Quality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study

Abstract Background Clinical, surgical, and percutaneous strategies similarly prevent major cardiovascular events in patients with stable coronary artery disease (CAD). The possibility that these strategies have differential effects on health-related quality of life (HRQoL) has been debated, particu...

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Autores principales:	Lucas Molinari Veloso da Silveira, Adriana Silveira Almeida, Felipe C. Fuchs, Aline Gonçalves Silva, Marcelo Balbinot Lucca, Samuel Scopel, Sandra C. Fuchs, Flávio D. Fuchs
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Cardiac surgery Percutaneous coronary intervention Stable coronary artery disease Quality of life Cohort study Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/6597bf8f852d469698e67a2cb2c88b93
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spelling	oai:doaj.org-article:6597bf8f852d469698e67a2cb2c88b932021-11-28T12:25:22ZQuality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study10.1186/s12955-021-01886-71477-7525https://doaj.org/article/6597bf8f852d469698e67a2cb2c88b932021-11-01T00:00:00Zhttps://doi.org/10.1186/s12955-021-01886-7https://doaj.org/toc/1477-7525Abstract Background Clinical, surgical, and percutaneous strategies similarly prevent major cardiovascular events in patients with stable coronary artery disease (CAD). The possibility that these strategies have differential effects on health-related quality of life (HRQoL) has been debated, particularly in patients treated outside clinical trials. Methods We assigned 454 patients diagnosed with CAD during an elective diagnostic coronary angiography to coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), or optimal medical treatment (OMT), and followed them for an average of 5.2 ± 1.5 years. HRQoL was assessed using a validated Brazilian version of the 12-Item Short-Form Health Survey questionnaire. The association between therapeutic strategies and quality of life scores was tested using variance analysis and adjusted for confounders in a general linear model. Results There were no differences in the mental component summary scores in the follow-up evaluation by therapeutic strategies: 51.4, 53.7, and 52.3 for OMT, PCI, and CABG, respectively. Physical component summary scores were higher in the PCI group than the CABG and OMT groups (46.4 vs. 42.9 and 43.8, respectively); however, these differences were no longer different after adjustment for confounding variables. Conclusion In a long-term follow-up of patients with stable CAD, HRQoL did not differ in patients treated by medical, percutaneous, or surgical treatments.Lucas Molinari Veloso da SilveiraAdriana Silveira AlmeidaFelipe C. FuchsAline Gonçalves SilvaMarcelo Balbinot LuccaSamuel ScopelSandra C. FuchsFlávio D. FuchsBMCarticleCardiac surgeryPercutaneous coronary interventionStable coronary artery diseaseQuality of lifeCohort studyComputer applications to medicine. Medical informaticsR858-859.7ENHealth and Quality of Life Outcomes, Vol 19, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cardiac surgery Percutaneous coronary intervention Stable coronary artery disease Quality of life Cohort study Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Cardiac surgery Percutaneous coronary intervention Stable coronary artery disease Quality of life Cohort study Computer applications to medicine. Medical informatics R858-859.7 Lucas Molinari Veloso da Silveira Adriana Silveira Almeida Felipe C. Fuchs Aline Gonçalves Silva Marcelo Balbinot Lucca Samuel Scopel Sandra C. Fuchs Flávio D. Fuchs Quality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study
description	Abstract Background Clinical, surgical, and percutaneous strategies similarly prevent major cardiovascular events in patients with stable coronary artery disease (CAD). The possibility that these strategies have differential effects on health-related quality of life (HRQoL) has been debated, particularly in patients treated outside clinical trials. Methods We assigned 454 patients diagnosed with CAD during an elective diagnostic coronary angiography to coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), or optimal medical treatment (OMT), and followed them for an average of 5.2 ± 1.5 years. HRQoL was assessed using a validated Brazilian version of the 12-Item Short-Form Health Survey questionnaire. The association between therapeutic strategies and quality of life scores was tested using variance analysis and adjusted for confounders in a general linear model. Results There were no differences in the mental component summary scores in the follow-up evaluation by therapeutic strategies: 51.4, 53.7, and 52.3 for OMT, PCI, and CABG, respectively. Physical component summary scores were higher in the PCI group than the CABG and OMT groups (46.4 vs. 42.9 and 43.8, respectively); however, these differences were no longer different after adjustment for confounding variables. Conclusion In a long-term follow-up of patients with stable CAD, HRQoL did not differ in patients treated by medical, percutaneous, or surgical treatments.
format	article
author	Lucas Molinari Veloso da Silveira Adriana Silveira Almeida Felipe C. Fuchs Aline Gonçalves Silva Marcelo Balbinot Lucca Samuel Scopel Sandra C. Fuchs Flávio D. Fuchs
author_facet	Lucas Molinari Veloso da Silveira Adriana Silveira Almeida Felipe C. Fuchs Aline Gonçalves Silva Marcelo Balbinot Lucca Samuel Scopel Sandra C. Fuchs Flávio D. Fuchs
author_sort	Lucas Molinari Veloso da Silveira
title	Quality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study
title_short	Quality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study
title_full	Quality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study
title_fullStr	Quality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study
title_full_unstemmed	Quality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study
title_sort	quality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/6597bf8f852d469698e67a2cb2c88b93
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Quality of life in patients with stable coronary artery disease submitted to percutaneous, surgical, and medical therapies: a cohort study

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