ArticleOpen heart
Patient-Reported Outcome Measures (PROMS) in patients undergoing heart valve surgery: why should we measure them and which instruments should we use?
Article in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02814084 (Effect of the Prevena Incision Management System on Sternal Wound Edge Perfusion in Patients Undergoing CABG With Bilateral Mammary Artery Grafts), which is not on this map. Cited by 15 papers.
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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.
Effect of the Prevena Incision Management System on Sternal Wound Edge Perfusion in Patients Undergoing CABG With Bilateral Mammary Artery Grafts
Who cites it
15 citing papers in PubMed.
- Public Reporting in Cardiothoracic Surgery: Does Transparency Improve Care?Medical sciences (Basel, Switzerland) · 2026Review
- Instruments Used to Assess Health-Related Quality of Life in Valvular Heart Disease: A Narrative Review.Cureus · 2025Review
- Incorporating patient-reported outcome measures into routine paediatric pharmacovigilance: opportunities for safety monitoring with practical use scenarios from paediatric oncology.Frontiers in pharmacology · 2025Review
- A Three-Day Prehabilitation Program is Cost-Effective for Preventing Pulmonary Complications after Heart Valve Surgery: A Health Economic Analysis of a Randomized Trial.Reviews in cardiovascular medicine · 2024Article
- What Really Matters to Survivors of Acute Type A Aortic Dissection-A Survey of Patient-Reported Outcomes in the Dutch National Aortic Dissection Advocacy Group.Journal of clinical medicine · 2023Article
- Continuous Monitoring of Health and Mobility Indicators in Patients with Cardiovascular Disease: A Review of Recent Technologies.Sensors (Basel, Switzerland) · 2023Review
- Quality of life and frailty outcomes following surgical and transcatheter aortic valve replacement.Journal of cardiothoracic surgery · 2022Article
- Shared Decision-Making and Patient-Reported Outcome Measures in Valvular Heart Disease.Frontiers in cardiovascular medicine · 2022Review
- Patient-reported outcome measures after mitral valve repair: a comparison between minimally invasive and sternotomy.Interactive cardiovascular and thoracic surgery · 2021Article
- Association between frailty and self-reported health following heart valve surgery.International journal of cardiology. Heart & vasculature · 2020Article
- What to expect after open heart valve surgery? Changes in health-related quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- The employment of Patient-Reported Outcome Measures to communicate the likely benefits of surgery.Patient related outcome measures · 2018Review
- Greater pre-operative anxiety, pain and poorer function predict a worse outcome of a total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Review
- Article
- Current transcatheter devices to treat functional tricuspid regurgitation with discussion of issues relevant to clinical trial design.Annals of cardiothoracic surgery · 2017Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAs the population ages, the incidence of heart valve disease (HVD) is increasing. The aim of treatment is to improve prognosis and quality of life. Standard surgical treatment is being superseded by new catheter-based treatments, many of which are as yet unproven. The need for appropriate instruments to measure quality of life in patients receiving treatment for HVD has therefore never been greater.
methodsIn this prospective observational study, a generic instrument, Euroqol, and a disease-specific one (Minnesota Living with Heart Failure Questionnaire-MLHFQ) were, for the first time, formally tested before and after surgery in 84 patients with HVD who completed their treatment. Patients were interviewed on the night before surgery and 6-12 weeks after being discharged. Instruments were tested for validity, reliability, responsiveness, sensitivity and interpretability.
resultsBoth Euroqol and MLHFQ registered significant improvements in patients' health. Tests for validity were significantly positive for both Euroqol and MLHFQ. Tests for reliability and responsiveness were very positive for MLHFQ, less so for EQ-5D. There was a moderate ceiling effect in the postoperative Index scores of Euroqol and a moderate floor effect in MLHFQ.
conclusionsBoth instruments together performed very well in assessing the health of patients undergoing surgical treatment of HVD. As the incidence of HVD increases and therapeutic options increase, measurement of PROMS using these two instruments should become a matter of routine.
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