Evidence map›Paper›PMID 27068037›Full record

ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2016

Age and gender differences and factors related to change in health-related quality of life from before to 6 months after left ventricular assist device implantation: Findings from Interagency Registry for Mechanically Assisted Circulatory Support.

Kathleen L Grady, Sherri Wissman, David C Naftel, Susan Myers, Annetine Gelijins, Alan Moskowitz, Francis D Pagani, James B Young, John A Spertus, James K Kirklin

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07445932 (The PALL-VAD Study), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–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.

NCT07445932 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The PALL-VAD Study: Palliative Care Intervention to Improve Health Related Quality of Life for Patients With Heart Failure on Long-Term LVAD Support: A Pilot, Prospective, Randomized Trial

TypeinterventionalSponsorMedstar Health Research InstituteRan2026 to 2027Enrolled90ConditionsAdvanced Heart Failure, Mechanical Circulatory Support, Left Ventricular Assist Device, Palliative CareArmsPalliative care intervention
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Novel measures to assess ventricular assist device patient-reported outcomes: Findings from the MCS A-QOL study.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024
    Article
  7. Infections following left ventricular assist device implantation and 1-year health-related quality of life.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    Article
  8. Observational
  9. Article
  10. Incompleteness of health-related quality of life assessments before left ventricular assist device implant: A novel quality metric.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2022
    Article
  11. Observational
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors.

Kathleen L GradyDivision of Cardiac Surgery, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Electronic address: kgrady@nmh.org.
Sherri WissmanComprehensive Transplant Center, Ohio State University Medical Center, Columbus, Ohio.
David C NaftelDepartment of Surgery, University of Alabama, Birmingham, Birmingham, Alabama.
Susan MyersDepartment of Surgery, University of Alabama, Birmingham, Birmingham, Alabama.
Annetine GelijinsDepartment of Population Health Science and Policy, Mount Sinai Medical Center, New York, New York.
Alan MoskowitzDepartments of Medicine and Population Health Science and Policy, Mount Sinai Medical Center, New York, New York.
Francis D PaganiDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.
James B YoungDepartment of Medicine, Cleveland Clinic Foundation Lerner College of Medicine, Cleveland, Ohio.
John A SpertusDivision of Cardiovascular Research, St. Luke's Mid America Heart Institute, St. Luke's Mid America Heart Institute and University of Missouri Kansas City, Kansas City, Missouri.
James K KirklinDepartment of Surgery, University of Alabama, Birmingham, Birmingham, Alabama.

Funding

NHLBI NIH HHS HHSN268201100025C
6 · The paper itself

Abstract

backgroundGaps in the literature exist regarding health-related quality of life (HRQOL) early after left ventricular assist device (LVAD) surgery. The purposes of our study were to describe HRQOL over time, by age and gender, and identify risk factors for poor HRQOL early after LVAD implant.

methodsPatients (n = 7,353) from the Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) database received a continuous-flow LVAD as a primary implant at 133 United States hospitals. Of these, 5,640 patients had pre-LVAD HRQOL data, 3,353 patients had 6-month post-LVAD HRQOL data, and 2,748 patients had data at both times. HRQOL was measured using the EQ-5D-3L (Euro-Qol) instrument. Data were collected pre-implant and 3 and 6 months post-operatively. Statistical analyses included chi-square test, t-test, Pearson correlation coefficients, and multiple regression analysis.

resultsOverall HRQOL and dimensions of HRQOL improved from before to 6 months after device implant when examined by age and gender. However, younger patients and women reported significantly more problems regarding all dimensions before implant and significantly more problems regarding pain/discomfort and anxiety/depression at 3 and 6 months after implant. An increase in overall HRQOL from before to 6 months after implant was related to pre-implant INTERMACS Level 1. Factors related to a decrease in HRQOL from before to 6 months after implant were listed for heart transplant before surgery, comorbidities, better preoperative HRQOL, adverse events within 6 months after implant, bridge to transplant moderately likely and unlikely, and New York Heart Association Functional Classification IV at 6 months after LVAD (R(2) = 41%).

conclusionsOverall HRQOL and dimensions of HRQOL improve in sub-groups of patients from before to 6 months after surgery, although differences in improvement exist. Adverse events are risk factors for decreased HRQOL across time and support the ongoing need to improve device technology with the aim of reducing adverse events.

Indexed as

Heart-Assist DevicesFemaleHeart FailureHeart TransplantationHumansQuality of LifeRegistriesTreatment Outcomeagegenderhealth-related quality of lifeleft ventricular assist devicerisk factors

Identifiers

PMID27068037
PMCPMC4917446

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Registered trials

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.