Prognostic value of preoperative quality of life on mortality after isolated elective myocardial revascularization

Horst, Rutger ter; Markou, Athanasios L.P.; Noyez, Luc

doi:10.1093/icvts/ivs184

Cited by 7 publications

(9 citation statements)

References 16 publications

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“…It is comparable with the 71.4% inclusion in the study of Rumsfeld and much higher than a recent published study by Bramer et al, who had only had only about 40% of the patients with pre- and postoperative QoL information [5,11]. However lower than in a previous study where we had roughly 75% inclusion and the recent study of KH Gjeilo et al, which had circa 91% inclusion [4,12]. It is difficult to compare these percentages of inclusion, though, since several publications make no mention of such data and the method and criteria of inclusion and exclusion are also determining [6].…”

Section: Discussionsupporting

confidence: 76%

Is quality of life post cardiac surgery overestimated?

Noyez

2014

Health and Quality of Life Outcomes

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BackgroundQuality of Life (QoL) studies concerns the difference in QoL between the baseline and the post-surgical assessment. Many such studies, however, suffer from incomplete QoL-data with regard to patients with a proven survival - the drop-outs. Our hypothesis is that patients with a low preoperative QoL, high operative risk and older age are at higher risk for drop-out, which may result in a biased conclusion.MethodsThis study includes 1675 patients, all of whom were operated between July 1, 2009 and July 1,2012 and have a proven one-year survival, as well as a complete preoperative EuroQoL registration (EQ-5D and EQ-VAS). Based on the calculated 30 and 70 percentiles of age, EuroSCORE risk, and EQ-5D and EQ-VAS values, the group was split into three different subgroups. We studied whether (1) there was a correlation between age, risk, preoperative QoL and postoperative QoL and (2) if the drop-outs were correlated to age, risk and preoperative QoL.ResultsThere is a statistically significant correlation between postoperative QoL and both age (p = 0.029) and risk (p = 0.002). Both relations have a negative Pearson’s r. There is also a statistically significant (p = 0.0001) correlation between pre- and postoperative QoL, now with a positive Pearson’s r. The percentage of drop-outs increases in a statistically significant manner with an increased risk (p = 0.001), older age (p = 0.001) and a low preoperative QoL (EQ-5D, p = 0.001 and EQ-VAS, p = 0.003).ConclusionWe conclude that QoL post cardiac surgery is overestimated, certainly for older, high risk patients and patients with a low preoperative QoL.

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Section: Discussionsupporting

confidence: 76%

Is quality of life post cardiac surgery overestimated?

Noyez

2014

Health and Quality of Life Outcomes

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“…In contrast, the lowest scores in the physical component, as seen in other studies (3,18) , may reflect the impact of cardiovascular illnesses on individuals' role-physical aspects.…”

Section: Discussionmentioning

confidence: 64%

“…This can show the relevance of these factors in possibly facing cardiovascular illnesses, associated with higher scores in the mental component (6,18) . In contrast, the lowest scores in the physical component, as seen in other studies (3,18) , may reflect the impact of cardiovascular illnesses on individuals' role-physical aspects.…”

Section: Discussionmentioning

confidence: 85%

Self-care agency and quality of life in the preoperative period of coronary artery bypass graft surgery

Araújo

Silva

Ramos

2016

Rev. esc. enferm. USP

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Self-care agency and quality of life in the preoperative period of coronary artery bypass graft surgery * Extracted from the dissertation "Capacidade de autocuidado e qualidade de vida em indivíduos no pré-operatório de revascularização miocárdica", Universidade Federal de Pernambuco, 2013. To analyze basic self-care conditioning factors and quality of life associated with health, relating them to self-care capacity among individuals in the preoperative period of coronary artery bypass graft surgery. Method: Descriptive study with a quantitative approach, theoretically and methodologically anchored in the Self-care Deficit Nursing Theory. Data were collected between March and August 2013, using the Self-care Assessment Scale and the Medical Outcomes 36 Item Short Form Health Survey. Results: There was a correlation between self-care capacity and quality of life in the preoperative period of coronary artery bypass graft surgery. Conclusion: Among participants of this study, a reduction in quality of life may have occurred due to the presence of noncommunicable diseases; nevertheless, individuals sought the best ways to care for themselves. descriPtOrs Myocardial Revascularization; Self-Care; Quality of Life; Preoperative Care; Nursing Theory. Self

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“…7 A number of studies have evaluated the association between preoperative quality of life measures and outcomes after cardiac surgery. [8][9][10][11][12][13][14][15] Rumsfeld et al 16 previously reported that health-related quality of life (HRQoL), using the Veterans RAND Short Form-36 (VR-36), was an independent predictor of post-CABG 6-month mortality. While HRQoL metrics are now commonly used in comparing treatments in large-scale surgical trials, the use of such tools in daily clinical practice for predicting patient-specific risk continues to be quite limited.…”

Section: Introductionmentioning

confidence: 99%

Health‐related quality of life impacts upon 5‐year survival after coronary artery bypass surgery

Bishawi

Hattler

Almassi

et al. 2022

Journal of Cardiac Surgery

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Background Poor preoperative health‐related quality of life (HRQoL) has been associated with reduced short‐term survival after coronary artery bypass graft (CABG) surgery; however, its impact on long‐term mortality is unknown. This study's objective was to determine if baseline HRQoL status predicts 5‐year post‐CABG mortality. Methods This prespecified, randomized on/off bypass follow‐up study (ROOBY‐FS) subanalysis compared baseline patient characteristics and HRQoL scores, obtained from the Seattle Angina Questionnaire (SAQ) and Veterans RAND Short Form‐36 (VR‐36), between 5‐year post‐CABG survivors and nonsurvivors. Standardized subscores were calculated for each questionnaire. Multivariable logistic regression assessed whether HRQoL survey subcomponents independently predicted 5‐year mortality (p ≤ .05). Results Of the 2203 ROOBY‐FS enrollees, 2104 (95.5%) completed baseline surveys. Significant differences between 5‐year post‐CABG deaths (n = 286) and survivors (n = 1818) included age, history of chronic obstructive pulmonary disease, stroke, peripheral vascular disease, renal dysfunction, diabetes, lower left ventricular ejection fraction, atrial fibrillation, depression, non‐White race/ethnicity, lower education status, and off‐pump CABG. Adjusting for these factors, baseline VR‐36 physical component summary score (p = .01), VR‐36 mental component summary score (p < .001), and SAQ physical limitation score (p = .003) were all associated with 5‐year all‐cause mortality. Conclusions Pre‐CABG HRQoL scores may provide clinically relevant prognostic information beyond traditional risk models and prove useful for patient‐provider shared decision‐making and enhancing pre‐CABG informed consent.

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Prognostic value of preoperative quality of life on mortality after isolated elective myocardial revascularization

Abstract: Based on these results, we conclude that, in isolation, poor low preoperative EQ-5D and EQ-VAS scores do not contribute to deciding which patients should undergo cardiac surgery.

Cited by 7 publications

References 16 publications

Is quality of life post cardiac surgery overestimated?

Is quality of life post cardiac surgery overestimated?

Self-care agency and quality of life in the preoperative period of coronary artery bypass graft surgery

Health‐related quality of life impacts upon 5‐year survival after coronary artery bypass surgery

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