TCT-263 Quality of Life Outcomes in Transcatheter Aortic Valve Replacement Patients Requiring Pacemaker Implantation

Bhardwaj, Aishwarya; Ramanan, Tharmathai; Sawant, Abhishek C.; Pham, Michael; Sinibaldi, Everett; Hansen, Rosemary T. Behmer; Baldo, Shannon; Colern, Gerald; Beck, Hiroko; Iyer, Vijay

doi:10.1016/j.jacc.2017.09.339

Cited by 1 publication

(2 citation statements)

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“…The Kansas City Cardiomyopathy Questionnaire was used in 31 studies; all 29 American studies 55–82 used KCCQ, as well as 1 Australian 87 and 1 Polish study 48 . Of the 31 studies that used KCCQ, 21 used KCCQ in isolation.…”

Section: Resultsmentioning

confidence: 99%

“…65,71 Most authors did not provide a clear description of how they measured improvement. Some authors provided clear definitions of a poor outcome; for example, Bhardwaj et al 55 provided their cutoff points, but most authors did not. The Kansas City Cardiomyopathy Questionnaire does not have a standard range of improvement scores, nor do the original authors of the instrument provide improvement reference numbers.…”

Section: Quality Of Life Assessmentsmentioning

confidence: 99%

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Is Transcatheter Aortic Valve Implantation Effective in Improving Quality of Life?

et al. 2023

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Background: Aortic stenosis (AS) without surgical intervention is associated with morbidity and mortality and is the most common valvular disease in the western world. Transcatheter aortic valve implantation (TAVI) is a minimally invasive surgical option that has become a common treatment for people unable to undergo open aortic valve replacement; despite the increase in TAVI offerings in the last decade, patient quality of life (QoL) outcomes postoperatively are poorly understood. Objective: The aim of this review was to determine whether TAVI is effective in improving QoL. Method: A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted, and the protocol was registered on PROSPERO (CRD42019122753). MEDLINE, CINAHL, EMBASE, and PsycINFO were searched for studies published between 2008 and 2021. Search terms included "transcatheter aortic valve replacement" and "quality of life" and their synonyms. Included studies were evaluated, dependent on study design, using either the Risk of Bias-2 or the Newcastle-Ottawa Scale. Seventy studies were included in the review. Results: Authors of the studies used a wide variety of QoL assessment instruments and follow-up durations; authors of most studies identified an improvement in QoL, and a small number identified a decline in QoL or no change from baseline. Conclusion: Although authors of the vast majority of studies identified an improvement in QoL, there was very little consistency in instrument choice or follow-up duration; this made analysis and comparison difficult. A consistent approach to measuring QoL for patients who undergo TAVI is needed to enable comparison of outcomes. A richer, more nuanced understanding of QoL outcomes after TAVI could help clinicians support patient decision making and evaluate outcomes.

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Section: Resultsmentioning

confidence: 99%