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...
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| Main Authors: | , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
April 2011
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| 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 
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| Author Notes: | Friederike Kendel, Anne Dunkel, Thomas Müller-Tasch, Kerstin Steinberg, Elke Lehmkuhl, Roland Hetzer, and Vera Regitz-Zagrosek |
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| 245 | 1 | 0 | |a Gender differences in health-related quality of life after coronary bypass surgery |b results from a 1-year follow-up in propensity-matched men and women |c Friederike Kendel, Anne Dunkel, Thomas Müller-Tasch, Kerstin Steinberg, Elke Lehmkuhl, Roland Hetzer, and Vera Regitz-Zagrosek |
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| 520 | |a 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. | ||
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