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The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery

OBJECTIVES: To achieve a beneficial impact on long-term outcome after coronary artery bypass grafting (CABG), the goal of the present study was the early identification of patients at risk of impaired postoperative health-related quality of life (HRQoL), particularly evaluating the significance of s...

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Autores principales: Assmann, Anna Kathrin, Assmann, Alexander, Waßenberg, Sebastian, Kojcici, Besnik, Schaal, Nora K, Lichtenberg, Artur, Ennker, Jürgen, Albert, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9901412/
https://www.ncbi.nlm.nih.gov/pubmed/36847671
http://dx.doi.org/10.1093/icvts/ivad014
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author Assmann, Anna Kathrin
Assmann, Alexander
Waßenberg, Sebastian
Kojcici, Besnik
Schaal, Nora K
Lichtenberg, Artur
Ennker, Jürgen
Albert, Alexander
author_facet Assmann, Anna Kathrin
Assmann, Alexander
Waßenberg, Sebastian
Kojcici, Besnik
Schaal, Nora K
Lichtenberg, Artur
Ennker, Jürgen
Albert, Alexander
author_sort Assmann, Anna Kathrin
collection PubMed
description OBJECTIVES: To achieve a beneficial impact on long-term outcome after coronary artery bypass grafting (CABG), the goal of the present study was the early identification of patients at risk of impaired postoperative health-related quality of life (HRQoL), particularly evaluating the significance of socio-demographic variables. METHODS: In this prospective, single-centre cohort study of patients having an isolated CABG (January 2004–December 2014), preoperative socio-demographic (preSOC) and preoperative medical variables as well as 6-month follow-up data including the Nottingham Health Profile were analysed in 3,237 patients. RESULTS: All preSOC (gender, age, marriage and employment) and follow-up (chest pain, dyspnoea) variables proved to have significant influence on HRQoL (P < 0.001), male patients below 60 years being particularly impaired. The effects of marriage and employment on HRQoL are modulated by age and gender. The significance of the predictors of reduced HRQoL differs between the 6 Nottingham Health Profile domains. Multivariable regression analyses revealed explained proportions of variance amounting to 7% for preSOC and 4% for preoperative medical variables. CONCLUSIONS: The identification of patients at risk of impaired postoperative HRQoL is decisive for providing additional support. This study reveals that the assessment of 4 preoperative socio-demographic characteristics (age, gender, marriage, employment) is more predictive of HRQoL after CABG than are multiple medical variables.
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spelling pubmed-99014122023-02-07 The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery Assmann, Anna Kathrin Assmann, Alexander Waßenberg, Sebastian Kojcici, Besnik Schaal, Nora K Lichtenberg, Artur Ennker, Jürgen Albert, Alexander Interdiscip Cardiovasc Thorac Surg Coronary Disease OBJECTIVES: To achieve a beneficial impact on long-term outcome after coronary artery bypass grafting (CABG), the goal of the present study was the early identification of patients at risk of impaired postoperative health-related quality of life (HRQoL), particularly evaluating the significance of socio-demographic variables. METHODS: In this prospective, single-centre cohort study of patients having an isolated CABG (January 2004–December 2014), preoperative socio-demographic (preSOC) and preoperative medical variables as well as 6-month follow-up data including the Nottingham Health Profile were analysed in 3,237 patients. RESULTS: All preSOC (gender, age, marriage and employment) and follow-up (chest pain, dyspnoea) variables proved to have significant influence on HRQoL (P < 0.001), male patients below 60 years being particularly impaired. The effects of marriage and employment on HRQoL are modulated by age and gender. The significance of the predictors of reduced HRQoL differs between the 6 Nottingham Health Profile domains. Multivariable regression analyses revealed explained proportions of variance amounting to 7% for preSOC and 4% for preoperative medical variables. CONCLUSIONS: The identification of patients at risk of impaired postoperative HRQoL is decisive for providing additional support. This study reveals that the assessment of 4 preoperative socio-demographic characteristics (age, gender, marriage, employment) is more predictive of HRQoL after CABG than are multiple medical variables. Oxford University Press 2023-01-20 /pmc/articles/PMC9901412/ /pubmed/36847671 http://dx.doi.org/10.1093/icvts/ivad014 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Coronary Disease
Assmann, Anna Kathrin
Assmann, Alexander
Waßenberg, Sebastian
Kojcici, Besnik
Schaal, Nora K
Lichtenberg, Artur
Ennker, Jürgen
Albert, Alexander
The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery
title The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery
title_full The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery
title_fullStr The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery
title_full_unstemmed The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery
title_short The impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery
title_sort impact of socio-demographic factors on health-related quality of life after coronary artery bypass surgery
topic Coronary Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9901412/
https://www.ncbi.nlm.nih.gov/pubmed/36847671
http://dx.doi.org/10.1093/icvts/ivad014
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