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Quality of life before and after heart valve surgery is influenced by gender and type of valve

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Abstract

Background: Quality of life (QoL) in valvular surgery may differ according to the underlying pathology and surgical technique used. Method: 82 adults undergoing their first elective surgery for valve repair (VP; n=9) or valve replacement (VR) with a mechanical valve (MVR; n=57) or bioprosthesis (BVR; n=16) were assessed before surgery and three months afterwards. Dependent variables: Δ scores (postoperative – preoperative) on QoL measures (Quality of Life Systemic Inventory (QLSI) and SF-36). Analyses: Paired t tests and ANCOVAs with age and preoperative QoL scores as covariates. Results: QoL improves after surgery according to most subscales. According to group comparisons, patients with an MVR improve more than those with a BVR on the mental health subscale. In physical roles, patients with an MVR improve while those with a BVR deteriorate. In emotional roles, patients with a VR improve while those with a VP deteriorate. However, they are similar on all other subscales. Women improve more than men on leisure, affectivity and social functioning while the opposite holds true for mental health. Conclusion: QoL improves after surgery. However, significant differences between groups are small because of a lack of statistical power.

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Abbreviations

ANCOVA:

analysis of covariance

BVR:

bioprosthesis

CABG:

coronary artery bypass graft

MVR:

mechanical valve replacement

QLSI:

Quality of Life Systemic Inventory

QoL:

quality of life

SF-36:

Medical Outcome Study Short-Form 36

VP:

valve repair

VR:

valve replacement

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Author information

Authors and Affiliations

  1. Department of Psychology (currently Department of Anesthesiology, Montreal Heart Institute, Canada

    Marie-Christine Taillefer

  2. Department of Psychology, Department of Psychosomatic Medicine, Montreal Heart Institute, 5000 Belanger Street, Montreal, Quebec, H1T 1C8, Canada

    Gilles Dupuis

  3. Faculty of Medicine, Department of Anesthesiology, Université de Montréal, Canada

    Jean-François Hardy

  4. Faculty of Nursing, Université de Montréal, Quebec, Canada

    Sylvie LeMay

Authors
  1. Marie-Christine Taillefer
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  2. Gilles Dupuis
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  3. Jean-François Hardy
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  4. Sylvie LeMay
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Correspondence to Gilles Dupuis.

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Taillefer, MC., Dupuis, G., Hardy, JF. et al. Quality of life before and after heart valve surgery is influenced by gender and type of valve. Qual Life Res 14, 769–778 (2005). https://doi.org/10.1007/s11136-004-1667-0

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  • DOI: https://doi.org/10.1007/s11136-004-1667-0

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