Patient-Reported Outcomes of Yearly Imaging Surveillance in Patients Following Endovascular Aortic Aneurysm Repair

A. C. M. Geraedts; S. Mulay; C. B. Terwee; A. C. Vahl; H. J. M. Verhagen; Cagdas Ünlü; D. T. Ubbink; M. J. W. Koelemay; R. Balm

doi:10.1016/j.avsg.2021.11.003

Patient-Reported Outcomes of Yearly Imaging Surveillance in Patients Following Endovascular Aortic Aneurysm Repair

A. C. M. Geraedts^*
, S. Mulay
, C. B. Terwee
, A. C. Vahl
, H. J. M. Verhagen
, Cagdas Ünlü
, D. T. Ubbink
, M. J. W. Koelemay
, R. Balm^*

^*Corresponding author for this work

University of Amsterdam
Vrije Universiteit Amsterdam
Onze Lieve Vrouwe Gasthuis
Erasmus MC
Department of Gastroenterology, Alkmaar, Netherlands
Erasmus University Rotterdam
Noordwest Hospital

Research output: Contribution to journal › Article › Academic › peer-review

23 Downloads (Pure)

Abstract

Little is known about the impact of standardized imaging surveillance on anxiety levels and well-being of patients after endovascular aortic aneurysm repair (EVAR). We hypothesize that patient anxiety levels increase just before receiving the imaging results compared with standard anxiety levels. Methods: Prospective cohort study from November 2018 to May 2020 including post-EVAR patients visiting the outpatient clinics of 4 Dutch hospitals for imaging follow-up. The Patient-Reported Outcomes Measurement Information System (PROMIS) was used. Patients completed the PROMIS Anxiety v1.0 Short Form (SF) 4a, PROMIS-Global Health Scale v1.2, and PROMIS-Physical Function v1.2 SF8b at 2 time points: prior to the result of the imaging study (T1: pre-visit) and 6–8 months later (T2: reference measurement). Mean T-scores at T1 were compared to T2, and T2 to the general 65+ Dutch population. Results: Altogether 342 invited patients were eligible, 214 completed the first questionnaire, 189 returned 2 completed questionnaires and 128 patients did not participate. Out of 214 respondents, 195 were male (91.1%) and the mean (standard deviation) age was 75.2 (7.0) years. There were no significant differences between T1 and T2 in anxiety levels (0.48; 95% confidence interval[CI] -0.42–1.38), global mental health (0.27; 95% CI -0.79–0.84), global physical health (0.10; 95% CI -0.38–1.18) and physical function (0.53; 95% CI -0.26–1.32). Compared with the 65+ Dutch population, at T2 patients experienced more anxiety (3.8; 95% CI 2.96–5.54), had worse global physical health (-3.2; 95% CI -4.38 – -2.02) and physical function (-2.4; 95% CI -4.00 – -0.80). Global mental health was similar (-1.0; 95% CI -2.21 – 0.21). Conclusions: Post-EVAR patients do not experience more anxiety just before receiving surveillance imaging results than outside this period, but do suffer from more anxiety and worse physical outcomes than the 65+ Dutch population.

Original language	English
Pages (from-to)	221-227
Number of pages	7
Journal	Annals of vascular surgery
Volume	82
Early online date	2021
DOIs	https://doi.org/10.1016/j.avsg.2021.11.003
Publication status	Published - May 2022

Keywords

Aortic Aneurysm, Abdominal
Endovascular Procedures
Patient-reported outcomes

Access to Document

10.1016/j.avsg.2021.11.003

Patient-reported-outcomes-of-yearly-imaging-surveillance-in-patients-following-endovascular-aortic-aneurysm-repair.pdfFinal published version, 301 KBLicence: CC BY

