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Health-related quality of life after percutaneous coronary intervention versus coronary bypass surgery in high-risk patients with medically refractory ischemia

John S. Rumsfeld, MD, PhD, FACC^*,*, David J. Magid, MD, MPH, Mary E. Plomondon, MSPH^*, Jerome Sacks, PhD, William Henderson, PhD, Mark Hlatky, MD^||, Gulshan Sethi, MD^¶, Douglass A. Morrison, MD, FACC^¶ Veterans Affairs Angina With Extremely Serious Operative Mortality (AWESOME) Investigators

^* Cardiology and Health Services Research, Denver Veterans Affairs Medical Center, Denver, Colorado, USA
University of Colorado Health Sciences Center, Denver, Colorado, USA
Clinical Research Unit, Colorado Permanente Medical Group, Denver, Colorado, USA
Veterans Affairs Cooperative Studies Program Coordinating Center, Hines Veterans Affairs Medical Center, Hines, Illinois, USA
^|| Stanford University, Stanford, California, USA
^¶ Tucson Veterans Affairs Medical Center and University of Arizona, Tucson, Arizona, USA

View larger version (30K): [in a new window]   Figure 1 The relationship between the eight original scales of the Short Form-36 (SF-36) and the two summary scores. Figure adapted from Ware and Kosinski (27); reproduced with permission; SF-36 Health Survey, copyright 1988, 2002 by Medical Outcomes Trust and QualityMetric Inc. All rights reserved; SF-36 is a registered trademark of the Medical Outcomes Trust.

View larger version (30K): [in a new window]   Figure 2 Comparison of Short Form-36 physical health scale scores between patients randomized to percutaneous coronary intervention and coronary artery bypass graft surgery. BP = bodily pain; GH = general health; PCS = Physical Component Summary; PF = physical functioning; PRF = physical role functioning. Solid bars = coronary artery bypass graft surgery; hatched bars = percutaneous coronary intervention.

View larger version (32K): [in a new window]   Figure 3 Comparison of Short Form-36 mental health scale scores between patients randomized to percutaneous coronary intervention and coronary artery bypass graft surgery. ERF = emotional role functioning; MCS = Mental Component Summary; MH = mental health; SF = social functioning; VT = vitality. Solid bars = coronary artery bypass graft surgery; hatched bars = percutaneous coronary intervention.