Evidence map›Paper›PMID 15128455›Full record

ArticleHealth and quality of life outcomes2004

Women with coronary artery disease report worse health-related quality of life outcomes compared to men.

Colleen M Norris, William A Ghali, P Diane Galbraith, Michelle M Graham, Louise A Jensen, Merril L Knudtson, APPROACH Investigators

Abstract readComparative Study
In one paragraph

Article in Health and quality of life outcomes, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed.

  1. Trial
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  4. A comprehensive analysis of female participation in cardiovascular trials involving the WCN investigator network.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025
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  10. Measurement invariance of the Seattle Angina Questionnaire in coronary artery disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  11. Article
  12. Exercise tolerance and quality of life in patients with known or suspected coronary artery disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
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  13. Article
  14. Article
  15. Review
  16. Lifetime traumatic events, health-related quality of life, and satisfaction with life in older adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Article
  17. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Colleen M NorrisFaculty of Nursing, 4-112G Clinical Sciences Building, University of Alberta, Edmonton, Alberta, T6G 2G3 Canada. colleen.norris@ualberta.ca
William A Ghali
P Diane Galbraith
Michelle M Graham
Louise A Jensen
Merril L Knudtson
APPROACH Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough there have been substantial medical advances that improve the outcomes following cardiac ischemic events, gender differences in the treatment and course of recovery for patients with coronary artery disease (CAD) continue to exist. There is a general paucity of data comparing the health related quality of life (HRQOL) in men and women undergoing treatment for CAD. The purpose of this study was to compare HRQOL outcomes of men and women in Alberta, at one-year following initial catheterization, after adjustment for known demographic, co-morbid, and disease severity predictors of outcome.

methodThe HRQOL outcome data were collected by means of a self-reported questionnaire mailed to patients on or near the one-year anniversary of their initial cardiac catheterization. Using the Seattle Angina Questionnaire (SAQ), 5 dimensions of HRQOL were measured: exertional capacity, anginal stability, anginal frequency, quality of life and treatment satisfaction. Data from the APPROACH registry were used to risk-adjust the SAQ scale scores. Two analytical strategies were used including general least squares linear modeling, and proportional odds modeling sometimes referred to as the "ordinal logistic modeling".

results3392 (78.1%) patients responded to the follow-up survey. The adjusted proportional odds ratios for men relative to women (PORs > 1 = better) indicated that men reported significantly better HRQOL on all 5 SAQ dimensions as compared to women. (PORs: Exertional Capacity 3.38 (2.75-4.15), Anginal Stability 1.23 (1.03-1.47), Anginal Frequency 1.70 (1.43-2.01), Treatment Satisfaction 1.27 (1.07-1.50), and QOL 1.74 (1.48-2.04).

conclusionsWomen with CAD consistently reported worse HRQOL at one year follow-up compared to men. These findings underline the fact that conclusions based on research performed on men with CAD may not be valid for women and that more gender-related research is needed. Future studies are needed to further examine gender differences in psychosocial adjustment following treatment for CAD, as adjustment for traditional clinical variables fails to explain sex differences in health related quality of life outcomes.

Indexed as

Cardiac CatheterizationOutcome Assessment, Health CareQuality of LifeSickness Impact ProfileAgedAlbertaCohort StudiesCoronary Artery DiseaseFemaleFollow-Up StudiesHumansLife Change EventsMaleMiddle AgedPain MeasurementSurveys and Questionnaires

Identifiers

PMID15128455
PMCPMC420257

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.