Assessment of Health-Related Quality of Life after Coronary Revascularization

Authors

  • Nikolaos Bonaros
  • Thomas Schachner
  • Armin Öhlinger
  • Guy Friedrich
  • Günther Laufer
  • Johannes Bonatti

DOI:

https://doi.org/10.1532/HSF98.20051139

Abstract

The use of patient-oriented outcomes, in particular health-related quality if life (HRQOL), to evaluate coronary revascularization is continuously increasing. Current data underline that patients undergoing conventional CABG show a tremendous improvement of HRQOL status as early as 3 months postoperatively. There seems to be no clear benefit concerning HRQOL for off-pump coronary surgery versus conventional CABG. The benefits of minimal invasive CABG via mini-thoracotomy are compromised by increased incidence of pain during the immediate postoperative period. Totally endoscopic approaches seem to be more effective with regard to pain reduction and resume of every day activities. Compared to catheter-based interventions there is evidence that conventional CABG offers significant advantages over PCI. The influence of drug-eluting stents and newer surgical techniques on HRQOL remains to be determined. Inclusion of HRQOL data in CABG and PCI databases can play a central role in order to identify patient groups who benefit the most from each revascularization strategy.

References

Weintraub WS, Mauldin PD, Becker F, Kosinski AS, King SB. 1995. A comparison of the costs and quality of life after coronary angioplasty or coronary surgery for multivessel coronary artery disease: results from the Emory angioplasty versus surgical trial (EAST). Circulation 92:2831-40.nLegrand VM, Serruys PW, Unger F, et al. for the Revascularization Therapy Study (ARTS) Investigators. 2004. Three-year outcome after coronary stenting versus bypass surgery for the treatment of multivessel disease. Circulation 109(9):1114-20.nMorgan JA, Peacock JC, Kohmoto T, et al. 2004. Robotic techniques improve quality of life in patients undergoing atrial septal defect repair. Ann Thorac Surg 77:1328-33.nNewman MF, Kirchner JL, Phillips-Bute B, et al. 2001. Longitudinal assessment of neurocognitive function after coronary artery bypass surgery. N Engl J Med 344:395-402.nZhang Z, Mahoney EM, Stables RH, et al. Disease-specific health status after stent-assisted percutaneous coronary intervention and coronary artery bypass surgery. Circulation 108:1694-700.nRumsfeld JS, McWhinney S, Mcarthy M, et al. 1999. Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the Department of Veterans Affairs Cooperative Study Group on Processes, Structures, and Outcomes of Care in Cardiac Surgery. JAMA 281(14):1298-303.nJärvinen O, Saarinen T, Julkunen J, Laurikka J, Huhtala H, Tarkka MR. 2004. Improved health-related quality of life after coronary artery bypass grafting is unrelated to the use of cardiopulmonary bypass. World J Surg 28:1030-5.nGrossi EA, Zakow PK, Ribakove G, et al. 1999. Comparison of postoperative pain, stress response, and quality of life in port access vs. standard sternotomy coronary bypass patients. Eur J Cardiothor Surg 16 (Suppl 2): S39-42.nHerlitz J, Bandrup-Wognsen G, Caidahl K, et al. 2003. Improvement and factors associated with improvement in quality of life during 10 years after coronary artery bypass grafting. Coron Art Dis 14:509-17.nPuskas JD, Williams WH, Mahoney EM, et al. 2004. Off-pump versus conventional coronary artery bypass grafting: early and 1-year graft patency, cost and quality of life outcomes: a randomized trial. JAMA 291(15):1841-50.nWriting group for the bypass angioplasty revascularization investigation >(BARI) investigators. 