Evidence mapPaperPMID 32873336Full record

Observational studyJournal of cardiothoracic surgery2020

Determinants of non-recovery in physical health-related quality of life one year after cardiac surgery: a prospective single Centre observational study.

Hilda Rijnhart-de Jong, Jo Haenen, Goris Bol Raap, Lilian Jekel, Tessel Vossenberg, Olga Bondarenko, Christiaan Boerma

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of cardiothoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Risk Factors for Nonresilient Outcomes in Older Adults After Total Knee Replacement.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Hilda Rijnhart-de JongHart- en Vaatcentrum, Leeuwarden Medical Centre, Henri Dunantweg 2, 8934, AD, Leeuwarden, The Netherlands. Hilda.Jong@ZNB.nl.
Jo HaenenHart- en Vaatcentrum, Leeuwarden Medical Centre, Henri Dunantweg 2, 8934, AD, Leeuwarden, The Netherlands.
Goris Bol RaapHart- en Vaatcentrum, Leeuwarden Medical Centre, Henri Dunantweg 2, 8934, AD, Leeuwarden, The Netherlands.
Lilian JekelHart- en Vaatcentrum, Leeuwarden Medical Centre, Henri Dunantweg 2, 8934, AD, Leeuwarden, The Netherlands.
Tessel VossenbergHart- en Vaatcentrum, Leeuwarden Medical Centre, Henri Dunantweg 2, 8934, AD, Leeuwarden, The Netherlands.
Olga BondarenkoHart- en Vaatcentrum, Leeuwarden Medical Centre, Henri Dunantweg 2, 8934, AD, Leeuwarden, The Netherlands.
Christiaan BoermaDepartments of Intensive Care, Leeuwarden Medical Centre, Henri Dunantweg 2, 8934, AD, Leeuwarden, The Netherlands.
Medisch Centrum Leeuwarden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies show that substantial percentage of patients experienced worsening of health related quality of life (HRQoL) 1 year after cardiac surgery. The aim of this study is to identify risk factors that interfere with improvement of HRQoL.

methodsFrom December 2015 till July 2017 a prospective single centre observational study was carried out in 1920 patients participated who underwent non-salvage cardiac surgery. All patients were requested to complete a Short Form 36 (SF-36) questionnaire before and 1 year after surgery. Primary aim of the study was to identify risk factors for non-recovery in the physical domain of the SF-36 in all cardiac surgery patients. Secondary aim was to identify identical risk factors in patients with isolated coronary artery bypass grafting.

resultsAfter cardiac surgery, the questionnaires for physical and mental health were completed by respectively 803 and 807 patients. Median age was 69[62-75] years, and 77% was male. In comparison to the preoperative status, 176 patients (21.9%) did not display an improvement in the SF-36 physical domain score 1 year after cardiac surgery. In a multivariate analysis independent risk factors for non-recovery in the SF-36 physical domain were baseline SF36 physical domain score (OR 0.954[0.942-0.965], P < 0.001), diabetes (OR 0.437 [0.265-0.720], P 0.001), female sex (OR 0.492 [0.307-0.789], P 0.003), post-operative infection (OR 0.240 [0.109-0.525], P < 0.001) and PCI within 1 year (OR 0.113 [0.036-0.349], P < 0.001) For isolated CABG, 23.2% of patients did not display an improvement in the physical domain score and risk factors appeared to be identical.

conclusionsTwenty two percent of all cardiac surgery patients did not show an improvement in the physical domain score of the HRQoL between the preoperative period and 1 year after surgery. Independent risk factors for non-recovery after cardiac surgery were baseline SF-36 physical domain score, diabetes, female sex, any postoperative infection and the need for PCI in the first year. Further research is needed to tailor the patient selection procedure prior to surgery and potentially modify risk factors in the perioperative process.

trial registrationDue to type of study not applicable. https://www.ccmo.nl/metcs/erkende-metcs/regionale-toetsingscommissie-patientgebonden-onderzoek .

Indexed as

Cardiac Surgical ProceduresQuality of LifeAgedCoronary Artery BypassDiabetes ComplicationsFemaleHealth StatusHumansInfectionsMaleMiddle AgedPercutaneous Coronary InterventionPhysical Functional PerformancePostoperative ComplicationsPostoperative PeriodPreoperative PeriodCABGCardiac surgeryHealth-related quality of lifePredictorsSF-36

Identifiers

PMID32873336
PMCPMC7466488
OpenAlexW3082887322

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.