Cover Image

Gender differences in health-related quality of life after coronary bypass surgery: results from a 1-year follow-up in propensity-matched men and women

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...

Full description

Saved in:
Bibliographic Details
Main Authors: Kendel, Friederike (Author) , Dunkel, Anne (Author) , Müller-Tasch, Thomas (Author) , Steinberg, Kerstin (Author) , Lehmkuhl, Elke (Author) , Hetzer, Roland (Author) , Regitz-Zagrosek, Vera (Author)
Format: Article (Journal)
Language:English
Published: April 2011
In: Psychosomatic medicine
Year: 2011, Volume: 73, Issue: 3, Pages: 280-285
ISSN:1534-7796
DOI:10.1097/PSY.0b013e3182114d35
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/PSY.0b013e3182114d35
Verlag, lizenzpflichtig, Volltext: https://journals.lww.com/psychosomaticmedicine/Fulltext/2011/04000/Gender_Differences_in_Health_Related_Quality_of.10.aspx
Get full text
Author Notes:Friederike Kendel, Anne Dunkel, Thomas Müller-Tasch, Kerstin Steinberg, Elke Lehmkuhl, Roland Hetzer, and Vera Regitz-Zagrosek
Description
Summary: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.
Item Description:Gesehen am 28.07.2022
Physical Description:Online Resource
ISSN:1534-7796
DOI:10.1097/PSY.0b013e3182114d35

Similar Items