Health-Related Quality of Life among Patients with Coronary Artery Disease: A Post-Treatment Follow-Up Study in Iran

Objective. To examine the changes in health-related quality of life (HRQoL) in patients with coronary artery disease (CAD) in terms of age, gender, and treatment strategy in Iran. Methods and Materials. Forty-nine patients responded to the Iranian version of the 36-item short form (SF-36) questionna...

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Main Authors: Shahram Tofighi, Aliasghar Ahmad Kiadaliri, Jamil Sadeghifar, Mehdi Raadabadi, Jahanara Mamikhani
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/973974
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spelling doaj-1eb79f6e6b9d466aa47715110b6370392020-11-24T22:44:52ZengHindawi LimitedCardiology Research and Practice2090-80162090-05972012-01-01201210.1155/2012/973974973974Health-Related Quality of Life among Patients with Coronary Artery Disease: A Post-Treatment Follow-Up Study in IranShahram Tofighi0Aliasghar Ahmad Kiadaliri1Jamil Sadeghifar2Mehdi Raadabadi3Jahanara Mamikhani4Health Management Research Centre, Baqiyatallah University of Medical Sciences, 1435814717 Tahran, IranDivision of Health Economics, Department of Clinical Sciences-Malmö, Lund University, 20502 Malmö, SwedenSchool of Health Services and Information Management, Tehran University of Medical Sciences, 1995614111 Tehran, IranStudent Scientific Research Centre, Tehran University of Medical Sciences, Tehran, IranBehin Pooyan Hootan Research Institute, 1483895931 Tehran, IranObjective. To examine the changes in health-related quality of life (HRQoL) in patients with coronary artery disease (CAD) in terms of age, gender, and treatment strategy in Iran. Methods and Materials. Forty-nine patients responded to the Iranian version of the 36-item short form (SF-36) questionnaire to evaluate the HRQoL at first and third year after treatment. The paired and independent Wilcoxon rank-sum tests were used for within and between comparisons, respectively. Multivariate regression analysis was used to analyze the predictors of changes at HRQoL. Results. In general, during followup, the mental component summary scale improved, and the physical component summary scale declined. The results of multiple regression showed that the score at the first year post-treatment was the main predictor of HRQoL at follow up. Moreover, after adjusting for other covariates, receiving PTCA and being at older age were related to lower scores at followup, but these were not statistically significant in most cases. Conclusion. The HRQoL significantly changed from one to three years after treatment in patients with CAD. While, the physical health deteriorated during two-year follow up, mental health improved at the same time period. Generally, there were no significant differences at changes of HRQoL in terms of treatment, age, and gender.http://dx.doi.org/10.1155/2012/973974
collection DOAJ
language English
format Article
sources DOAJ
author Shahram Tofighi
Aliasghar Ahmad Kiadaliri
Jamil Sadeghifar
Mehdi Raadabadi
Jahanara Mamikhani
spellingShingle Shahram Tofighi
Aliasghar Ahmad Kiadaliri
Jamil Sadeghifar
Mehdi Raadabadi
Jahanara Mamikhani
Health-Related Quality of Life among Patients with Coronary Artery Disease: A Post-Treatment Follow-Up Study in Iran
Cardiology Research and Practice
author_facet Shahram Tofighi
Aliasghar Ahmad Kiadaliri
Jamil Sadeghifar
Mehdi Raadabadi
Jahanara Mamikhani
author_sort Shahram Tofighi
title Health-Related Quality of Life among Patients with Coronary Artery Disease: A Post-Treatment Follow-Up Study in Iran
title_short Health-Related Quality of Life among Patients with Coronary Artery Disease: A Post-Treatment Follow-Up Study in Iran
title_full Health-Related Quality of Life among Patients with Coronary Artery Disease: A Post-Treatment Follow-Up Study in Iran
title_fullStr Health-Related Quality of Life among Patients with Coronary Artery Disease: A Post-Treatment Follow-Up Study in Iran
title_full_unstemmed Health-Related Quality of Life among Patients with Coronary Artery Disease: A Post-Treatment Follow-Up Study in Iran
title_sort health-related quality of life among patients with coronary artery disease: a post-treatment follow-up study in iran
publisher Hindawi Limited
series Cardiology Research and Practice
issn 2090-8016
2090-0597
publishDate 2012-01-01
description Objective. To examine the changes in health-related quality of life (HRQoL) in patients with coronary artery disease (CAD) in terms of age, gender, and treatment strategy in Iran. Methods and Materials. Forty-nine patients responded to the Iranian version of the 36-item short form (SF-36) questionnaire to evaluate the HRQoL at first and third year after treatment. The paired and independent Wilcoxon rank-sum tests were used for within and between comparisons, respectively. Multivariate regression analysis was used to analyze the predictors of changes at HRQoL. Results. In general, during followup, the mental component summary scale improved, and the physical component summary scale declined. The results of multiple regression showed that the score at the first year post-treatment was the main predictor of HRQoL at follow up. Moreover, after adjusting for other covariates, receiving PTCA and being at older age were related to lower scores at followup, but these were not statistically significant in most cases. Conclusion. The HRQoL significantly changed from one to three years after treatment in patients with CAD. While, the physical health deteriorated during two-year follow up, mental health improved at the same time period. Generally, there were no significant differences at changes of HRQoL in terms of treatment, age, and gender.
url http://dx.doi.org/10.1155/2012/973974
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