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March 12, 2015Current Signal Transduction Therapy

Transcatheter aortic valve implantation significantly improved quality of life in older patients with severe aortic stenosis at 1 year (SF-12 physical score WMD -10.61; 95% CI -15.06 to -6.15).

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Why the study?

Does TAVI improve health-related quality of life in elderly patients with severe symptomatic aortic stenosis?

Population

10 studies pooling 1359 elderly patients with severe symptomatic aortic stenosis at high surgical risk

Comparison

Transcatheter aortic valve implantation (TAVI) vs Baseline (preprocedural) status

Design

Meta-analysis

Follow-up

12 to 24 months

Key result

Transcatheter aortic valve implantation significantly improved quality of life in older patients with severe aortic stenosis at 1 year (SF-12 physical score WMD -10.61; 95% CI -15.06 to -6.15).

Authors

YLYue LiWGWei GuoTZTao Zhang

Discussion

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Member takes

Overview

Supports TAVI to enhance 1-year QoL in high-risk elderly severe AS; reinforces Level 1 meta-analytic evidence for its use.

Study Design

Type

Meta-Analysis (n=1,359)

Structured PICO

Does TAVI improve health-related quality of life in elderly patients with severe symptomatic aortic stenosis?

P
Population
1,359 older patients with severe aortic stenosis undergoing transcatheter aortic valve implantation, evaluated for quality of life at 12 to 24 months.
I
Intervention
Transcatheter aortic valve implantation (TAVI)
C
Comparator
Baseline (preprocedural) status
O
Outcome
Improvement in health-related quality of life (QoL) at 12 to 24 months measured by SF-12, KCCQ, EQ-5D, SF-36, and MLHFQpatient reported

Main Result

Mean Difference: -10.61 (95% CI -15.06–-6.15)

TAVI provides significant long-term improvements in health-related quality of life for elderly patients with severe symptomatic aortic stenosis at high surgical risk.

Cite This Study

Li et al. (2015) conducted a meta-analysis in Severe aortic stenosis (n=1,359). Transcatheter aortic valve implantation (TAVI) vs. Baseline was evaluated on 12-item Short Form (SF-12) physical score at 1 year (WMD -10.61, 95% CI -15.06, -6.15). Transcatheter aortic valve implantation significantly improved quality of life in older patients with severe aortic stenosis at 1 year (SF-12 physical score WMD -10.61; 95% CI -15.06 to -6.15).

synapsesocial.com/papers/6a9579e06a42edee3f2cb26ehttps://doi.org/10.2174/1574362410666150302231656
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Short- and intermediate-term improvement of patient quality of life after transcatheter aortic valve implantation: a single-centre study2014 · 34 citations
  2. 2Quality-of-life in elderly patients one year after transcatheter aortic valve implantation for severe aortic stenosis2011 · 55 citations
  3. 3Quality of life improvement is maintained up to two years after transcatheter aortic valve implantation in high-risk surgical candidates2012 · 25 citations
  4. 4Improvement of physical and mental health after transfemoral transcatheter aortic valve implantation2012 · 21 citations
  5. 5Quality of life in patients with transcatheter aortic valve implantation: an analysis from the INTERVENT project2023 · 7 citations