A prospective evaluation of the psychosocial effects of coronary artery bypass surgery

Langeluddecke, Pauline; Fulcher, Gary; Baird, D. K.; Hughes, C.F.; Tennant, Christopher

doi:10.1016/0022-3999(89)90104-9

Cited by 110 publications

(56 citation statements)

References 9 publications

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“…Overall variance in the sexual quality of life of CABG surgical patients (33%) was accounted for by patient age, disease duration, and spousal communication. 28 In contrast, at 6 and 12 months after surgery, CABG patients (n=89) had an increased interest in (85%) and level of (49%) sexual activity, 167 although preoperative ratings of sexual performance and frequency of sexual contact were higher than those at 6 months after CABG (P<0.02). 168 Sexual satisfaction among patients (n=63) increased over time when baseline (before CABG) satisfaction levels were compared with those levels 8 years after CABG surgery, with an increase in sexual satisfaction from 57% to 63%.…”

Section: Cabg Surgerymentioning

confidence: 91%

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

Steinke¹,

Jaarsma²,

Barnason³

et al. 2013

Circulation

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Section: Cabg Surgerymentioning

confidence: 91%

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

Steinke¹,

Jaarsma²,

Barnason³

et al. 2013

Circulation

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“…24 In these studies, pretreatment global PAIS scores ranged from 31.3 22 to 58.5, 20 and posttreatment scores ranged from 23 to 34. The posttreatment scores for our organ transplant patients similarly ranged from 24 to 31.…”

Section: Discussionmentioning

confidence: 99%

“…The PAIS has been used to evaluate outcomes of coronary artery bypass surgery, 20 hemodialysis, 21 diabetes retinopathy, 22 cancer, 5 bone marrow transplantation, 23 and heart transplantation. 24 In these studies, pretreatment global PAIS scores ranged from 31.3 22 to 58.5, 20 and posttreatment scores ranged from 23 to 34.…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life After Different Types of Solid Organ Transplantation

Pinson

Feurer²,

Payne³

et al. 2000

Annals of Surgery

179

155

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ObjectiveTo describe functional health and health-related quality of life (QOL) before and after transplantation; to compare and contrast outcomes among liver, heart, lung, and kidney transplant patients, and compare these outcomes with selected norms; and to explore whether physiologic performance, demographics, and other clinical variables are predictors of posttransplantation overall subjective QOL. Summary Background DataThere is increasing demand for outcomes analysis, including health-related QOL, after medical and surgical interventions. Because of the high cost, interest in transplantation outcomes is particularly intense. With technical surgical experience and improved immunosuppression, survival after solid organ transplantation has matured to acceptable levels. More sensitive measures of outcomes are necessary to evaluate further developments in clinical transplantation, including data on objective functional outcome and subjective QOL. MethodsThe Karnofsky Performance Status was assessed objectively for patients before transplantation and up to 4 years after transplantation, and scores were compared by repeated measures analysis of variance. Subjective evaluation of QOL over time was obtained using the Short Form-36 (SF-36) and the Psychosocial Adjustment to Illness Scale (PAIS). These data were analyzed using multivariate and univariate analysis of variance. A summary model of health-related QOL was tested by path analysis. ResultsTools were administered to 100 liver, 94 heart, 112 kidney, and 65 lung transplant patients. Mean age at transplantation was 48 years; 36% of recipients were female. The Karnofsky Performance Status before transplantation was 37Ϯ1 for lung, 38Ϯ2 for heart, 53Ϯ3 for liver, and 75Ϯ1 for kidney recipients. After transplantation, the scores improved to 67Ϯ1 at 3 months, 77Ϯ1 at 6 months, 82Ϯ1 at 12 months, 86Ϯ1 at 24 months, 84Ϯ2 at 36 months, and 83Ϯ3 at 48 months. When patients were stratified by initial performance score as disabled or able, both groups merged in terms of performance by 6 months after liver and heart transplantation; kidney transplant patients maintained their stratification 2 years after transplantation. The SF-36 physical and mental component scales improved after transplantation. The PAIS score improved globally. Path analysis demonstrated a direct effect on the posttransplant Karnofsky score by time after transplantation and diabetes, with trends evident for education and preoperative serum creatinine level. Although neither time after transplantation nor diabetes was directly predictive of a composite QOL score that incorporated all 15 subjective domains, recent Karnofsky score and education level were directly predictive of the QOL composite score. ConclusionsDifferent types of transplant patients have a different health-related QOL before transplantation. Performance improved after transplantation for all four types of transplants, but the trajectories were not the same. Subjective QOL measured by the SF-36 and the PAIS also improved after transplant...

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“…In retrospect, this is unfortunate. More recent work, almost entirely by psy chiatrists, has emphasized that although suc cessful surgery often has an excellent out come for quality of life, a minority of pa tients suffer continuing and apparently med ically unnecessary problems [8,29], Specific instruments show the signifi cance of change in psychological distress, atypical noncardiac chest pain, subjective symptoms and patient satisfaction. Func tional status measures and health profiles would show few of the benefits most impor tant to patients.…”

Section: Cardiac Surgerymentioning

confidence: 99%

Quality of Life in Cardiovascular Disease

Mayou¹

1990

Psychother Psychosom

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Psychosomatic understanding of the consequences of cardiovascular disorders has had relatively little influence on the separate literature describing quality of life and evaluating interventions. This is partly because psychosmatic research has been too narrowly focussed but mainly because concepts and measures of quality of life take a limited view of its psychological aspects and neglect the significance of individual meaning. There is a need for more research which is based on carefully selected specific measures of quality of life chosen as being of particular importance to patients and to the hypotheses being tested. It is also essential to be aware of the wide range of individual response to cardiovascular disorders. Review of syndromes shows that there is considerable scope to improve understanding of the psychological aspects of quality of life and to develop and evaluate psychological interventions.

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A prospective evaluation of the psychosocial effects of coronary artery bypass surgery

Cited by 110 publications

References 9 publications

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

Health-Related Quality of Life After Different Types of Solid Organ Transplantation

Quality of Life in Cardiovascular Disease

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