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QOL after stenting equally improved in octogenarians as younger patients
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A systematic review has concluded that stent procedures improve quality of life in octogenarians as much as it does in younger patients.
Researchers identified 11 articles published from 1993 to Dec. 21, 2012, that included 700 octogenarian patients (mean age, 82.9 years). The follow-up time for QOL ranged from 5 months to 39.9 ± 30.1 months.
Two studies from 1993 by the same author found patient-reported QOL at 1 year was either comparable to or better than PCI or CABG. Four more studies assessed QOL after PCI without formal baseline comparisons and found either no statistically significant differences or better results for PCI than CABG or medical management.
An additional five studies included baseline QOL measures. Among those that had statistically significant findings, QOL scores were equal to or better than baseline results.
“Overall, the literature suggests that QOL for octogenarians improves following PCI,” the researchers wrote. “Older patients improve at least as much as younger patients and may gain more in the areas of physical functioning and improved angina status. The benefits are greatest in the first 6 months and may continue until at least 3 years.”
They added that, given the small number of studies and there being only 700 octogenarian patients, further research might determine which patients would derive the greatest benefit.
Disclosure: The researchers report no relevant financial disclosures.
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