Subjective reports of cognition in relation to assessed cognitive performance following coronary artery bypass surgery

Newman, Stanton; Klinger, L; Venn, G E; Smith, Peter; Harrison, Michael J.; Treasure, Tom

doi:10.1016/0022-3999(89)90050-0

Cited by 97 publications

(60 citation statements)

References 7 publications

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“…However, the correlation between objectively measured cognitive function and perceived cognitive function is weak [28]. It has been proposed that perceived cognitive function should be related to emotional factors [26,28]. This is at least in this cohort not true.…”

Section: Discussionmentioning

confidence: 98%

“…Furthermore, a decreased cognitive function has been recognized to be a major although probably partly reversible sequel after, e.g., CABG. This might, however, not be true if subjective cognitive function is assessed [26,27]. The reason for this discrepancy between objective and subjective measurements might be that the objective neuropsychological tests are too insensitive to measure small but to the individual very significant cognitive declines [28].…”

Section: Discussionmentioning

confidence: 99%

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Perceived cognitive function is a major determinant of health related quality of life in a non-selected population of patients with coronary artery disease ? a principal components analysis

Kiessling

Henriksson

2004

Qual Life Res

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Perceived cognitive function is a major determinant of health related quality of life in a non-selected population of patients with coronary artery disease ? a principal components analysis

Kiessling

Henriksson

2004

Qual Life Res

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“…Having a patient function as their own immediate preoperative control for each perioperative experience also minimizes subjective bias resulting from response shift, 60 an assumed equal difference of ordinal scales, and perioperative subjective impairment. 38,54,61,62 Essential components for the future of quality of recovery…”

Section: The Importance Of Patients Functioning As Their Own Preoperamentioning

confidence: 99%

The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

Bowyer

Royse

2015

Can J Anesth/J Can Anesth

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Quality of recovery is a complex construct whose definition is influenced heavily by the opinions and biases of the individual patient, clinician, or institution. As a result, recovery assessment tools differ in their fundamental definitions of recovery, breadth, and assessment time frame. Accurate assessment of recovery is essential as suboptimal recovery has both economic and prognostic implications. Quality of care is often substituted as a surrogate at the institutional level for quality of recovery, but it is ideologically distinct from patients' perceived quality of care, recovery, and satisfaction. Recovery tools also differ in their assessment of recovery as a continuous vs dichotomous variable and in their focus at the group vs individual level. Ideally, recovery measures should assess outcomes in a simple dichotomous fashion and maintain relevancy by assessing in multiple domains at various time points. Assessment of recovery in a dichotomous fashion also has both clinical and research applications. It allows identification of suboptimal recovery at both individual and group levels, respectively, and when performed in real time, it allows the opportunity for timely targeted intervention specific to individual patients as well as for resource rationalization.Résumé La qualité de récupération est un construit complexe dont la définition est fortement influencée par les opinions et les biais du patient, du clinicien, voire de l'établissement. Dès lors, les outils d'évaluation de la récupération diffèrent de par la définition-même de la récupération, leur envergure, et le cadre temporel de l'évaluation. Une évaluation précise de la récupération est essentielle; en effet, une récupération sous-optimale a des implications tant économiques que pronostiques. Au niveau institutionnel, on utilise souvent la qualité des soins comme substitut de la qualité de récupération mais, d'un point de vue idéologique, ce concept se distingue de la qualité des soins, de la récupération et de la satisfaction telles que perçues par les patients. Les outils de récupération diffèrent également dans leur évaluation de la récupération en tant que variable continue ou dichotomique et dans leur emphase sur le groupe ou l'individu. Dans l'idéal, les mesures de la récupération devraient évaluer les pronostics de manière dichotomique simple et maintenir leur pertinence en évaluant plusieurs domaines à différents moments dans le temps. L'évaluation dichotomique de la récupération a également des applications cliniques et en recherche. Elle permet d'identifier une récupération sous-optimale tant au niveau du groupe que de l'individu. D'autre part, lorsque ce type d'évaluation est réalisé en temps réel, elle nous donne la possibilité d'intervenir d'une manière ciblée et opportune spécifique à chaque patient tout en rationnalisant les ressources.Author contributions Andrea Bowyer and Colin Royse contributed substantially to the conception and design of the manuscript and drafted the version to be published.

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“…Furthermore, the sensitivity of objectively measured cognitive function seems to be rather low for assessing cognitive declines that may be small but, nonetheless, significant to the individual [20]. Some experts have proposed that perceived cognitive function should be related to emotional factors [20,21], but at least in our cohort, this is not true. In addition, a reduced perceived cognitive function has been shown to predict ill-health -assessed as a reduced capability to work -in other patient groups [13,15].…”

Section: Discussionmentioning

confidence: 68%

Perceived cognitive function in coronary artery disease – An unrecognised predictor of unemployment

Kiessling

Henriksson

2005

Qual Life Res

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Subjective reports of cognition in relation to assessed cognitive performance following coronary artery bypass surgery

Cited by 97 publications

References 7 publications

Perceived cognitive function is a major determinant of health related quality of life in a non-selected population of patients with coronary artery disease ? a principal components analysis

Perceived cognitive function is a major determinant of health related quality of life in a non-selected population of patients with coronary artery disease ? a principal components analysis

The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

Perceived cognitive function in coronary artery disease – An unrecognised predictor of unemployment

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