04 03 2022
pubmed: 28 3 2022
medline: 12 10 2022
entrez: 27 3 2022
Statut: ppublish

Résumé

To evaluate the quality of life of surgically treated patients for TOS. A prospective observational study, including patients treated surgically for TOS in 2018. Two standardized questionnaires: Disability of the Arm, Shoulder, and Hand (DASH) questionnaire and the Short-Form 12 (SF-12) were used. The SF-12 consists of a physical and mental component (PCS-SF-12 and MCS-SF-12). The questionnaires were completed during the preoperative and postoperative consultations and at 3, 6, and 12 months. We performed 53 interventions. The population was mostly female (n = 35, 66.0%) of 40.1 ± 10.0 years. The preoperative DASH score was 46.3 ± 19.7. It was 40.9 ± 21.7 at 6 weeks, 33.5 ± 22.7 at 3 months, 28.9 ± 22.6 at 6 months, and 21.1 ± 20 at 9 to 12 months. The improvement of DASH becomes statistically significant at 3 months (P = 0.036), 6 months (P = 0.002), and 12 months (P = 0.001). The preoperative MCS-SF-12 was 36.6 ± 9.4. It was 41.6 ± 10.9 at 6 weeks, 43.8 ± 11.1 at 3 months, 46.2 ± 11.8 at 6 months, and 51.4 ± 8 at 8 to 12 months. The improvement of MCS-SF-12 became significant at 3 months (P = 0.009), 6 months (P = 0.001), and 12 months (P = 0.001). The preoperative PCS-SF-12 was 35.5 ± 6.4. It was 37.1 ± 8.7 at 6 weeks, 39.9 ± 8.7 at 3 months, 41.6 ± 8.4 at 6 months, and 46.1 ± 8.1 to 12 months. The improvement of PCS-SF-12 became significant at 6 months (P = 0.005) and 12 months (P = 0.001). The surgical management of TOS allows for an improvement in quality of life in the short and medium terms.

Sections du résumé

BACKGROUND BACKGROUND
To evaluate the quality of life of surgically treated patients for TOS.
METHODS METHODS
A prospective observational study, including patients treated surgically for TOS in 2018. Two standardized questionnaires: Disability of the Arm, Shoulder, and Hand (DASH) questionnaire and the Short-Form 12 (SF-12) were used. The SF-12 consists of a physical and mental component (PCS-SF-12 and MCS-SF-12). The questionnaires were completed during the preoperative and postoperative consultations and at 3, 6, and 12 months.
RESULTS RESULTS
We performed 53 interventions. The population was mostly female (n = 35, 66.0%) of 40.1 ± 10.0 years. The preoperative DASH score was 46.3 ± 19.7. It was 40.9 ± 21.7 at 6 weeks, 33.5 ± 22.7 at 3 months, 28.9 ± 22.6 at 6 months, and 21.1 ± 20 at 9 to 12 months. The improvement of DASH becomes statistically significant at 3 months (P = 0.036), 6 months (P = 0.002), and 12 months (P = 0.001). The preoperative MCS-SF-12 was 36.6 ± 9.4. It was 41.6 ± 10.9 at 6 weeks, 43.8 ± 11.1 at 3 months, 46.2 ± 11.8 at 6 months, and 51.4 ± 8 at 8 to 12 months. The improvement of MCS-SF-12 became significant at 3 months (P = 0.009), 6 months (P = 0.001), and 12 months (P = 0.001). The preoperative PCS-SF-12 was 35.5 ± 6.4. It was 37.1 ± 8.7 at 6 weeks, 39.9 ± 8.7 at 3 months, 41.6 ± 8.4 at 6 months, and 46.1 ± 8.1 to 12 months. The improvement of PCS-SF-12 became significant at 6 months (P = 0.005) and 12 months (P = 0.001).
CONCLUSIONS CONCLUSIONS
The surgical management of TOS allows for an improvement in quality of life in the short and medium terms.

Identifiants

pubmed: 35339598
pii: S0890-5096(22)00140-6
doi: 10.1016/j.avsg.2022.03.012
pii:
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

276-283

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Auteurs

Myriam Ammi (M)

Department of Vascular and Thoracic Surgery, University Hospital, Angers, France. Electronic address: ammimyriam@yahoo.fr.

Jeanne Hersant (J)

Department of Vascular and Sports Investigations, University Hospital, Angers, France.

Samir Henni (S)

Department of Vascular and Sports Investigations, University Hospital, Angers, France.

Mickael Daligault (M)

Department of Vascular and Thoracic Surgery, University Hospital, Angers, France.

Xavier Papon (X)

Department of Vascular and Thoracic Surgery, University Hospital, Angers, France.

Pierre Abraham (P)

Department of Vascular and Sports Investigations, University Hospital, Angers, France.

Jean Picquet (J)

Department of Vascular and Thoracic Surgery, University Hospital, Angers, France.

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