Journal Article

Quality of life and prosthetic aortic valve selection in non-elderly adult patients

Nelleke M. Korteland, Derya Top, Gerard J.J.M. Borsboom, Jolien W. Roos-Hesselink, Ad J.J.C. Bogers and Johanna J.M. Takkenberg

in Interactive CardioVascular and Thoracic Surgery

Volume 22, issue 6, pages 723-728
Published in print June 2016 | ISSN: 1569-9293
Published online February 2016 | e-ISSN: 1569-9285 | DOI: https://dx.doi.org/10.1093/icvts/ivw021
Quality of life and prosthetic aortic valve selection in non-elderly adult patients

More Like This

Show all results sharing these subjects:

  • Cardiovascular Medicine
  • Research Methods in Life Sciences

GO

Show Summary Details

Preview

OBJECTIVES

This study assesses quality of life in relation to prosthetic aortic valve selection and preferences for shared decision-making among non-elderly adult patients after aortic valve replacement (AVR).

METHODS

A single-centre consecutive cohort of 497 AVR patients who underwent AVR between the age of 18 and 60 years was cross-sectionally surveyed 1–10 years after AVR. Health-related quality of life (Short-Form Health Survey, SF-36), valve-specific quality of life, patient experience with and preferences for involvement and final decision in prosthetic valve selection were investigated.

RESULTS

Two-hundred and forty patients (48%) responded. The median age was 57 years (range 26–70). Compared with the general age-matched Dutch population, AVR patients reported worse physical health, but better mental health. Biological valve recipients reported lower general health than mechanical valve recipients. Mechanical valve recipients had more doubts about the decision to undergo surgery, were more bothered by valve sound, the frequency of doctor visits and blood tests, and possible bleeding, but were less afraid of a possible reoperation. Eighty-nine percent were of the opinion that it is important to be involved in prosthetic valve selection, whereas 64% agreed that they actually had been involved. A better patient experience with involvement in prosthetic valve selection was associated with better mental health (P = 0.036).

CONCLUSIONS

Given the observed suboptimal patient involvement in prosthetic valve selection, the broad patient support for shared decision-making, and the positive association between patient involvement in prosthetic valve selection and mental health, tools to support shared decision-making would be useful in the setting of heart valve replacement.

Keywords: Quality of life; Aortic valve replacement; Shared decision-making

Journal Article.  4483 words.  Illustrated.

Subjects: Cardiovascular Medicine ; Research Methods in Life Sciences

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content. subscribe or login to access all content.