title: Health-related quality of life after angioplasty and stent placement in patients with iliac artery occlusive disease: results of a randomized controlled clinical trial. The Dutch Iliac Stent Trial Study Group.
abstract: BACKGROUND
  To assess the quality of life in patients with iliac artery occlusive disease, we compared primary stent placement versus primary angioplasty followed by selective stent placement in a multicenter randomized controlled trial.
  
  
  RESULTS
  Quality-of-life assessments were completed by 254 patients in a telephone interview. Assessment measures consisted of the RAND 36-Item Health Survey 1.0, time tradeoff, standard gamble, rating scale, health utilities index, and EuroQol-5D. The interviews were performed before treatment and after 1, 3, 12, and 24 months. When the 2 treatments were compared, no significant difference was observed (P>0.05). All measurements showed a significant improvement in the quality of life after treatment (P<0.05). The RAND 36-Item Health Survey measures physical functioning, role limitations caused by physical problems, and bodily pain and the EuroQol-5D were the most sensitive to the impact of revascularization.
  
  
  CONCLUSIONS
  Health-related quality of life improves equally after primary stent placement and primary angioplasty with selective stent placement in the treatment of intermittent claudication caused by iliac artery occlusive disease.
authors.affiliation: Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands.
authors.forename: J L
authors.initials: JL
authors.lastname: Bosch
authors.forename: Y
authors.initials: Y
authors.lastname: van der Graaf
authors.forename: M G
authors.initials: MG
authors.lastname: Hunink
mesh_terms: D000368:Aged; D017130:Angioplasty / Q000523:psychology*; D001157:Arterial Occlusive Diseases / Q000523:psychology* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D007083:Iliac Artery / Q000473:pathology* / Q000601:surgery; D007383:Intermittent Claudication / Q000523:psychology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D015607:Stents; D016896:Treatment Outcome