Priority 13 from the Heart Surgery PSP
|UNCERTAINTY: What are the long-term outcomes, including life expectancy, after heart surgery? (JLA PSP Priority 13)|
|JLA question ID||0088/13|
|Explanatory note||Life expectancy deserves similar considerations to the ones made for quality of life. It is surely a criteria considered in risk stratification and in guidelines, while it was not assessed in any systematic review identified in our search.
The question should be considered unanswered mostly because long term outcomes should be included in heart surgery research when investigating every issue, as part of good research practice.
What are the factors that affect patients' survival? and what is the impact of cardiac surgery on quality of life and life expectancy in elderly patients?
Sousa-Uva M, Neumann FJ, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur J Cardiothorac Surg. 2019;55(1):4-90; Falk V, Baumgartner H, Bax JJ, De Bonis M, Hamm C, Holm PJ, et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur J Cardiothorac Surg. 2017;52(4):616-64; Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2014;35(41):2873-926.
|Health Research Classification System category||Cardiovascular|
|Extra information provided by this PSP|
|Original uncertainty examples||After bypass surgery, what is my life expectancy? ~ What are the factors that increase/decrease patient's survival? ~ Research into elderly/ multiple comorbidity patients undergoing cardiac surgery regarding longevity and quality of life following surgery.|
|Submitted by||2 x patient, 2 x carer, 17 x healthcare professional, 1 others|
|PSP unique ID||0088|
|PSP name||Heart Surgery|
|Total number of uncertainties identified by this PSP.||45 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)|
|Date of priority setting workshop||11 July 2019|