Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter Study
In view of the increasing age of cardiac surgery patients, questions arise about the expected postoperative quality of life and the hoped-for prolonged life expectancy. Little is known so far about how these, respectively, are weighted by the patients concerned. This study aims to obtain information...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/24/7596 |
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| author | Britt Hofmann Epp Rae Ulrike Puvogel Mihaela Spatarelu Salah A. Mohamed Almoan Bungaran Sebastian Arzt Magdalena L. Laux Klaus Matschke Richard Feyrer Hans-Hinrich Sievers Ivar Friedrich Bernd Niemann Rolf-Edgar Silber Andreas Wienke Andreas Simm |
| author_facet | Britt Hofmann Epp Rae Ulrike Puvogel Mihaela Spatarelu Salah A. Mohamed Almoan Bungaran Sebastian Arzt Magdalena L. Laux Klaus Matschke Richard Feyrer Hans-Hinrich Sievers Ivar Friedrich Bernd Niemann Rolf-Edgar Silber Andreas Wienke Andreas Simm |
| author_sort | Britt Hofmann |
| collection | DOAJ |
| description | In view of the increasing age of cardiac surgery patients, questions arise about the expected postoperative quality of life and the hoped-for prolonged life expectancy. Little is known so far about how these, respectively, are weighted by the patients concerned. This study aims to obtain information on the patients’ preferences. Between 2015 and 2017, data were analyzed from 1349 consecutive patients undergoing cardiac surgery at seven heart centers in Germany. Baseline data regarding the patient’s situation as well as a questionnaire regarding quality of life versus lifespan were taken preoperatively. Patients were divided by age into four groups: below 60, 60–70, 70–80, and above 80 years. As a result, when asked to decide between quality of life and length of life, about 60% of the male patients opted for quality of life, independent of their age. On the other hand, female patients’ preference for quality of life increased significantly with age, from 51% in the group below sixty to 76% in the group above eighty years. This finding suggests that female patients adapt their preferences with age, whereas male patients do not. This should impact further the treatment decisions of elderly patients in cardiac surgery within a shared decision-making process. |
| first_indexed | 2024-03-08T20:38:33Z |
| format | Article |
| id | doaj.art-1b294fcd2702492dbea0268b763d8f10 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T20:38:33Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-1b294fcd2702492dbea0268b763d8f102023-12-22T14:17:07ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224759610.3390/jcm12247596Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter StudyBritt Hofmann0Epp Rae1Ulrike Puvogel2Mihaela Spatarelu3Salah A. Mohamed4Almoan Bungaran5Sebastian Arzt6Magdalena L. Laux7Klaus Matschke8Richard Feyrer9Hans-Hinrich Sievers10Ivar Friedrich11Bernd Niemann12Rolf-Edgar Silber13Andreas Wienke14Andreas Simm15Department of Cardiac Surgery, Mid-German Heart Center, University Hospital Halle (Saale), 06120 Halle (Saale), GermanyDepartment of Cardiac Surgery, Mid-German Heart Center, University Hospital Halle (Saale), 06120 Halle (Saale), GermanyDepartment of Cardiac and Vascular Surgery, 35392 Gießen, GermanyDepartment of Cardiac Surgery, 54292 Trier, GermanyDepartment of Cardiac and Thoracic Surgery, 23538 Lübeck, GermanyDepartment of Cardiac Surgery, 91054 Erlangen, GermanyDepartment of Cardiac Surgery, 01307 Dresden, GermanyDepartment of Cardiovascular Surgery, Heart Center Brandenburg, University Hospital Brandenburg Medical School, Faculty of Health Sciences Brandenburg, 16321 Bernau, GermanyDepartment of Cardiac Surgery, 01307 Dresden, GermanyDepartment of Cardiac Surgery, 91054 Erlangen, GermanyDepartment of Cardiac and Thoracic Surgery, 23538 Lübeck, GermanyDepartment of Cardiac Surgery, 54292 Trier, GermanyDepartment of Cardiac and Vascular Surgery, 35392 Gießen, GermanyDepartment of Cardiac Surgery, Mid-German Heart Center, University Hospital Halle (Saale), 06120 Halle (Saale), GermanyInstitute of Medical Epidemiology, Biostatistics, and Informatics, Medical Faculty, Martin-Luther-University Halle-Wittenberg, 06112 Halle (Saale), GermanyDepartment of Cardiac Surgery, Mid-German Heart Center, University Hospital Halle (Saale), 06120 Halle (Saale), GermanyIn view of the increasing age of cardiac surgery patients, questions arise about the expected postoperative quality of life and the hoped-for prolonged life expectancy. Little is known so far about how these, respectively, are weighted by the patients concerned. This study aims to obtain information on the patients’ preferences. Between 2015 and 2017, data were analyzed from 1349 consecutive patients undergoing cardiac surgery at seven heart centers in Germany. Baseline data regarding the patient’s situation as well as a questionnaire regarding quality of life versus lifespan were taken preoperatively. Patients were divided by age into four groups: below 60, 60–70, 70–80, and above 80 years. As a result, when asked to decide between quality of life and length of life, about 60% of the male patients opted for quality of life, independent of their age. On the other hand, female patients’ preference for quality of life increased significantly with age, from 51% in the group below sixty to 76% in the group above eighty years. This finding suggests that female patients adapt their preferences with age, whereas male patients do not. This should impact further the treatment decisions of elderly patients in cardiac surgery within a shared decision-making process.https://www.mdpi.com/2077-0383/12/24/7596patient’s preferencesquality of lifelifespangender |
| spellingShingle | Britt Hofmann Epp Rae Ulrike Puvogel Mihaela Spatarelu Salah A. Mohamed Almoan Bungaran Sebastian Arzt Magdalena L. Laux Klaus Matschke Richard Feyrer Hans-Hinrich Sievers Ivar Friedrich Bernd Niemann Rolf-Edgar Silber Andreas Wienke Andreas Simm Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter Study Journal of Clinical Medicine patient’s preferences quality of life lifespan gender |
| title | Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter Study |
| title_full | Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter Study |
| title_fullStr | Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter Study |
| title_full_unstemmed | Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter Study |
| title_short | Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter Study |
| title_sort | living longer or better patient s choice in cardiac surgery is gender dependent a multicenter study |
| topic | patient’s preferences quality of life lifespan gender |
| url | https://www.mdpi.com/2077-0383/12/24/7596 |
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