1997. Five-year clinical and functional outcome comparing bypass surgery and angioplasty in patients with multivessel coronary disease: a multicenter randomized trial. JAMA 277:715-21.nOtt H, Bonatti J, Mueller L, Chevtchik O, Riha M, Lauffer G. Robotically Enhanced Cardiac Surgery. Eur Surg. 2002;34:183-189.nConacher ID, Doig JC, Rivas L, Pridie AK. 1993. Intercostal neuralgia associated with internal mammary artery grafting. Anesthesia 48:1070-1.nSjöland H, Caidahl K, Wiklund I, et al. 1997. Impact of coronary artery bypass grafting on various aspects of quality of life. Eur J Cardiothorac Surg 12:612-9.nTaggart DP, Browne SM, Halligan PW, et al. 1999. Is cardiopulmonary bypass still the cause of cognitive dysfunction after cardiac operations? J Thorac Cardiovasc Surg 118:414-21.nWährborg P, on behalf of the CABRI Trialists. 1999. Quality of life after coronary angioplasty or bypass surgery. 1-year follow-up in the coronary angioplasty versus bypass revascularization investigation (CABRI) Trial. Eur Heart J 20:653-8.nSmith HJ, Taylor R, Mitchell A. 2000. A comparison of four quality of life instruments in cardiac patients: SF-36, QLI, QLMI, and SEIQoL. Heart 84:390-4.nSpeigelhalter D, Gore S, Jones D, et al. 1992. Quality of life measures in health care. II: Resource allocation. BMJ 305:1205-9.nWalther T, Falk V, Metz S, et al. 1999. Pain and quality of life after minimally invasive versus conventional cardiac surgery. Ann Thorac Surg 67:1643-7.nYun KL, Sintek CF, Fletcher AD, et al. 1999. Time related quality of life after elective cardiac operation. Ann Thorac Surg 68(4):1314-20.nSchachner T, Bonaros N, Laufer G, Bonatti J. 2004. The ESTECH remote access perfusion cannula in minimal invasive cardiac surgery. Heart Surg Forum 7(6):632-5.nBonatti J, Schachner T, Bernecker O, et al. 2004. Robotic totally endoscopic coronary artery bypass: program development and learning curve issues. J Thor Cardiovasc Surg 127(2):504-10.nBiglioli P, Antona C, Alamanni F, et al. 2000. Minimally invasive direct coronary artery bypass grafting: midterm results and quality of life. Ann Thorac Surg 70:456-60.nBonaros N, Schachner T, Oehlinger A, et al. 2004. 7th Annual Meeting of the International Society of Minimal Invasive Cardiothoracic Surgery, London, June 23rd-26th 2004 (abstract).nBonatti J, Schachner T, Bonaros N, et al. Robotic suturing of coronary artery bypass grafts through sternotomy - an important step towards totally endoscopic procedures. Heart Surg Forum, in press.nSpertus JA, Nerella R, Kettlekamp R, et al. 2005. Risk of restenosis and health status outcomes for patients undergoing percutaneous coronary intervention versus coronary artery bypass graft surgery. Circulation 111:768-73.nDefalque RJ, Bromley JJ. 1989. Post-sternotomy neuralgia: a new pain syndrome. Anesth Analg 69:81-2.nDolan P. 1997. Modeling valuations for Euro Qol health states. Med Care 35:1095-108.nEisenberg E, Pultorak Y, Pud D, Bar-El Y. 2001. Prevalence and characteristics of post coronary artery bypass graft surgery pain (PCP). Pain 92:11-7.nGrichnik KP, Ijsselmuiden AJ, D'Amico TA, et al. 1999. Cognitive decline after major non cardiac operations: a preliminary prospective study. Ann Thorac Surg 68:1786-91.nJärvinen O, Saarinen T, Juhani Julkunen, Huhtala H, Tarkka MR. 2003. Changes in health-related quality of life and functional capacity following coronary artery bypass graft surgery. Eur J Cardiothor Surg 24:750-6.nEagle KA, Guyton RA, Davidoff R, et al. 2004. ACC/AHA 2004 guide line update for coronary artery bypass graft surgery: Summary article: A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee to update the 1999 guidelines for coronary artery bypass graft surgery). Circulation 110: 1168-76.nEdgerton JR, Dewey TM, Magee MJ, et al. 2003. Conversion in off-pump coronary artery bypass grafting: an analysis of predictors and out

Published

2005-09-19

How to Cite

Bonaros, N., Schachner, T., Öhlinger, A., Friedrich, G., Laufer, G., & Bonatti, J. (2005). Assessment of Health-Related Quality of Life after Coronary Revascularization. The Heart Surgery Forum, 8(5), E380-E385. https://doi.org/10.1532/HSF98.20051139

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