Comparison of health-related quality-of-life outcomes of men and women after coronary artery bypass surgery through 1 year: findings from the POST CABG Biobehavioral Study

Lindquist, Ruth; Dupuis, Gilles; Terrin, Michael L.; Hoogwerf, Byron J.; Czajkowski, Susan M.; Herd, J. Alan; Barton, Franca B.; Tracy, Mary Fran; Hunninghake, Donald B.; Treat‐Jacobson, Diane; Shumaker, Sally A.; Zyzanski, S. J.; Goldenberg, Irvin F.; Knatterud, Genell L.

doi:10.1016/s0002-8703(03)00451-4

Cited by 78 publications

(64 citation statements)

References 21 publications

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“…Além de informar sobre o impacto do tratamento no bem-estar dos pacientes, a avaliação da QVRS ajuda a identificar aqueles com risco maior de eventos adversos [2][3][4][5] . Os resultados de diversos estudos sugerem que, no curso de determinadas doenças, as mulheres são mais afetadas do que os homens na QVRS [6][7][8][9][10] . Os dados do DOPPS, um estudo em pacientes tratados cronicamente por hemodiálise em diversos países, também indicam que as mulheres apresentam menores níveis no aspecto físico de QVRS e maior incômodo devido a sintomas de insuficiência renal do que os homens, independente do efeito de um grande número de co-variáveis 5 .…”

Section: Introductionunclassified

Comparações de medidas de qualidade de vida entre mulheres e homens em hemodiálise

Lopes¹,

Martins²,

Matos³

et al. 2007

Rev. Assoc. Med. Bras.

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INTRODUÇÃOReconhecendo a necessidade de melhorar a qualidade de vida relacionada com a saúde (QVRS) dos pacientes tratados cronicamente por hemodiálise, o Instituto de Medicina dos Estados Unidos e a National Kidney Foundation, por meio do Kidney Disease Outcome Quality Initiative (K/DOQI), recomendam avaliações sistemáticas de escores de QVRS destes pacientes como um dos parâmetros de adequação do tratamento 1 . Além de informar sobre o impacto do tratamento no bem-estar dos pacientes, a avaliação da QVRS ajuda a identificar aqueles com risco maior de eventos adversos [2][3][4][5] . Os resultados de diversos estudos sugerem que, no curso de determinadas doenças, as mulheres são mais afetadas do que os homens na QVRS [6][7][8][9][10] . Os dados do DOPPS, um estudo em pacientes tratados cronicamente por hemodiálise em diversos países, também indicam que as mulheres apresentam menores níveis no aspecto físico de QVRS e maior incômodo devido a sintomas de insuficiência renal do que os homens, independente do efeito de um grande número de co-variáveis 5 . No Brasil, existe carência de estudos especialmente delineados para comparar escores de QVRS entre homens e mulheres tratados cronicamente por hemodiálise, levando em consideração os potenciais efeitos de comorbidades e outras importantes co-variáveis, como idade e COMP

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Section: Introductionunclassified

Comparações de medidas de qualidade de vida entre mulheres e homens em hemodiálise

Lopes¹,

Martins²,

Matos³

et al. 2007

Rev. Assoc. Med. Bras.

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“…Cardiovascular symptoms, quality of life in terms of social, physical, and emotional function, and life satisfaction improve in the year after surgery. During an initial period after surgery, we observed some decline in physical and social function; most patients resumed normal or improved function 6 months to 1 year after CABG surgery [15,20,22]. These improvements are sustained; out-comes after 6 months are generally comparable to those observed in the year after surgery [16][17].…”

Section: Discussionmentioning

confidence: 59%

“…Whether myocardial dysfunction preoperatively interferes with the prognosis in postoperative period [2]; the association of other co-morbidities like diabetes, hypertension with CAD [3][4]; how age at the time of surgery affects the outcome; how quality of life and activity changes after surgery [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study

