[Quality of life after transcatheter aortic valve implantation: a Comprehensive literature review and critical appraisal]. in Giornale italiano di cardiologia (2006) / G Ital Cardiol (Rome). 2016 Dec;17(12 Suppl 1):5S-14. doi: 10.1714/2613.26897.
2016
AO Ordine Mauriziano
AO Cuneo
AOU Città della Salute di Torino
Tipo pubblicazione
Review
Autori/Collaboratori (18)Vedi tutti...
Marzocchi A
U.O. Cardiologia, Dipartimento Cardio-Toraco-Vascolare, Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna.
De Palma R
Agenzia Sociale e Sanitaria Regionale, Regione Emilia-Romagna, Bologna.
Ottoboni G
Dipartimento di Psicologia, Università degli Studi, Bologna.
et alii...
Abstract
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is a very effective treatment option for patients with severe aortic stenosis who are either not suitable candidates or at high risk for surgical aortic valve replacement (AVR). Patients undergoing TAVI are often very elderly and their clinical status is burdened with multiple comorbidities, therefore evaluation of quality of life (QoL) might be challenging. We sought to provide an overview of available data on QoL changes after TAVI and critical insights on the instruments used to detect these changes. METHODS: This analysis focuses on studies that evaluated QoL after TAVI with standardized questionnaires. Out of 706 items identified through literature search, 23 studies were included in the final review: 2 randomized controlled trials (one comparing QoL pre- vs post-TAVI, one TAVI vs AVR vs medical therapy) and 21 observational studies (19 studies comparing QoL pre- and post-TAVI and 2 studies TAVI vs AVR). The instruments used in all studies were not specific for TAVI patients. RESULTS: Most studies reported a significant improvement in QoL after TAVI, greater for physical aspects compared with psychological components, which persisted at mid and long-term follow-up. A short-term benefit was found for transfemoral TAVI patients as compared with transapical TAVI and AVR; however, these differences tended to disappear over time. CONCLUSIONS: The study highlights an improvement in QoL after TAVI that persists over time. As different instruments resulted to be more sensitive to detect different aspects, multidimensional assessments - capable of combining disease-specific and disease-non-specific measures - should foster clinical research in order to have a more complete picture of QoL of TAVI patients.
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PMID : 28151530
DOI : 10.1714/2613.26897
Keywords
Transcatheter Aortic Valve Replacement; Quality of Life; Humans; Health Surveys; Aortic Valve Stenosis/surgery; Aortic Valve/surgery;