Correlation of the disease-specific Canadian Cardiovascular Society (CCS) classification and health-related quality of life (15D) in coronary artery disease patients.
<h4>Background</h4>Generic health-related quality of life (HRQoL) and disease-specific instruments measure HRQoL from different aspects, although generic instruments often contain dimensions that reflect common symptoms. We evaluated how the change in 15D HRQoL and Canadian Cardiovascula...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0266101 |
| _version_ | 1811341825223426048 |
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| author | Jarno Kotajärvi Anna-Maija Tolppanen Juha Hartikainen Heikki Miettinen Marketta Viljakainen Janne Martikainen Risto P Roine Piia Lavikainen |
| author_facet | Jarno Kotajärvi Anna-Maija Tolppanen Juha Hartikainen Heikki Miettinen Marketta Viljakainen Janne Martikainen Risto P Roine Piia Lavikainen |
| author_sort | Jarno Kotajärvi |
| collection | DOAJ |
| description | <h4>Background</h4>Generic health-related quality of life (HRQoL) and disease-specific instruments measure HRQoL from different aspects, although generic instruments often contain dimensions that reflect common symptoms. We evaluated how the change in 15D HRQoL and Canadian Cardiovascular Society (CCS) grading of angina severity correlate among coronary artery disease patients during 12-month follow-up.<h4>Methods</h4>Altogether 1 271 patients scheduled for coronary angiography between June 2015 and February 2017 returned the 15D HRQoL and CCS questionnaires before angiography and after one-year follow-up as a part of routine clinical practice. Spearman correlations between one-year changes in the CCS and the 15D and its dimensions were evaluated. Changes in 15D were classified into 5 categories based on the reported minimal important difference (MID) for the instrument.<h4>Results</h4>Change in the CCS grade correlated moderately with the MID-based change in the 15D (r = 0.33, 95% confidence interval 0.27-0.39). Correlations between these instruments were similar in different age groups, between sexes and treatment modalities. Of the individual 15D dimensions, changes in breathing (r = 0.40) and vitality (r = 0.30) had the strongest correlations with CCS change.<h4>Conclusion</h4>The symptom-based evaluation of the change in the CCS grade may not catch the full benefit or harm of the treatment and vice versa, a generic instrument, such as 15D, likely does not fully capture change in disease-specific symptoms. Thus, generic and disease-specific instruments are complementary and should be used in conjunction. |
| first_indexed | 2024-04-13T18:59:39Z |
| format | Article |
| id | doaj.art-e26dc9c6cb9449c8be54c1459869bd9d |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T18:59:39Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-e26dc9c6cb9449c8be54c1459869bd9d2022-12-22T02:34:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01174e026610110.1371/journal.pone.0266101Correlation of the disease-specific Canadian Cardiovascular Society (CCS) classification and health-related quality of life (15D) in coronary artery disease patients.Jarno KotajärviAnna-Maija TolppanenJuha HartikainenHeikki MiettinenMarketta ViljakainenJanne MartikainenRisto P RoinePiia Lavikainen<h4>Background</h4>Generic health-related quality of life (HRQoL) and disease-specific instruments measure HRQoL from different aspects, although generic instruments often contain dimensions that reflect common symptoms. We evaluated how the change in 15D HRQoL and Canadian Cardiovascular Society (CCS) grading of angina severity correlate among coronary artery disease patients during 12-month follow-up.<h4>Methods</h4>Altogether 1 271 patients scheduled for coronary angiography between June 2015 and February 2017 returned the 15D HRQoL and CCS questionnaires before angiography and after one-year follow-up as a part of routine clinical practice. Spearman correlations between one-year changes in the CCS and the 15D and its dimensions were evaluated. Changes in 15D were classified into 5 categories based on the reported minimal important difference (MID) for the instrument.<h4>Results</h4>Change in the CCS grade correlated moderately with the MID-based change in the 15D (r = 0.33, 95% confidence interval 0.27-0.39). Correlations between these instruments were similar in different age groups, between sexes and treatment modalities. Of the individual 15D dimensions, changes in breathing (r = 0.40) and vitality (r = 0.30) had the strongest correlations with CCS change.<h4>Conclusion</h4>The symptom-based evaluation of the change in the CCS grade may not catch the full benefit or harm of the treatment and vice versa, a generic instrument, such as 15D, likely does not fully capture change in disease-specific symptoms. Thus, generic and disease-specific instruments are complementary and should be used in conjunction.https://doi.org/10.1371/journal.pone.0266101 |
| spellingShingle | Jarno Kotajärvi Anna-Maija Tolppanen Juha Hartikainen Heikki Miettinen Marketta Viljakainen Janne Martikainen Risto P Roine Piia Lavikainen Correlation of the disease-specific Canadian Cardiovascular Society (CCS) classification and health-related quality of life (15D) in coronary artery disease patients. PLoS ONE |
| title | Correlation of the disease-specific Canadian Cardiovascular Society (CCS) classification and health-related quality of life (15D) in coronary artery disease patients. |
| title_full | Correlation of the disease-specific Canadian Cardiovascular Society (CCS) classification and health-related quality of life (15D) in coronary artery disease patients. |
| title_fullStr | Correlation of the disease-specific Canadian Cardiovascular Society (CCS) classification and health-related quality of life (15D) in coronary artery disease patients. |
| title_full_unstemmed | Correlation of the disease-specific Canadian Cardiovascular Society (CCS) classification and health-related quality of life (15D) in coronary artery disease patients. |
| title_short | Correlation of the disease-specific Canadian Cardiovascular Society (CCS) classification and health-related quality of life (15D) in coronary artery disease patients. |
| title_sort | correlation of the disease specific canadian cardiovascular society ccs classification and health related quality of life 15d in coronary artery disease patients |
| url | https://doi.org/10.1371/journal.pone.0266101 |
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