Cite this

@article{df30bbba5830425da97fc585e353668f,

title = "Patient-Reported Outcomes of Yearly Imaging Surveillance in Patients Following Endovascular Aortic Aneurysm Repair",

abstract = "Little is known about the impact of standardized imaging surveillance on anxiety levels and well-being of patients after endovascular aortic aneurysm repair (EVAR). We hypothesize that patient anxiety levels increase just before receiving the imaging results compared with standard anxiety levels. Methods: Prospective cohort study from November 2018 to May 2020 including post-EVAR patients visiting the outpatient clinics of 4 Dutch hospitals for imaging follow-up. The Patient-Reported Outcomes Measurement Information System (PROMIS) was used. Patients completed the PROMIS Anxiety v1.0 Short Form (SF) 4a, PROMIS-Global Health Scale v1.2, and PROMIS-Physical Function v1.2 SF8b at 2 time points: prior to the result of the imaging study (T1: pre-visit) and 6–8 months later (T2: reference measurement). Mean T-scores at T1 were compared to T2, and T2 to the general 65+ Dutch population. Results: Altogether 342 invited patients were eligible, 214 completed the first questionnaire, 189 returned 2 completed questionnaires and 128 patients did not participate. Out of 214 respondents, 195 were male (91.1\%) and the mean (standard deviation) age was 75.2 (7.0) years. There were no significant differences between T1 and T2 in anxiety levels (0.48; 95\% confidence interval[CI] -0.42–1.38), global mental health (0.27; 95\% CI -0.79–0.84), global physical health (0.10; 95\% CI -0.38–1.18) and physical function (0.53; 95\% CI -0.26–1.32). Compared with the 65+ Dutch population, at T2 patients experienced more anxiety (3.8; 95\% CI 2.96–5.54), had worse global physical health (-3.2; 95\% CI -4.38 – -2.02) and physical function (-2.4; 95\% CI -4.00 – -0.80). Global mental health was similar (-1.0; 95\% CI -2.21 – 0.21). Conclusions: Post-EVAR patients do not experience more anxiety just before receiving surveillance imaging results than outside this period, but do suffer from more anxiety and worse physical outcomes than the 65+ Dutch population.",

keywords = "Aortic Aneurysm, Abdominal, Endovascular Procedures, Patient-reported outcomes",

author = "Geraedts, \{A. C. M.\} and S. Mulay and Terwee, \{C. B.\} and Vahl, \{A. C.\} and Verhagen, \{H. J. M.\} and Cagdas {\"U}nl{\"u} and Ubbink, \{D. T.\} and Koelemay, \{M. J. W.\} and R. Balm",

note = "Funding Information: This study was funded by the Netherlands Organization for Health Research and Development (ZonMw; grant 843004119 ). This organization did not have influence on study outcomes, statistical analyses and writing of this manuscript. Publisher Copyright: {\textcopyright} 2021",

year = "2022",

month = may,

doi = "10.1016/j.avsg.2021.11.003",

language = "English",

volume = "82",

pages = "221--227",

journal = "Annals of vascular surgery",

issn = "0890-5096",

publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Patient-Reported Outcomes of Yearly Imaging Surveillance in Patients Following Endovascular Aortic Aneurysm Repair

AU - Geraedts, A. C. M.

AU - Mulay, S.

AU - Terwee, C. B.

AU - Vahl, A. C.

AU - Verhagen, H. J. M.

AU - Ünlü, Cagdas

AU - Ubbink, D. T.

AU - Koelemay, M. J. W.

AU - Balm, R.

N1 - Funding Information: This study was funded by the Netherlands Organization for Health Research and Development (ZonMw; grant 843004119 ). This organization did not have influence on study outcomes, statistical analyses and writing of this manuscript. Publisher Copyright: © 2021

