Patient-based outcomes using the Walking Impairment Questionnaire for patients with peripheral arterial occlusive disease treated with Lipo-PGE1

Circ J. 2010 Feb;74(2):365-70. doi: 10.1253/circj.cj-09-0376. Epub 2009 Dec 26.

Abstract

Background: Patients with peripheral arterial occlusive disease (PAD) experience deteriorating ambulatory function and consequently impaired quality of life (QOL). QOL in patients receiving prostaglandin E(1) in lipid microspheres (lipo-PGE(1); Liple) for the treatment of PAD has not been evaluated using the Japanese version of the Walking Impairment Questionnaire (WIQ).

Methods and results: Data from 169 patients (98 men, 71 women; mean [median] age, 74+/-10 [74] years) with an ankle-brachial pressure index <0.9 were analyzed. WIQ scores and symptom scores significantly improved after lipo-PGE(1) treatment (P<0.01). Physicians' assessments of global improvement significantly correlated with all 4 WIQ subscales (R< or =0.31).

Conclusions: WIQ is a valid tool for evaluating therapeutic response in patients with PAD. Lipo-PGE(1) improves QOL as evaluated by patients themselves.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alprostadil / adverse effects
  • Alprostadil / therapeutic use*
  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / drug therapy*
  • Arterial Occlusive Diseases / physiopathology
  • Cardiovascular Agents / adverse effects
  • Cardiovascular Agents / therapeutic use*
  • Disability Evaluation*
  • Female
  • Humans
  • Intermittent Claudication / diagnosis
  • Intermittent Claudication / drug therapy*
  • Intermittent Claudication / physiopathology
  • Japan
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Quality of Life
  • Recovery of Function
  • Reproducibility of Results
  • Severity of Illness Index
  • Surveys and Questionnaires*
  • Treatment Outcome
  • Walking*

Substances

  • Cardiovascular Agents
  • Alprostadil