Priority 1 from the Heart Surgery PSP
| UNCERTAINTY: How does a patient quality of life (QOL) change (eg disability-free survival) due to heart surgery and what factors are associated with this? (JLA PSP Priority 1) | |
|---|---|
| Overall ranking | 1 |
| JLA question ID | 0088/1 |
| Explanatory note | Quality of life (QOL) is a frequently assessed outcome in high quality scientific publications in cardiac surgery, often in those addressing issues related to rehabilitation. Recent guidelines regard it as a necessary criteria to consider when making a recommendation, along with life expectancy. Nonetheless, most systematic reviews report insufficient data regarding this outcome. ~ Will QOL improve after heart surgery? Compare the QOL for patients undergoing on pump vs off pump CABG. What predicts poor outcome after cardiac surgery that impacts quality of life? |
| Evidence |
Anderson L, Taylor RS. Cardiac rehabilitation for people with heart disease: an overview of Cochrane systematic reviews. Cochrane Database of Systematic Reviews. 2014(12); Pogosova N, Saner H, Pedersen SS, Cupples ME, McGee H, Höfer S, et al. Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology. European journal of preventive cardiology. 2015;22(10):1290-306. |
| Health Research Classification System category | Cardiovascular |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | How to improve quality of life? ~ What predicts poor outcome after cardiac surgery that impacts quality of life? ~ What interventions can improve disability-free survival in the longer term? |
| Submitted by | 1 x patient, 28 x healthcare professional |
| PSP information | |
|---|---|
| PSP unique ID | 0088 |
| PSP name | Heart Surgery |
| Total number of uncertainties identified by this PSP. | 45 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 11 July 2019 |