PY - 2022/5

Y1 - 2022/5

N2 - Little is known about the impact of standardized imaging surveillance on anxiety levels and well-being of patients after endovascular aortic aneurysm repair (EVAR). We hypothesize that patient anxiety levels increase just before receiving the imaging results compared with standard anxiety levels. Methods: Prospective cohort study from November 2018 to May 2020 including post-EVAR patients visiting the outpatient clinics of 4 Dutch hospitals for imaging follow-up. The Patient-Reported Outcomes Measurement Information System (PROMIS) was used. Patients completed the PROMIS Anxiety v1.0 Short Form (SF) 4a, PROMIS-Global Health Scale v1.2, and PROMIS-Physical Function v1.2 SF8b at 2 time points: prior to the result of the imaging study (T1: pre-visit) and 6–8 months later (T2: reference measurement). Mean T-scores at T1 were compared to T2, and T2 to the general 65+ Dutch population. Results: Altogether 342 invited patients were eligible, 214 completed the first questionnaire, 189 returned 2 completed questionnaires and 128 patients did not participate. Out of 214 respondents, 195 were male (91.1%) and the mean (standard deviation) age was 75.2 (7.0) years. There were no significant differences between T1 and T2 in anxiety levels (0.48; 95% confidence interval[CI] -0.42–1.38), global mental health (0.27; 95% CI -0.79–0.84), global physical health (0.10; 95% CI -0.38–1.18) and physical function (0.53; 95% CI -0.26–1.32). Compared with the 65+ Dutch population, at T2 patients experienced more anxiety (3.8; 95% CI 2.96–5.54), had worse global physical health (-3.2; 95% CI -4.38 – -2.02) and physical function (-2.4; 95% CI -4.00 – -0.80). Global mental health was similar (-1.0; 95% CI -2.21 – 0.21). Conclusions: Post-EVAR patients do not experience more anxiety just before receiving surveillance imaging results than outside this period, but do suffer from more anxiety and worse physical outcomes than the 65+ Dutch population.

AB - Little is known about the impact of standardized imaging surveillance on anxiety levels and well-being of patients after endovascular aortic aneurysm repair (EVAR). We hypothesize that patient anxiety levels increase just before receiving the imaging results compared with standard anxiety levels. Methods: Prospective cohort study from November 2018 to May 2020 including post-EVAR patients visiting the outpatient clinics of 4 Dutch hospitals for imaging follow-up. The Patient-Reported Outcomes Measurement Information System (PROMIS) was used. Patients completed the PROMIS Anxiety v1.0 Short Form (SF) 4a, PROMIS-Global Health Scale v1.2, and PROMIS-Physical Function v1.2 SF8b at 2 time points: prior to the result of the imaging study (T1: pre-visit) and 6–8 months later (T2: reference measurement). Mean T-scores at T1 were compared to T2, and T2 to the general 65+ Dutch population. Results: Altogether 342 invited patients were eligible, 214 completed the first questionnaire, 189 returned 2 completed questionnaires and 128 patients did not participate. Out of 214 respondents, 195 were male (91.1%) and the mean (standard deviation) age was 75.2 (7.0) years. There were no significant differences between T1 and T2 in anxiety levels (0.48; 95% confidence interval[CI] -0.42–1.38), global mental health (0.27; 95% CI -0.79–0.84), global physical health (0.10; 95% CI -0.38–1.18) and physical function (0.53; 95% CI -0.26–1.32). Compared with the 65+ Dutch population, at T2 patients experienced more anxiety (3.8; 95% CI 2.96–5.54), had worse global physical health (-3.2; 95% CI -4.38 – -2.02) and physical function (-2.4; 95% CI -4.00 – -0.80). Global mental health was similar (-1.0; 95% CI -2.21 – 0.21). Conclusions: Post-EVAR patients do not experience more anxiety just before receiving surveillance imaging results than outside this period, but do suffer from more anxiety and worse physical outcomes than the 65+ Dutch population.

KW - Aortic Aneurysm, Abdominal

KW - Endovascular Procedures

KW - Patient-reported outcomes

UR - https://www.scopus.com/pages/publications/85121979451

U2 - 10.1016/j.avsg.2021.11.003

DO - 10.1016/j.avsg.2021.11.003

M3 - Article

C2 - 34902477

SN - 0890-5096

VL - 82

SP - 221

EP - 227

JO - Annals of vascular surgery

JF - Annals of vascular surgery

ER -

Patient-Reported Outcomes of Yearly Imaging Surveillance in Patients Following Endovascular Aortic Aneurysm Repair

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this