ORIGINAL RESEARCH

Ethical aspects of the quality of life in patients with atherosclerosis

Volkova AS1, Ilyin MV2, Kagramanyan IN3, Khokholov AL2
About authors

1 Yaroslavl Regional Clinical Hospital, Yaroslavl, Russia

2 Yaroslavl State Medical University, Yaroslavl, Russia

3 Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Correspondence should be addressed: Anna S. Volkova
Revoljucionnaja st. 5, Yaroslavl, 150000, Russia; moc.liamg@bkoy.avoklovanna

About paper

Author contribution: Volkova AS — analysis of the research data, review of publications on the topic of the article, summary, manuscript writing; Ilyin MV — developing the article design, statistical analysis, manuscript editing; Kagramanyan IN — consultations on the issues related to the study, literary editing of the article, scientific editing of the article; Khokhlov AL — consultations on the issues related to the study, literary editing, scientific editing of the article.

Compliance with ethical standards: the study was approved by the Ethics Committee of the Yaroslavl State Medical University. The informed consent was submitted by all subjects. The survey of adults was performed on a voluntary basis.

Received: 2022-07-18 Accepted: 2022-08-23 Published online: 2022-12-12
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The concept of quality of life is an integral characteristic of human physical, psychological, emotional, and social functioning. The disorders associated with atherosclerosis reduce the patients’ quality of life. Surgical treatment improves physical health of patients with atherosclerosis affecting primarily precranial arteries. The decrease in the indicators of physical functioning, role-playing, and bodily pain in patients with atherosclerosis mostly affecting the arteries of lower extremities persists in the late postoperative period. Comprehensive analysis of the broad spectrum of factors, such as clinical and demographic, anatomic, laboratory and instrumental, medical and social, and psychological factors, is the key to successful revascularization associated with the lowest risk of possible adverse events that makes it possible to implement the personalized approach to treatment and rehabilitation of patients. Ethical regulation of the quality of life assessment by the patient, his/her relatives and medical professionals is required. Reconciling the positions of the parties on the issue requires bioethical expertise in studying indicators of the quality of life.

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