Measuring what matters to the patient: health related quality of life after aortic valve and thoracic aortic surgery

Heer, Frederiek de; Gökalp, Arjen L.; Kluin, Jolanda; Takkenberg, Johanna J.M.

doi:10.1007/s11748-017-0830-9

Cited by 20 publications

(12 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Contemporary evidence on QoL outcomes after aortic root surgery was reviewed by de Heer et al and showed that limited and only observational data with contradicting results are available (21). Although a study by Olsson et al in 1999 showed significantly worse health-related QoL outcomes for patients after thoracic aortic surgery compared to the general population, an updated study in 2013 showed comparable QoL (22,23).…”

Section: Health Related Quality Of Life Outcomesmentioning

confidence: 99%

Clinical and quality of life outcomes after aortic valve replacement and aortic root surgery in adult patients <65 years old

Gökalp

Heer

Etnel

et al. 2019

Ann. Cardiothorac. Surg.

Self Cite

View full text Add to dashboard Cite

Selecting the optimal surgical treatment strategy in patients below the age of 65 years (i.e., non-elderly patients) with aortic valve or aortic root disease remains challenging. The objective of the current study is to summarize contemporary research on clinical and quality of life outcomes after aortic valve replacement (AVR) and aortic root surgery in non-elderly patients. Recent systematic reviews on clinical outcome after biological and mechanical AVR, the Ross procedure and aortic root surgery show that event occurrence is considerable after any type of AVR or aortic root surgery and-with the exception of the Ross proceduresurvival is suboptimal. Although thromboembolism and bleeding events are more common after mechanical AVR and root surgery, these events are also considerably present after biological AVR, the Ross procedure and valve-sparing aortic root surgery (VSRR). Similarly, reoperation is more common after biological AVR, the Ross procedure and VSRR, but also occurs frequently after mechanical AVR and root replacement. Published evidence in AVR patients points to the direction of better health-related quality of life (HRQoL) outcomes with a biological solutions, while the HRQoL after aortic root surgery is limited and contradictory. This review illustrates that treatment for non-elderly aortic valve and aortic root disease patients needs to be tailored to the individual patient, considering both clinical and HRQoL outcomes as crucial factors to reach a treatment decision that best reflects the patient's values and goals in life.

show abstract

Section: Health Related Quality Of Life Outcomesmentioning

confidence: 99%

Clinical and quality of life outcomes after aortic valve replacement and aortic root surgery in adult patients <65 years old

Gökalp

Heer

Etnel

et al. 2019

Ann. Cardiothorac. Surg.

Self Cite

View full text Add to dashboard Cite

show abstract

“…For patients, postoperative recovery should be a return to a normal level of quality of life, that is, to the patient's baseline level before surgery or to a level consistent with social norms, a process that may take weeks or months ( 24 ). HRQoL is one of the self-evaluation indexes of patients, which can directly reflect the postoperative rehabilitation quality of patients ( 25 , 26 ). This paper uses EQ-5D scale as the evaluation index of HRQoL.…”

Section: Discussionmentioning

confidence: 99%

Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor

Li²,

Tang³

et al. 2023

Front. Surg.

View full text Add to dashboard Cite

ObjectiveThe relationship between acute postoperative pain (APSP) and health-related quality of life (HRQoL) in patients with uterine malignant tumor after operation was evaluated with self-rating scales, and the influencing factors of postoperative rehabilitation were screened.MethodsA total of 102 patients undergoing elective surgery for Gynecology in the First Affiliated Hospital of Guangxi Medical University were included in this study. PCS, SAS, NRS and EQ-5D scales were evaluated 1 day before surgery, and NRS and EQ-5D scales were evaluated 1,3,7,14, and 30 days after surgery. In addition, the general and perioperative information of patients was collected from the medical record system of the hospital.ResultsFrom the 1st to the 30th day after operation, the NRS and EQ-5D-5L scores of patients decreased gradually, and EQ-VAS scores increased gradually. NRS score was correlated with EQ-5D score (P < 0.01). Postoperative hospital stay, Education level, PCS score and NRS score (Overall state and Active state) were the principal influencing factors of EQ-5D score (P < 0.05). Patients in the pain group had a later time to get out of bed and eat, a higher incidence of postoperative complications, and a longer postoperative hospital stay (P < 0.05). Endoscopic surgery can reduce postoperative pain and promote postoperative rehabilitation (χ2 = 37.631, P < 0.001).ConclusionsThe postoperative rehabilitation of patients in the pain group was poor. Minimally invasive surgery can reduce postoperative pain and promote postoperative rehabilitation. EQ-5D score can be used as a subjective index to evaluate postoperative rehabilitation.Trial RegistrationChinese Clinical Trial Registry (identifier: ChiCTR2000032759).

show abstract

“…Finally, with improved outcomes in cardiac surgery and an ageing population, the containment of costs is becoming increasingly important. 21 When balancing risks, benefits and costs of treatment options the consideration of health-related quality of life outcomes is essential to be able to calculate quality adjusted life years. This information in turn can be utilized to calculate the incremental cost-effectiveness ratio and assess whether a particular intervention or protocol is worth the investment.…”

Section: Figurementioning

confidence: 99%

Computed tomography follow-up after elective proximal aortic surgery: Less is more?

Marreiros

Tomšič

Brakel

et al. 2022

American Heart Journal

View full text Add to dashboard Cite

Measuring what matters to the patient: health related quality of life after aortic valve and thoracic aortic surgery

Abstract: it can proceed to effectively fill in these knowledge gaps, and use this newfound knowledge to improve shared treatment decision making, patient outcomes, and ultimately optimize health care efficiency.

Cited by 20 publications

References 37 publications

Clinical and quality of life outcomes after aortic valve replacement and aortic root surgery in adult patients <65 years old

Clinical and quality of life outcomes after aortic valve replacement and aortic root surgery in adult patients <65 years old

Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor

Computed tomography follow-up after elective proximal aortic surgery: Less is more?

Contact Info

Product

Resources

About