4.7 Article

Patient-Centred Outcomes after Totally Endoscopic Cardiac Surgery: One-Year Follow-Up

Journal

JOURNAL OF CLINICAL MEDICINE
Volume 12, Issue 13, Pages -

Publisher

MDPI
DOI: 10.3390/jcm12134406

Keywords

quality of life; clinical outcomes; totally endoscopic cardiac surgery

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Patient-centered outcomes have become increasingly popular in surgical care research, with health-related quality of life (HRQL) being a key measure. A recent study examined HRQL up to 90 days post-surgery and found that it initially decreased but returned to baseline levels by 30 days, with significant improvement at 90 days. However, the study only focused on short-term follow-up. This follow-up study aimed to assess HRQL one year after endoscopic cardiac surgery and found significant improvement in both physical and mental components over the year.
Patient-centred outcomes have grown in popularity over recent years in surgical care research. These patient-centred outcomes can be measured through the health-related quality of life (HRQL) without professional interpretations. In May 2022, a study regarding patient-centred outcomes up to 90 days postoperatively was published. Fourteen days after surgery, the HRQL decreased and returned to baseline levels after 30 days. Next, the HRQL significantly improved 90 days postoperatively. However, this study only focuses on a short-term follow-up of the patients. Hence, this follow-up study aims to assess the HRQL one year after totally endoscopic cardiac surgery. At baseline, 14, 30, and 90 days, and one year after surgery, the HRQL was evaluated using a 36-item short form and 5-dimensional European QoL questionnaires (EQ-5D). Using the 36-item short form questionnaire, a physical and mental component score is calculated. Over the period of one year, this physical and mental component score and the EQ-5D index value significantly improve. According to the visual analogue scale of the EQ-5D, patients score their health significantly higher one year postoperatively. In conclusion, after endoscopic cardiac surgery, the HRQL is significantly improved 90 days postoperatively and remains high one year afterward.

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