Evidence map›Paper›PMID 21501872›Full record

Trial reportHeart & lung : the journal of critical care

Gender differences in recovery outcomes after an early recovery symptom management intervention.

Lani Zimmerman, Susan Barnason, Melody Hertzog, Lufei Young, Janet Nieveen, Paula Schulz, Chunhao Tu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% of its field
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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Enhanced Recovery After Cardiac Surgery: Gender Insights From an Ultra-Fast-Track Protocol.Interdisciplinary cardiovascular and thoracic surgery · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. A Proposed Theory of Symptom Cluster Management.Belitung nursing journal · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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 at 2 institutions in 1 country.

Lani ZimmermanCollege of Nursing, University of Nebraska Medical Center, Lincoln, Nebraska 68588-0220, USA. lzimmerm@unmc.edu
Susan Barnason
Melody Hertzog
Lufei Young
Janet Nieveen
Paula Schulz
Chunhao Tu
University of Nebraska Medical Center · USUniversity of New England · US

Funding

Symptom Management Intervention in Elderly CABG PatientsR01NR007759 · NINR · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI ZIMMERMAN, LANI M · 2002 to 2006
$1.7M
NINR NIH HHS R01 NR007759NINR NIH HHS R01 NR07759
6 · The paper itself

Abstract

backgroundDespite known gender differences in recovery, few studies have examined symptom management (SM) interventions or responses by gender after coronary artery bypass surgery (CABS).

objectiveThe purpose of this subanalysis was to describe and evaluate differences in response by gender to an SM intervention on the presence and burden of symptoms, physical activity, and physical functioning in elderly CABS patients during the early discharge period (3 and 6 weeks after CABS, and 3 and 6 months after CABS).

methodsThe parent study whose data were analyzed to examine gender differences involved a two-group, randomized clinical trial design. The 6-week early recovery SM telehealth intervention was delivered by the Health Buddy. Measures included the Cardiac Symptom Survey, a Modified 7-Day Activity Interview, an RT3 accelerometer, an Activity Diary, and the Medical Outcomes Study Short Form 36. This study was not powered for a gender × group analysis, and we used descriptive statistics, χ(2) tests, t tests, and analysis of variance for statistical analyses.

resultsSubjects (n = 232) included 192 men and 40 women, with a mean age of 71.2 SD, 7 years. The intervention group consisted of 86 men and 23 women, and the usual care (UC) group consisted of 106 men and 17 women. Data trends suggest that the SM intervention exerted greater impact on women than on men for symptoms such as fatigue, depression, sleep problems, and pain. Again, men exhibited higher levels of physical activity than did women. However, women in the SM group generally had higher scores than did women in the UC group.

conclusionAlthough the parent study found no effect of an early recovery SM intervention, this exploratory secondary analysis indicated that women in the intervention group demonstrated more improvement in measures of physical activity than did those in the UC group. Further study, using a larger sample, is necessary to test these preliminary results.

Indexed as

AgedAnalysis of VarianceCardiac RehabilitationCardiovascular DiseasesCoronary Artery BypassFatigueFemaleHealth Status IndicatorsHumansMaleModels, TheoreticalMotor ActivityPostoperative PeriodSex FactorsSleep Wake DisordersTime Factors

Identifiers

PMID21501872
PMCPMC3166972
OpenAlexW2044340092

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.