Risks and benefits of coronary angioplasty: the patients perspective: a preliminary study.

Kee, Frank; McDonald, Paul T.; Gaffney, Brian

doi:10.1136/qshc.6.3.131

Cited by 24 publications

(27 citation statements)

References 25 publications

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“…The distribution of patients between the different classes of the CCSCA suggested that our group of patients had less severe angina than a group of patients undergoing angioplasty [8]. This conforms to expectations.…”

Section: Methodssupporting

confidence: 83%

“…The patients who participated in the study were similar to patients from the UK with ischaemic heart disease in previous studies in terms of their age [7], sex [8] and BMI [9]. The distribution of patients between the different classes of the CCSCA suggested that our group of patients had less severe angina than a group of patients undergoing angioplasty [8].…”

Section: Methodsmentioning

confidence: 83%

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Dempster

Donnelly

O’Loughlin

2004

Health Qual Life Outcomes

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BackgroundA previous review suggested that the MacNew Quality of Life Questionnaire was the most appropriate disease-specific measure of health-related quality of life among people with ischaemic heart disease. However, there is ambiguity about the allocation of items to the three factors underlying the MacNew and the factor structure has not been confirmed previously among the people in the UK.MethodsThe MacNew Questionnaire and the SF-36 were administered to 117 newly admitted patients to a tertiary referral centre in Northern Ireland. All patients had been diagnosed with ischaemic heart disease.ResultsA confirmatory factor analysis was conducted on the factor structure of the MacNew and the model was found to be an inadequate fit of the data. A quantitative and qualitative analysis of the items suggested that a five factor solution was more appropriate and this was validated by confirmatory factor analysis. This new structure also displayed strong evidence of concurrent validity when compared to the SF-36.ConclusionWe recommend that researchers should submit scores obtained from items on the MacNew to secondary analyses after being grouped according to the factor structure proposed in this paper, in order to explore further the most appropriate grouping of items.

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Section: Methodssupporting

confidence: 83%

Section: Methodsmentioning

confidence: 83%

Untitled

Dempster

Donnelly

O’Loughlin

2004

Health Qual Life Outcomes

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“…This is an especially important contribution in light of evidence that patients often overestimate the likely benefits of PCI. 26 Although further research should replicate this work, it appears that substantially less benefit, from the patients' perspectives, should be anticipated when PCI is performed in asymptomatic individuals.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Quality-of-Life Benefit After Percutaneous Coronary Intervention

et al. 2004

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Background-Improving patients' quality of life is a primary indication for percutaneous coronary intervention (PCI), yet little is known about patient characteristics associated with greater quality-of-life improvement from the procedure. This study was conducted to identify patient characteristics associated with quality-of-life benefit after PCI. Methods and Results-A consecutive series of 1518 patients undergoing PCI in nonacute myocardial infarction settings were prospectively enrolled into an observational study documenting their postprocedural health status. We examined univariate and multivariable associations between baseline patient characteristics and quality of life 1 year after the procedure using the disease-specific Seattle Angina Questionnaire (SAQ) to quantify the impact of patients' coronary disease on their quality of life. Baseline angina frequency and physical function were the strongest predictors of quality-of-life improvement 1 year after PCI. In comparing patients without angina to those experiencing monthly, weekly, and daily angina, the quality-of-life improvements (meanϮSEM) were 21.4Ϯ2.1, 30.7Ϯ2.2, and 34.6Ϯ2.6 points greater (PϽ0.001). Patients with mild, moderate, and severe physical limitation improved 13.8Ϯ1.9, 20.0Ϯ2.1, and 13.5Ϯ3.5 points more than those with minimal baseline physical limitation (PϽ0.001). These findings were maintained in multivariable models correcting for baseline differences in demographic, clinical, disease-severity, and health-status variables. Conclusions-Preprocedural angina frequency is the most important prognostic indicator of quality-of-life improvement after PCI. Although substantial quality-of-life benefits are attained in most patients with preprocedural angina, more careful consideration of the potential benefits and risks of the procedure are needed in asymptomatic patients.

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“…Studies also have indicated that patients' expected treatment benefits from PTCA, perceived good health and perceived recovery increase over time following the procedure [5,7,8,[13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Expected treatment benefits of percutaneous transluminal coronary angioplasty: the patient’s perspective

Özkan

Odabasi

Özcan

2008

Int J Cardiovasc Imaging

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This study aimed to determine the expected treatment benefits from the patient's perspective before and after percutaneous transluminal coronary angioplasty (PTCA). Descriptive study. The sample consisted of 60 patients that underwent PTCA in the cardiology department of a university hospital in Bolu province in Turkey. The patients were interviewed one hour before the procedure and a week after discharge from hospital. The proportion of patients that perceived their health as good after the PTCA was two-fold in comparison to before (48.3%, 88.3%) (P < 0.05). The rate of patients taking heart disease seriously decreased by half after PTCA compared to before (40.0%, 83.3%) (P < 0.05). Almost all of the patients had the wrong interpretation of complete recovery from the diseases before and after PTCA (100.0%, 96.7%) (P > 0.05). Expectations of not having chest pain (P > 0.05), not having MI (P > 0.05), not having fear of death (P < 0.05), and not having stress (P > 0.05) were lower after PTCA in comparison to before. The expectation of not having chest pain was higher in women (60.9%, 47.8%) (P > 0.05), in those not having MI (56.1%, 48.8%) (P > 0.05), and in those having chronic diseases (59.0%, 43.6%) (P > 0.05) before PTCA compared with after. The majority of the patients had the wrong interpretation regarding their PTCA expectations, which decreased dramatically after the procedure. Continuing individualized health education programs on angioplasty for patients and their families will be an important way of dealing with patients' inaccurate interpretations.

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Risks and benefits of coronary angioplasty: the patients perspective: a preliminary study.

Abstract: Objectives-To describe what cardiac patients in Northern Ireland understand to be the benefits of coronary angioplasty and assess the extent to which they have been able to make informed choices about their treatment.

Cited by 24 publications

References 25 publications

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Predictors of Quality-of-Life Benefit After Percutaneous Coronary Intervention

Expected treatment benefits of percutaneous transluminal coronary angioplasty: the patient’s perspective

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