Response shift in coronary artery disease.

Humans Coronary Artery Disease / surgery Percutaneous Coronary Intervention / adverse effects Quality of Life / psychology Angina Pectoris Alberta Treatment Outcome
Confirmatory factor analysis Coronary artery disease Longitudinal data Response shift Seattle Angina Questionnaire

Journal

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation
ISSN: 1573-2649
Titre abrégé: Qual Life Res
Pays: Netherlands
ID NLM: 9210257

Informations de publication

Date de publication:
Mar 2024
Historique:
accepted: 10 11 2023
medline: 26 2 2024
pubmed: 22 12 2023
entrez: 22 12 2023
Statut: ppublish

Résumé

Patients with coronary artery disease (CAD) experience significant angina symptoms and lifestyle changes. Revascularization procedures can result in better patient-reported outcomes (PROs) than optimal medical therapy (OMT) alone. This study evaluates the impact of response shift (RS) on changes in PROs of patients with CAD across treatment strategies. Data were from patients with CAD in the Alberta Provincial Project on Outcome Assessment in Coronary Heart Disease (APPROACH) registry who completed the 16-item Canadian version of the Seattle Angina Questionnaire at 2 weeks and 1 year following a coronary angiogram. Multi-group confirmatory factor analysis (MG-CFA) was used to assess measurement invariance across treatment groups at week 2. Longitudinal MG-CFA was used to test for RS according to receipt of coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), or optimal medical therapy (OMT) alone. Of the 3116 patients included in the analysis, 443 (14.2%) received CABG, 2049(65.8%) PCI, and the remainder OMT alone. The MG-CFA revealed a partial-strong invariance across the treatment groups at 2 weeks (CFI = 0.98, RMSEA [90% CI] = 0.05 [0.03, 0.06]). Recalibration RS was detected on the Angina Symptoms and Burden subscale and its magnitude in the OMT, PCI, and CABG groups were 0.32, 0.28, and 0.53, respectively. After adjusting for RS effects, the estimated target changes were largest in the CABG group and negligible in the OMT group. Adjusting for RS is recommended in studies that use SAQ-CAN to assess changes in patients with CAD who have received revascularization versus OMT alone.

Identifiants

DOI: 10.1007/s11136-023-03564-1 PMID: 38133786
pubmed: 38133786
doi: 10.1007/s11136-023-03564-1
pii: 10.1007/s11136-023-03564-1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

767-776

Subventions

Organisme : CIHR
ID : 400774
Pays : Canada
Organisme : CIHR
ID : 400774
Pays : Canada

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.

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Auteurs

Oluwaseyi A Lawal (OA)

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.

Oluwagbohunmi A Awosoga (OA)

Faculty of Health Sciences, University of Lethbridge, Lethbridge, Canada.

Maria J Santana (MJ)

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.

Olawale F Ayilara (OF)

Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.

Meng Wang (M)

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.

Michelle M Graham (MM)

Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Canada.

Colleen M Norris (CM)

Faculty of Nursing, University of Alberta, Edmonton, Canada.

Stephen B Wilton (SB)

Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.

Matthew T James (MT)

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Department of Medicine, Cumming School of Medicine University of Calgary, Calgary, Canada.

Tolulope T Sajobi (TT)

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada. ttsajobi@ucalgary.ca.
ORCID: 0000-0002-5696-5552

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Response shift in coronary artery disease.
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Ischémie myocardique › Maladie coronarienne › Maladie des artères coronaires › Response shift in coronary artery disease.
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Procédures endovasculaires › Intervention coronarienne percutanée › Response shift in coronary artery disease.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Response shift in coronary artery disease.
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur thoracique › Angine de poitrine › Response shift in coronary artery disease.
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › Canada › Alberta › Response shift in coronary artery disease.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Response shift in coronary artery disease.