Gender differences in health-related quality of life after coronary bypass surgery

• Verfasst von: Kendel, Friederike [VerfasserIn]
• Verfasst von: Dunkel, Anne [VerfasserIn]
• Verfasst von: Müller-Tasch, Thomas [VerfasserIn]
• Verfasst von: Steinberg, Kerstin [VerfasserIn]
• Verfasst von: Lehmkuhl, Elke [VerfasserIn]
• Verfasst von: Hetzer, Roland [VerfasserIn]
• Verfasst von: Regitz-Zagrosek, Vera [VerfasserIn]
• Titel: Gender differences in health-related quality of life after coronary bypass surgery
• Titelzusatz: results from a 1-year follow-up in propensity-matched men and women
• Verf.angabe: Friederike Kendel, Anne Dunkel, Thomas Müller-Tasch, Kerstin Steinberg, Elke Lehmkuhl, Roland Hetzer, and Vera Regitz-Zagrosek
• E-Jahr: 2011
• Jahr: April 2011
• Umfang: 6 S.
• Fussnoten: Gesehen am 28.07.2022
• Titel Quelle: Enthalten in: Psychosomatic medicine
• Ort Quelle: Philadelphia, Pa. : Lippincott Williams & Wilkins, 1939
• Jahr Quelle: 2011
• Band/Heft Quelle: 73(2011), 3, Seite 280-285
• ISSN Quelle: 1534-7796
• DOI: doi:10.1097/PSY.0b013e3182114d35
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1811911463

Abstract

Objective: To examine whether the predictive value of gender for health-related quality of life (HRQoL) is independent of clinical health status and depression. Women undergoing coronary bypass surgery generally report a poorer HRQoL than men. - Methods: A total of 990 (20% women) patients completed study questionnaires 1 day before coronary bypass surgery and 1 year after surgery. Physical aspects of HRQoL were assessed with the Short Form 36 Health Survey. Depression was measured with the self-reported Patient Health Questionnaire. Propensity score matching was applied to match men and women with respect to 65 clinical variables. Of 198 women, 157 (79.3%) could be matched to a partner, resulting in an excellent balance of clinical variables between the matched groups. - Results: At baseline, propensity-matched men and women differed in physical functioning (p < .001) and role functioning (p = .007), but not in bodily pain and general health perception. In both men and women, HRQoL outcomes improved over 1 year. Preoperative depression predicted worse physical HRQoL in all outcomes, except general health perception 1 year after surgery. After adjusting for depression, gender lost its predictive power with respect to physical functioning. However, compared with women, men still reported a better role functioning. - Conclusion: Our data suggest that gender is a marker for role functioning, independent of the clinical health status and depression. Rehabilitation measures designed for the specific needs of women might help to improve their HRQoL.