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Living Longer or Better-Patient's Choice in Cardiac Surgery Is Gender-Dependent-A Multicenter Study.

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Older cardiac surgery patients weigh quality of life differently based on gender. Men consistently prefer quality of life, while women

Keywords:
genderlifespanpatient’s preferencesquality of life

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Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Health Psychology

Background:

  • Increasing age of cardiac surgery patients raises questions about postoperative quality of life and life expectancy.
  • Patient preferences regarding quality of life versus lifespan in cardiac surgery are not well understood.

Purpose of the Study:

  • To investigate patient preferences for quality of life versus length of life in cardiac surgery.
  • To analyze how these preferences differ across age groups and genders.

Main Methods:

  • Analysis of data from 1349 consecutive cardiac surgery patients across seven German heart centers (2015-2017).
  • Preoperative questionnaires assessed patient situation and preferences for quality of life versus lifespan.
  • Patients categorized into four age groups: <60, 60-70, 70-80, and >80 years.

Main Results:

  • Approximately 60% of male patients preferred quality of life, irrespective of age.
  • Female patients' preference for quality of life significantly increased with age (51% <60 years to 76% >80 years).
  • This suggests age-related adaptation of preferences in women, unlike in men.

Conclusions:

  • Gender and age significantly influence patient preferences in cardiac surgery decision-making.
  • Findings highlight the need to consider individual patient values, particularly for elderly patients.
  • Results should inform shared decision-making processes for elderly patients undergoing cardiac surgery.