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Long-term quality of life after pregnancy-related deep vein thrombosis and the influence of socioeconomic factors and comorbidity.
J Thromb Haemost 2011; 9(10):1931-6JT

Abstract

BACKGROUND

Little is known about the long-term impact of pregnancy-related deep vein thrombosis (DVT) of the lower limbs.

OBJECTIVES

To evaluate the long-term consequences of pregnancy-related DVT by assessment of self-reported, disease-specific quality of life (QOL) and symptom severity using the Venous Insufficiency Epidemiological and Economic Study (VEINES)-QOL/Sym questionnaire, and to investigate the influence of socioeconomic factors and comorbidity.

PATIENTS/METHODS

In this cross-sectional case-control study, 313 women with validated pregnancy-related DVT and 353 controls completed a comprehensive questionnaire, including the disease-specific VEINES-QOL/Sym questionnaire. After exclusion of DVT outside the lower limbs and missing scores, the study population comprised 208 patients and 347 controls. A VEINES-QOL/Sym score < the 25th percentile was defined as a clinically relevant reduced outcome compared with scores ≥ the 50th percentile. Predictors for low scores were identified in multivariate logistic regression models.

RESULTS

Cases reported lower mean VEINES-QOL/Sym scores than controls, 45.6/45.4 vs. 52.8/52.7, respectively (P < 0.001), and QOL among cases was still reduced compared with controls when adjusted for possible confounders. Low education was an independent predictor for both low VEINES-QOL and VEINES-Sym scores, and in addition being married/cohabitating predicted low VEINES-Sym scores.

CONCLUSIONS

Long-term QOL and symptom scores as assessed with the VEINES-QOL/Sym questionnaire were lower in women with previous pregnancy-related DVT than in controls, and also when adjusted for possible confounders. By logistic regression, low education was an independent predictor for low scores. This supports the use of the VEINES-QOL/Sym questionnaire in studies on pregnancy-related DVT.

Authors+Show Affiliations

Department of Haematology, Oslo University Hospital, Oslo, Norway.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21848904

Citation

Wik, H S., et al. "Long-term Quality of Life After Pregnancy-related Deep Vein Thrombosis and the Influence of Socioeconomic Factors and Comorbidity." Journal of Thrombosis and Haemostasis : JTH, vol. 9, no. 10, 2011, pp. 1931-6.
Wik HS, Enden TR, Jacobsen AF, et al. Long-term quality of life after pregnancy-related deep vein thrombosis and the influence of socioeconomic factors and comorbidity. J Thromb Haemost. 2011;9(10):1931-6.
Wik, H. S., Enden, T. R., Jacobsen, A. F., & Sandset, P. M. (2011). Long-term quality of life after pregnancy-related deep vein thrombosis and the influence of socioeconomic factors and comorbidity. Journal of Thrombosis and Haemostasis : JTH, 9(10), pp. 1931-6. doi:10.1111/j.1538-7836.2011.04468.x.
Wik HS, et al. Long-term Quality of Life After Pregnancy-related Deep Vein Thrombosis and the Influence of Socioeconomic Factors and Comorbidity. J Thromb Haemost. 2011;9(10):1931-6. PubMed PMID: 21848904.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term quality of life after pregnancy-related deep vein thrombosis and the influence of socioeconomic factors and comorbidity. AU - Wik,H S, AU - Enden,T R, AU - Jacobsen,A F, AU - Sandset,P M, PY - 2011/8/19/entrez PY - 2011/8/19/pubmed PY - 2012/2/11/medline SP - 1931 EP - 6 JF - Journal of thrombosis and haemostasis : JTH JO - J. Thromb. Haemost. VL - 9 IS - 10 N2 - BACKGROUND: Little is known about the long-term impact of pregnancy-related deep vein thrombosis (DVT) of the lower limbs. OBJECTIVES: To evaluate the long-term consequences of pregnancy-related DVT by assessment of self-reported, disease-specific quality of life (QOL) and symptom severity using the Venous Insufficiency Epidemiological and Economic Study (VEINES)-QOL/Sym questionnaire, and to investigate the influence of socioeconomic factors and comorbidity. PATIENTS/METHODS: In this cross-sectional case-control study, 313 women with validated pregnancy-related DVT and 353 controls completed a comprehensive questionnaire, including the disease-specific VEINES-QOL/Sym questionnaire. After exclusion of DVT outside the lower limbs and missing scores, the study population comprised 208 patients and 347 controls. A VEINES-QOL/Sym score < the 25th percentile was defined as a clinically relevant reduced outcome compared with scores ≥ the 50th percentile. Predictors for low scores were identified in multivariate logistic regression models. RESULTS: Cases reported lower mean VEINES-QOL/Sym scores than controls, 45.6/45.4 vs. 52.8/52.7, respectively (P < 0.001), and QOL among cases was still reduced compared with controls when adjusted for possible confounders. Low education was an independent predictor for both low VEINES-QOL and VEINES-Sym scores, and in addition being married/cohabitating predicted low VEINES-Sym scores. CONCLUSIONS: Long-term QOL and symptom scores as assessed with the VEINES-QOL/Sym questionnaire were lower in women with previous pregnancy-related DVT than in controls, and also when adjusted for possible confounders. By logistic regression, low education was an independent predictor for low scores. This supports the use of the VEINES-QOL/Sym questionnaire in studies on pregnancy-related DVT. SN - 1538-7836 UR - https://www.unboundmedicine.com/medline/citation/21848904/Long_term_quality_of_life_after_pregnancy_related_deep_vein_thrombosis_and_the_influence_of_socioeconomic_factors_and_comorbidity_ L2 - https://doi.org/10.1111/j.1538-7836.2011.04468.x DB - PRIME DP - Unbound Medicine ER -