Kumar¹,

Hote²,

Sharma³

et al. 2017

IJCTS

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Abstract:This study intended to find out the outcome (in terms of quality of life and activity levels) of coronary artery bypass graft surgery (CABG) in Indian population; and whether there are differences associated with gender of the patient. Standard SF 36 questionnaire was utilized to access patient's general health, emotional status, and social activity following surgery. It has been noted that, there is significant apprehension amongst Indian population related to open heart surgery and that patients are hesitant to return back to their normal preoperative routine following heart surgery especially CABG. The socioeconomic and educational background of the Indian patient population is commonly such that it precludes them from returning to full activity status following surgery. Hence this study is conceptualized to objectivise the outcome following CABG surgery in Indian patients and also assess any gender differences noted in the outcome following this surgery. Material and Methods: Prospective analysis was done at one year follow up of patients undergoing coronary artery bypass grafting between 1 st July 2015 -31 st October 2016, without having other cardiac complications like mitral regurgitation, ventricular dysfunction, ventricular aneurysm/rupture or other complications. Patients who were operated on pump/off pump, having preop diabetes or hypertension at AIIMS New Delhi, coming for follow up at routine intervals, were included in this study. Using SF 36 questionnaire here we recorded the patients' detailed activity levels and quality of life in post-operative period, also we correlated the impact of CABG surgery with gender of patients. We compared the outcome in 168 male and female patients, who underwent CABG surgery during the study period. Follow-up was completed at intervals of 1 week, 1 month, 3 months, 6 months and 12 months following surgery. This follow-up was done both telephonically and during their office visits. Results: After 4 weeks following CABG (average 30 days), both men and women had less anxiety and symptoms related to depression than before surgery. After 6 months (average 184 days), both men and women improved in their physical and social functioning. Although changes in scale scores were similar for men and women at each time point, women scored lower than men on these domains, and had more symptoms related to depression through 1 year after CABG. Conclusions: Both male and female patients improve in physical, social, and emotional functioning after CABG, and recovery over time is similar in men and women. However women's health-related quality-of-life scale scores remained less favourable than men's through 1 year after surgery.

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“…For some authors, the patients experience a gradual increase of QoL after one, three, and six months after the operation [9,10,19,24,25]. Both groups improved their physical and mental health two months after the operation.…”

Section: Discussionmentioning

confidence: 99%

Six-minute walk test as a tool for assessing the quality of life in patients undergoing coronary artery bypass grafting surgery

Baptista¹,

Palhares²,

Oliveira³

et al. 2012

Rev Bras Cir Cardiovasc

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Teste de caminhada de seis minutos como ferramenta para avaliar a qualidade de vida em pacientes submetidos à cirurgia de revascularização miocárdicaSix-minute walk test as a tool for assessing the quality of life in patients undergoing coronary artery bypass grafting surgery Abstract Objective: Evaluate the quality of life in patients undergoing myocardial revascularization using the sixminute walk test.Methods: This is a prospective observational study with patients undergoing CABG. We recorded the following clinical variables: the six-minute walk test and the SF-36 test. The patients were evaluated at the preoperative time and at 2 months of the postoperative period. Patients were evaluated preoperatively and divided into two groups according to the 6-minute walking test: the group with a walking course of >350 meters and the group with a walking course of less than 350 meters at the preoperative time.Results: The study population included 87 patients. Mean age was similar in both groups (59 ± 9.5 years vs. 61 ± 9.3 years, respectively, P = 0.24). Distances walked were significantly longer in the group with a walking course of >350 meters compared to the group with a walking course of <350 meters after 2 months of operation (436 ± 78 meters vs. 348 ± 87 meters; P <0.01). The quality of life was lower in the group with a walking course of <350 meters compared to the group with a walking course of >350 meters in the preoperative period in the following domains: functional capabilities, limitations due to physical aspects, overall health feelings, vitality, and social aspects. Quality of life improved after two months in both groups.Conclusions: The six-minute walk test at the preoperative time is associated with the quality of life after two months of coronary artery bypass grafting. In overall, quality of life has improved in all patients. The improvement in the quality of life was greater in those patients with a walking course of >350 meters at the preoperative time. 232Baptista VC, et al. -Six-minute walk test as a tool for assessing the quality of life in patients undergoing coronary artery bypass grafting surgery Bras Cir Cardiovasc 2012;27(2):231-9 Rev

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Comparison of health-related quality-of-life outcomes of men and women after coronary artery bypass surgery through 1 year: findings from the POST CABG Biobehavioral Study

Cited by 78 publications

References 21 publications

Comparações de medidas de qualidade de vida entre mulheres e homens em hemodiálise

Comparações de medidas de qualidade de vida entre mulheres e homens em hemodiálise

Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study

Six-minute walk test as a tool for assessing the quality of life in patients undergoing coronary artery bypass grafting surgery

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