Gender differences in health-related quality of life and psychological distress among coronary patients : does comorbidity matter? Results from the ESC EORP EUROASPIRE V registry
- Author
- Pieter Vynckier (UGent) , Lisa Van Wilder (UGent) , Kornelia Kotseva, David Wood, Sofie Gevaert (UGent) , Els Clays (UGent) , Dirk De Bacquer (UGent) , Delphine De Smedt (UGent) and EUROASPIRE V investigators group
- Organization
- Abstract
- Aims: This study aimed to provide an overview on contemporary gender differences in HRQoL/psychological distress and their relationship with comorbidity burden among European coronary heart disease (CHD) patients.Methods: Analyses were based on the cross-sectional ESC EORP EUROASPIRE V survey. Consecutive patients (aged 18-80 years), hospitalized for a first or recurrent coronary event were included in this study. Data at hospital discharge and at follow-up (6 to 24 months after hospitalisation) were collected.Results: Data were available for 8261 patients of which 25.8% women. Overall, women reported a worse EQ-5D-5L index score (0.73 vs. 0.81; P < 0.001), EQ-VAS (63.1 vs. 66.0; P = 0.001), global HeartQoL (1.94 vs. 2.26; P < 0.001), physical HeartQoL (1.96 vs. 2.30; P < 0.001), emotional HeartQoL (1.88 vs. 2.18; P < 0.001), HADS-A (6.69 vs. 4.99; P < 0.001), and HADS-D (5.73 vs. 4.62; P < 0.001) compared to men. Also, women were more likely to have comorbidities compared to men (1 comorbidity: 38.7% vs. 35.0%, 2 comorbidities: 9.7% vs. 7.5%; P < 0.001). There is indication that heart failure (EQ-VAS) and diabetes (global HeartQoL, emotional HeartQoL, physical HeartQoL, and HADS-D) interacted with gender and modulate the relationship with HRQoL, in dis-favour of women.Conclusion: Substantial gender-based health inequalities in terms of HRQoL and psychological distress were found, in disfavour of women. Women had worse HRQoL and psychological distress outcomes when having comorbidities. To a limited extent, comorbidity and women had a negative/synergistic effect on HRQoL. Special attention should be given to this population groups within daily clinical practice.
- Keywords
- Cardiology and Cardiovascular Medicine, EQ-5D-5L, Gender, Coronary heart disease, Psychological distress, Health -related quality of life (HRQoL), EUROASPIRE
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Gender differences in health-related quality of life and psychological distress among coronary patients Does comorbidity matter Results from the ESC EORP EUROASPIRE V registry Vynckier VanWilder 2022.pdf
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Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-8766725
- MLA
- Vynckier, Pieter, et al. “Gender Differences in Health-Related Quality of Life and Psychological Distress among Coronary Patients : Does Comorbidity Matter? Results from the ESC EORP EUROASPIRE V Registry.” INTERNATIONAL JOURNAL OF CARDIOLOGY, vol. 371, 2023, pp. 452–59, doi:10.1016/j.ijcard.2022.09.010.
- APA
- Vynckier, P., Van Wilder, L., Kotseva, K., Wood, D., Gevaert, S., Clays, E., … investigators group, E. V. (2023). Gender differences in health-related quality of life and psychological distress among coronary patients : does comorbidity matter? Results from the ESC EORP EUROASPIRE V registry. INTERNATIONAL JOURNAL OF CARDIOLOGY, 371, 452–459. https://doi.org/10.1016/j.ijcard.2022.09.010
- Chicago author-date
- Vynckier, Pieter, Lisa Van Wilder, Kornelia Kotseva, David Wood, Sofie Gevaert, Els Clays, Dirk De Bacquer, Delphine De Smedt, and EUROASPIRE V investigators group. 2023. “Gender Differences in Health-Related Quality of Life and Psychological Distress among Coronary Patients : Does Comorbidity Matter? Results from the ESC EORP EUROASPIRE V Registry.” INTERNATIONAL JOURNAL OF CARDIOLOGY 371: 452–59. https://doi.org/10.1016/j.ijcard.2022.09.010.
