The correlation of the “Walking Estimated-Limitation Calculated by History-(WELCH) questionnaire with treadmill maximal walking time is not impaired by age, in patients with claudication

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• 作者：Alban Fouasson-Chailloux ; Pierre Abraham ; Bruno Vielle…
• 关键词：Walking impairment ; Claudication ; Peripheral arterial disease ; Exercise testing ; Questionnaires ; Quality of life
• 刊名：Quality of Life Research
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：24
• 期：8
• 页码：1857-1864
• 全文大小：519 KB
• 参考文献：1.Fowkes, F. G., Housley, E., Cawood, E. H., Macintyre, C. C., Ruckley, C. V., & Prescott, R. J. (1991). Edinburgh Artery Study: Prevalence of asymptomatic and symptomatic peripheral arterial disease in the general population. International Journal of Epidemiology, 20(2), 384-92.PubMed View Article
  2.Dormandy, J. A., & Rutherford, R. B. (2000). Management of peripheral arterial disease (PAD). TASC Working Group. TransAtlantic Inter-Society Consensus (TASC). Journal of Vascular Surgery 31(1 Pt 2):S1–S296.
  3.Rutherford, R. B., Baker, J. D., Ernst, C., Johnston, K. W., Porter, J. M., Ahn, S., et al. (1997). Recommended standards for reports dealing with lower extremity ischemia: Revised version. Journal of Vascular Surgery, 26(3), 517-38.PubMed View Article
  4.Hiatt, W. R. (2001). Medical treatment of peripheral arterial disease and claudication. New England Journal of Medicine, 344(21), 1608-621.PubMed View Article
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  6.McDermott, M. M., Liu, K., Guralnik, J. M., Martin, G. J., Criqui, M. H., & Greenland, P. (1998). Measurement of walking endurance and walking velocity with questionnaire: Validation of the walking impairment questionnaire in men and women with peripheral arterial disease. Journal of Vascular Surgery, 28(6), 1072-081.PubMed View Article
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  9.Verspaget, M., Nicolai, S. P., Kruidenier, L. M., Welten, R. J., Prins, M. H., & Teijink, J. A. (2009). Validation of the Dutch version of the Walking Impairment Questionnaire. European Journal of Vascular and Endovascular Surgery, 37(1), 56-1.PubMed View Article
  10.Collins, T. C., Suarez-Almazor, M., Petersen, N. J., & O’Malley, K. J. (2004). A Spanish translation of the Walking Impairment Questionnaire was validated for patients with peripheral arterial disease. Journal of Clinical Epidemiology, 57(12), 1305-315.PubMed View Article
  11.Mahe, G., Ouedraogo, N., Vasseur, M., Faliguent, C., Saidi, K., Leftheriotis, G., et al. (2011). Limitations of self-reported estimates of functional capacity using the Walking Impairment Questionnaire. European Journal of Vascular and Endovascular Surgery, 41, 41104-1109.View Article
  12.Jie, W., Yan, C., Bian, R. W., Mo, Y. Z., Haidi, W., & Ling, C. (2011). Validation of the Chinese version of the Walking Impairment Questionnaire in patients with both peripheral arterial disease and type 2 diabetes mellitus. Diabetes and Vascular Disease Research, 8(1), 29-4.View Article
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  14.Abraham, P., Ouedraogo, N., Tew, G. A., Vielle, B., Leftheriotis, G., & Mahe, G. (2012). Aging reduces the accuracy of self-reported walking limitation in patients with vascular-type claudication. Journal of Vascular Surgery, 56(4), 1025-031.PubMed View Article
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  16.Aboyans, V., Lacroix, P., Waruingi, W., Bertin, F., Pesteil, F., Vergnenegre, A., et al. (2000). French translation and validation of the Edinburgh Questionnaire for the diagnosis of intermittent claudication. Archives des Maladies du Coeur et des Vaissea
• 作者单位：Alban Fouasson-Chailloux (1)
  Pierre Abraham (1) (2)
  Bruno Vielle (3)
  Isabelle Laporte (1)
  Loukman Omarjee (1)
  Nafi Ouedraogo (1) (2) (4)
  
  1. CHU Angers, Laboratory for Vascular Investigations, University Hospital, 4 rue Larrey, 49933, Angers Cedex 09, France
  2. Department of Integrated Neurovascular and Mitochondrial Biology, INSERM UMR 1083 -CNRS UMR 6214, 49045, Angers, France
  3. Department of Biostatistics, University Hospital, 49933, Angers Cedex 09, France
  4. Department de Médecine, CHU Souro Sanou, 01 BP2161, Bobo Dioulasso, Burkina Fasso
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Quality of Life Research
  Sociology
  Public Health
  
• 出版者：Springer Netherlands
• ISSN：1573-2649

文摘

Purpose The “Walking Estimated-Limitation Calculated by History-(WELCH) questionnaire is a short four-item questionnaire that estimates the walking capacity of a patient in comparison with relatives, friends or people the same age. As such, it should be relatively insensitive to age, yet this has never been tested. Methods A prospective study was performed among 525 patients presenting vascular-type claudication. Patients were grouped into quintiles of age—from quintile 1 for the youngest patients to quintile 5 for the oldest ones. Patients completed a self-administered questionnaire and then had their maximal walking time (MWT) measured on a treadmill. We estimated the coefficient of correlation, the slope and the intercept of the relationship between the WELCH score and the MWT, then the accuracy of a WELCH score under 25 to predict the ability to walk for 5?min on a treadmill. Results The slopes of the relationships and the correlation coefficients were not significantly different in each quintile, but a significant shift in the intercept of regressing lines was found with age. Nevertheless, the accuracy in predicting treadmill results from the WELCH score with a cut-off point of 25 was, respectively, 68.6, 72.4, 80.0, 72.4 and 73.3?% in quintiles 1, 2, 3, 4 and 5 (p?=?0.45). Conclusions The relationship of MWT on a treadmill and the WELCH score is slightly influenced by age, but a score superior to 25 seems to be of equal discriminatory performance in different quintiles of age to predict the ability to walk for 5?min on a treadmill. This makes this cut-off limit of interest for routine use, regardless of age.