Relationship between device acceptance and patient-reported outcomes in Left Ventricular Assist Device (LVAD) recipients

Crispino Tosto, Maria Di Blasi, Robert M. Carney, Heidi Craddock, Luigi Adamo, Rosario Girgenti, Francesco Clemenza, Gregory Ewald

Risultato della ricerca: Article

Abstract

The number of Left Ventricular Assist Devices (LVADs) implanted each year is rising. Nevertheless, there are minimal data on device acceptance after LVAD implant, and on its relationship with patient-reported outcomes. We designed a cross-sectional study to address this knowledge gap and test the hypothesis that low device acceptance is associated with poorer quality of life, depression and anxiety. Self-report questionnaires were administered to assess quality of life (12-item Kansas City Cardiomyopathy Questionnaire quality of life subscale), level of anxiety (7-item Generalized Anxiety Disorder; GAD-7), level of depression (9-item Patient Health Questionnaire; PHQ-9) and device acceptance (Florida Patient Acceptance Survey; FPAS) to 101 consecutive patients presenting to LVAD clinic. Regression analysis showed a strong correlation between device acceptance and both psychological distress (p < 0.001) and quality of life (p < 0.001). Analysis of the sub-scales of the FPAS showed that patients had significant body image concerns, but return to function and device-related distress were the main drivers of the observed correlation between device acceptance and patient well-being. Younger age was associated with lower device acceptance (r = 0.36, p < 0.001) and lower quality of life (r = 0.54, p < 0.001). These findings suggest that interventions targeting device acceptance should be explored to improve outcomes in LVAD recipients.
Lingua originaleEnglish
pagine (da-a)1-8
Numero di pagine8
RivistaScientific Reports
Volume9
Stato di pubblicazionePublished - 2019

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Heart-Assist Devices
Equipment and Supplies
Quality of Life
Anxiety
Depression
Patient Reported Outcome Measures
Body Image
Anxiety Disorders
Cardiomyopathies
Self Report
Cross-Sectional Studies
Regression Analysis
Psychology
Surveys and Questionnaires
Health

All Science Journal Classification (ASJC) codes

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Relationship between device acceptance and patient-reported outcomes in Left Ventricular Assist Device (LVAD) recipients. / Tosto, Crispino; Di Blasi, Maria; Carney, Robert M.; Craddock, Heidi; Adamo, Luigi; Girgenti, Rosario; Clemenza, Francesco; Ewald, Gregory.

In: Scientific Reports, Vol. 9, 2019, pag. 1-8.

Risultato della ricerca: Article

Tosto, Crispino ; Di Blasi, Maria ; Carney, Robert M. ; Craddock, Heidi ; Adamo, Luigi ; Girgenti, Rosario ; Clemenza, Francesco ; Ewald, Gregory. / Relationship between device acceptance and patient-reported outcomes in Left Ventricular Assist Device (LVAD) recipients. In: Scientific Reports. 2019 ; Vol. 9. pagg. 1-8.
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title = "Relationship between device acceptance and patient-reported outcomes in Left Ventricular Assist Device (LVAD) recipients",
abstract = "The number of Left Ventricular Assist Devices (LVADs) implanted each year is rising. Nevertheless, there are minimal data on device acceptance after LVAD implant, and on its relationship with patient-reported outcomes. We designed a cross-sectional study to address this knowledge gap and test the hypothesis that low device acceptance is associated with poorer quality of life, depression and anxiety. Self-report questionnaires were administered to assess quality of life (12-item Kansas City Cardiomyopathy Questionnaire quality of life subscale), level of anxiety (7-item Generalized Anxiety Disorder; GAD-7), level of depression (9-item Patient Health Questionnaire; PHQ-9) and device acceptance (Florida Patient Acceptance Survey; FPAS) to 101 consecutive patients presenting to LVAD clinic. Regression analysis showed a strong correlation between device acceptance and both psychological distress (p < 0.001) and quality of life (p < 0.001). Analysis of the sub-scales of the FPAS showed that patients had significant body image concerns, but return to function and device-related distress were the main drivers of the observed correlation between device acceptance and patient well-being. Younger age was associated with lower device acceptance (r = 0.36, p < 0.001) and lower quality of life (r = 0.54, p < 0.001). These findings suggest that interventions targeting device acceptance should be explored to improve outcomes in LVAD recipients.",
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AU - Tosto, Crispino

AU - Di Blasi, Maria

AU - Carney, Robert M.

AU - Craddock, Heidi

AU - Adamo, Luigi

AU - Girgenti, Rosario

AU - Clemenza, Francesco

AU - Ewald, Gregory

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N2 - The number of Left Ventricular Assist Devices (LVADs) implanted each year is rising. Nevertheless, there are minimal data on device acceptance after LVAD implant, and on its relationship with patient-reported outcomes. We designed a cross-sectional study to address this knowledge gap and test the hypothesis that low device acceptance is associated with poorer quality of life, depression and anxiety. Self-report questionnaires were administered to assess quality of life (12-item Kansas City Cardiomyopathy Questionnaire quality of life subscale), level of anxiety (7-item Generalized Anxiety Disorder; GAD-7), level of depression (9-item Patient Health Questionnaire; PHQ-9) and device acceptance (Florida Patient Acceptance Survey; FPAS) to 101 consecutive patients presenting to LVAD clinic. Regression analysis showed a strong correlation between device acceptance and both psychological distress (p < 0.001) and quality of life (p < 0.001). Analysis of the sub-scales of the FPAS showed that patients had significant body image concerns, but return to function and device-related distress were the main drivers of the observed correlation between device acceptance and patient well-being. Younger age was associated with lower device acceptance (r = 0.36, p < 0.001) and lower quality of life (r = 0.54, p < 0.001). These findings suggest that interventions targeting device acceptance should be explored to improve outcomes in LVAD recipients.

AB - The number of Left Ventricular Assist Devices (LVADs) implanted each year is rising. Nevertheless, there are minimal data on device acceptance after LVAD implant, and on its relationship with patient-reported outcomes. We designed a cross-sectional study to address this knowledge gap and test the hypothesis that low device acceptance is associated with poorer quality of life, depression and anxiety. Self-report questionnaires were administered to assess quality of life (12-item Kansas City Cardiomyopathy Questionnaire quality of life subscale), level of anxiety (7-item Generalized Anxiety Disorder; GAD-7), level of depression (9-item Patient Health Questionnaire; PHQ-9) and device acceptance (Florida Patient Acceptance Survey; FPAS) to 101 consecutive patients presenting to LVAD clinic. Regression analysis showed a strong correlation between device acceptance and both psychological distress (p < 0.001) and quality of life (p < 0.001). Analysis of the sub-scales of the FPAS showed that patients had significant body image concerns, but return to function and device-related distress were the main drivers of the observed correlation between device acceptance and patient well-being. Younger age was associated with lower device acceptance (r = 0.36, p < 0.001) and lower quality of life (r = 0.54, p < 0.001). These findings suggest that interventions targeting device acceptance should be explored to improve outcomes in LVAD recipients.

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