- Chicago author-date (all authors)
- Vynckier, Pieter, Lisa Van Wilder, Kornelia Kotseva, David Wood, Sofie Gevaert, Els Clays, Dirk De Bacquer, Delphine De Smedt, and EUROASPIRE V investigators group. 2023. “Gender Differences in Health-Related Quality of Life and Psychological Distress among Coronary Patients : Does Comorbidity Matter? Results from the ESC EORP EUROASPIRE V Registry.” INTERNATIONAL JOURNAL OF CARDIOLOGY 371: 452–459. doi:10.1016/j.ijcard.2022.09.010.
- Vancouver
- 1.Vynckier P, Van Wilder L, Kotseva K, Wood D, Gevaert S, Clays E, et al. Gender differences in health-related quality of life and psychological distress among coronary patients : does comorbidity matter? Results from the ESC EORP EUROASPIRE V registry. INTERNATIONAL JOURNAL OF CARDIOLOGY. 2023;371:452–9.
- IEEE
- [1]P. Vynckier et al., “Gender differences in health-related quality of life and psychological distress among coronary patients : does comorbidity matter? Results from the ESC EORP EUROASPIRE V registry,” INTERNATIONAL JOURNAL OF CARDIOLOGY, vol. 371, pp. 452–459, 2023.
@article{8766725, abstract = {{Aims: This study aimed to provide an overview on contemporary gender differences in HRQoL/psychological distress and their relationship with comorbidity burden among European coronary heart disease (CHD) patients.Methods: Analyses were based on the cross-sectional ESC EORP EUROASPIRE V survey. Consecutive patients (aged 18-80 years), hospitalized for a first or recurrent coronary event were included in this study. Data at hospital discharge and at follow-up (6 to 24 months after hospitalisation) were collected.Results: Data were available for 8261 patients of which 25.8% women. Overall, women reported a worse EQ-5D-5L index score (0.73 vs. 0.81; P < 0.001), EQ-VAS (63.1 vs. 66.0; P = 0.001), global HeartQoL (1.94 vs. 2.26; P < 0.001), physical HeartQoL (1.96 vs. 2.30; P < 0.001), emotional HeartQoL (1.88 vs. 2.18; P < 0.001), HADS-A (6.69 vs. 4.99; P < 0.001), and HADS-D (5.73 vs. 4.62; P < 0.001) compared to men. Also, women were more likely to have comorbidities compared to men (1 comorbidity: 38.7% vs. 35.0%, 2 comorbidities: 9.7% vs. 7.5%; P < 0.001). There is indication that heart failure (EQ-VAS) and diabetes (global HeartQoL, emotional HeartQoL, physical HeartQoL, and HADS-D) interacted with gender and modulate the relationship with HRQoL, in dis-favour of women.Conclusion: Substantial gender-based health inequalities in terms of HRQoL and psychological distress were found, in disfavour of women. Women had worse HRQoL and psychological distress outcomes when having comorbidities. To a limited extent, comorbidity and women had a negative/synergistic effect on HRQoL. Special attention should be given to this population groups within daily clinical practice.}}, author = {{Vynckier, Pieter and Van Wilder, Lisa and Kotseva, Kornelia and Wood, David and Gevaert, Sofie and Clays, Els and De Bacquer, Dirk and De Smedt, Delphine and investigators group, EUROASPIRE V}}, issn = {{0167-5273}}, journal = {{INTERNATIONAL JOURNAL OF CARDIOLOGY}}, keywords = {{Cardiology and Cardiovascular Medicine,EQ-5D-5L,Gender,Coronary heart disease,Psychological distress,Health -related quality of life (HRQoL),EUROASPIRE}}, language = {{eng}}, pages = {{452--459}}, title = {{Gender differences in health-related quality of life and psychological distress among coronary patients : does comorbidity matter? Results from the ESC EORP EUROASPIRE V registry}}, url = {{http://doi.org/10.1016/j.ijcard.2022.09.010}}, volume = {{371}}, year = {{2023}}, }
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