Beyond the Patient’s Report: Self-Reported, Subjective, Objective and Estimated Walking Disability in Patients with Peripheral Artery Disease

Among patients with peripheral artery disease, an altered estimation of walking ability reported to the physician may influence the choice of treatment. We compared claudication distance (CD) values reported by patients or assessed by validated protocols to elaborate a formula capable of estimating...

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Autores principales: Nicola Lamberti, Lorenzo Caruso, Giovanni Piva, Luca Traina, Valentina Ficarra, Paolo Zamboni, Vincenzo Gasbarro, Fabio Manfredini
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:5574038e18d34ab681b988bee8f8814b2021-11-25T17:20:32ZBeyond the Patient’s Report: Self-Reported, Subjective, Objective and Estimated Walking Disability in Patients with Peripheral Artery Disease10.3390/diagnostics111119912075-4418https://doaj.org/article/5574038e18d34ab681b988bee8f8814b2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/1991https://doaj.org/toc/2075-4418Among patients with peripheral artery disease, an altered estimation of walking ability reported to the physician may influence the choice of treatment. We compared claudication distance (CD) values reported by patients or assessed by validated protocols to elaborate a formula capable of estimating more reliable values. Three hundred fifty-nine patients with claudication were measured at the time of entry into a rehabilitation program. Walking performance was obtained by patients’ reports (self-reported claudication distance, SR-CD) and was directly assessed to determine the claudication and maximal walking distance by the 6-min test (6-CD and 6-MWD) and an incremental treadmill test (T-CD and T-MWD). The degree of muscle deoxygenation was objectively determined at the calf by near-infrared spectroscopy (NIRS) during the treadmill test. Among the 289 subjects analyzed, SR-CD exceeded both 6-CD and T-CD (+155 and +182 m, respectively). SR-CD was moderately correlated with T-CD (r = 0.30), 6-CD (r = 0.32), and 6-MWD (r = 0.29) but not with muscle deoxygenation per meter walked, unlike T-CD and 6-CD. A formula adjusted for the presence of diabetes reduced patient overestimation by 92%. The patient’s reported claudication distance was generally overestimated compared to objective measures, and it was made more reliable through a corrective factor for easy use in a clinical setting.Nicola LambertiLorenzo CarusoGiovanni PivaLuca TrainaValentina FicarraPaolo ZamboniVincenzo GasbarroFabio ManfrediniMDPI AGarticleperipheral artery diseaseexercise testingclaudicationreliabilitydiabetesMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 1991, p 1991 (2021)
institution DOAJ
collection DOAJ
language EN
topic peripheral artery disease
exercise testing
claudication
reliability
diabetes
Medicine (General)
R5-920
spellingShingle peripheral artery disease
exercise testing
claudication
reliability
diabetes
Medicine (General)
R5-920
Nicola Lamberti
Lorenzo Caruso
Giovanni Piva
Luca Traina
Valentina Ficarra
Paolo Zamboni
Vincenzo Gasbarro
Fabio Manfredini
Beyond the Patient’s Report: Self-Reported, Subjective, Objective and Estimated Walking Disability in Patients with Peripheral Artery Disease
description Among patients with peripheral artery disease, an altered estimation of walking ability reported to the physician may influence the choice of treatment. We compared claudication distance (CD) values reported by patients or assessed by validated protocols to elaborate a formula capable of estimating more reliable values. Three hundred fifty-nine patients with claudication were measured at the time of entry into a rehabilitation program. Walking performance was obtained by patients’ reports (self-reported claudication distance, SR-CD) and was directly assessed to determine the claudication and maximal walking distance by the 6-min test (6-CD and 6-MWD) and an incremental treadmill test (T-CD and T-MWD). The degree of muscle deoxygenation was objectively determined at the calf by near-infrared spectroscopy (NIRS) during the treadmill test. Among the 289 subjects analyzed, SR-CD exceeded both 6-CD and T-CD (+155 and +182 m, respectively). SR-CD was moderately correlated with T-CD (r = 0.30), 6-CD (r = 0.32), and 6-MWD (r = 0.29) but not with muscle deoxygenation per meter walked, unlike T-CD and 6-CD. A formula adjusted for the presence of diabetes reduced patient overestimation by 92%. The patient’s reported claudication distance was generally overestimated compared to objective measures, and it was made more reliable through a corrective factor for easy use in a clinical setting.
format article
author Nicola Lamberti
Lorenzo Caruso
Giovanni Piva
Luca Traina
Valentina Ficarra
Paolo Zamboni
Vincenzo Gasbarro
Fabio Manfredini
author_facet Nicola Lamberti
Lorenzo Caruso
Giovanni Piva
Luca Traina
Valentina Ficarra
Paolo Zamboni
Vincenzo Gasbarro
Fabio Manfredini
author_sort Nicola Lamberti
title Beyond the Patient’s Report: Self-Reported, Subjective, Objective and Estimated Walking Disability in Patients with Peripheral Artery Disease
title_short Beyond the Patient’s Report: Self-Reported, Subjective, Objective and Estimated Walking Disability in Patients with Peripheral Artery Disease
title_full Beyond the Patient’s Report: Self-Reported, Subjective, Objective and Estimated Walking Disability in Patients with Peripheral Artery Disease
title_fullStr Beyond the Patient’s Report: Self-Reported, Subjective, Objective and Estimated Walking Disability in Patients with Peripheral Artery Disease
title_full_unstemmed Beyond the Patient’s Report: Self-Reported, Subjective, Objective and Estimated Walking Disability in Patients with Peripheral Artery Disease
title_sort beyond the patient’s report: self-reported, subjective, objective and estimated walking disability in patients with peripheral artery disease
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/5574038e18d34ab681b988bee8f8814b
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