Health-related quality of life and subjective neurocognitive function three months after coronary artery bypass graft surgery

Sandau, Kristin E.; Lindquist, Ruth; Treat‐Jacobson, Diane; Savik, Kay

doi:10.1016/j.hrtlng.2007.05.004

Cited by 19 publications

(22 citation statements)

References 41 publications

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“…The relationship between life satisfaction and measures of health and function has been demonstrated across a wide range of conditions, such as diabetes (Shen et al, 1999), coronary artery disease (Sandau, Lindquist, Treat-Jacobson, & Savik, 2008), Behcet's disease (Bodur, Borman, Ozdemir, Atan, & Kural, 2006), stroke (Hartman-Maeir, Soroker, Ring, Avni, & Katz, 2007;Saeki, Chisaka, & Hachisuka, 2005), spinal cord injury (Dunnum, 1990), and oral health (Locker, Clarke, & Payne, 2000). In men with ED, life satisfaction was powerfully predicted by satisfaction with sexual life (A. R. Fugl-Meyer, Lodnert, Branholm, & Fugl-Meyer, 1997), life satisfaction and satisfaction with sexual life were lower compared with those of healthy men (Mallis et al, 2006), and the degree of satisfaction with sexual life and with partner relationship were found to be good predictors of ED (Moncada, Micheltorena, MartinezSanchez, & Gutierrez, 2008).…”

Section: Discussionmentioning

confidence: 99%

Correlations With Satisfaction Measures in Men Treated With Phosphodiesterase Inhibitors for Erectile Dysfunction

et al. 2011

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This literature review examined the relationship of erectile function to patient satisfaction. Published correlation coefficients ( r values) were sought between patient-reported outcomes (PROs; i.e., instruments/questionnaires) assessing erection or erectile function and PROs assessing individual sexual satisfaction, satisfaction in the context of the couple or relationship, or satisfaction with erection. The U.S. National Library of Medicine’s PubMed database was searched for English-language, randomized, double-blind, placebo-controlled trials of treatment with a phosphodiesterase type 5 inhibitor in men with erectile dysfunction (ED) who were not selected for any concomitant disease. Trials that reported correlations between an ED-specific and psychometrically validated PRO for an erection/erectile function concept and for a selected satisfaction concept were included. All correlations were positive, with almost all r values >" xbd="285" xhg="262" ybd="1530" yhg="1502"/>.50. The positive relationship between results on erection/erectile function PROs and results on satisfaction PROs is probably reinforced bidirectionally such that improved erection/erectile function improves satisfaction, which further improves erection and/or erectile function.

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Section: Discussionmentioning

confidence: 99%

Correlations With Satisfaction Measures in Men Treated With Phosphodiesterase Inhibitors for Erectile Dysfunction

et al. 2011

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“…18 One possible explanation is that this study did not exclude patients previously known to have mood disorders, severe metabolic and endocrine disorders, or previous CABG, as was done in prior studies. 5,16,34 Our patient population consisted of only in-hospital patients The QOL scale shows an initial decrease from baseline and then a steady improvement to above baseline at 9 months. The SDS shows maximum disability occurring 1 month postoperatively but then returning to baseline at 9 months.…”

Section: Discussionmentioning

confidence: 99%

“…This observation was seen in patients undergoing both traditional and OPCABG surgery. 17,19,34 A study done by Schechter et al, 30 using the short form of Q-LES-Q to assess the QOL in patients with no prior mental illness compared with those with current mental illness, showed a raw score of 82% versus 73%, respectively. In our cohort, the mean raw score of the Q-Les-Q showed a statistically significant improvement between the 1-and 9-month follow-up interviews.…”

Section: Discussionmentioning

confidence: 99%

Depression, disability, and quality of life after off-pump coronary artery bypass grafting: A prospective 9-month follow-up study

et al. 2011

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“…Notably, sleeping problems and increased daytime fatigue were quite prevalent. In general, cardiac surgery is associated with improvements in health-related QoL (HRQOL) post surgery [28,29], but a subgroup of patients, especially those with preoperative features of depression and anxiety [30] and those with postoperative symptoms of PTSD does not participate in this improvement [31]. The high prevalence of psychosocial distress in our study group in the absence of impaired physical QoL may indicate that we have investigated a biased subset of patients, however, the correlation of psychometric variables and time span after surgery suggests a recovery of psychosocial impairment over time.…”

Section: Discussionmentioning

confidence: 99%

Can cardiac surgery cause hypopituitarism?

et al. 2011

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Apoplexy of pituitary adenomas with subsequent hypopituitarism is a rare but well recognized complication following cardiac surgery. The nature of cardiac on-pump surgery provides a risk of damage to the pituitary because the vascular supply of the pituitary is not included in the cerebral autoregulation. Thus, pituitary tissue may exhibit an increased susceptibility to hypoperfusion, ischemia or intraoperative embolism. After on-pump procedures, patients often present with physical and psychosocial impairments which resemble symptoms of hypopituitarism. Therefore, we analyzed whether on-pump cardiac surgery may cause pituitary dysfunction also in the absence of pre-existing pituitary disease. Twenty-five patients were examined 3-12 months after on-pump cardiac surgery. Basal hormone levels for all four anterior pituitary hormone axes were measured and a short synacthen test and a growth hormone releasing hormone plus arginine (GHRH-ARG)-test were performed. Quality of life (QoL), depression, subjective distress for a specific life event, sleep quality and fatigue were assessed by means of self-rating questionnaires. Hormonal alterations were only slight and no signs of anterior hypopituitarism were found except for an insufficient growth hormone rise in two overweight patients in the GHRH-ARG-test. Psychosocial impairment was pronounced, including symptoms of moderate to severe depression in 9, reduced mental QoL in 8, dysfunctional coping in 6 and pronounced sleep disturbances in 16 patients. Hormone levels did not correlate with psychosocial impairment. On-pump cardiac surgery did not cause relevant hypopituitarism in our sample of patients and does not serve to explain the psychosocial symptoms of these patients.

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Health-related quality of life and subjective neurocognitive function three months after coronary artery bypass graft surgery

Cited by 19 publications

References 41 publications

Correlations With Satisfaction Measures in Men Treated With Phosphodiesterase Inhibitors for Erectile Dysfunction

Correlations With Satisfaction Measures in Men Treated With Phosphodiesterase Inhibitors for Erectile Dysfunction

Depression, disability, and quality of life after off-pump coronary artery bypass grafting: A prospective 9-month follow-up study

Can cardiac surgery cause hypopituitarism?

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