A longitudinal comparison of health-related quality of life in rural and urban recipients of left ventricular assist devices.

Left ventricular assist devices (LVAD) are a common treatment for advanced heart failure (HF) to improve ventricular function, symptoms, and health-related quality of life (HRQOL). Many LVAD recipients travel long distances from rural areas for LVAD implantation and follow-up care. Individuals with HF in rural settings who have not undergone LVAD implantation have reported poor HRQOL. However, to date, no studies have compared HF-specific or generic HRQOL in rural and urban LVAD recipients. The purpose of this study was to compare generic and HF-specific HRQOL longitudinally from preimplantation to 1-, 3-, and 6- months postimplant in a cohort of rural and urban LVAD recipients (n = 95; rural n = 32 and urban n = 63). We measured generic HRQOL using the European Quality of Life Visual Analog Scale and HF-specific HRQOL with the quality of life domain of the Kansas City Cardiomyopathy Questionnaire (KCCQ). Latent growth curve modeling identified two phases of change in generic and HF-specific HRQOL: the initial response to LVAD between preimplantation and 1-month postimplant and the subsequent change between 1- and 6-months postimplant. Comparable improvements in generic HRQOL were noted in rural and urban LVAD recipients during both phases of change. Urban LVAD recipients had greater initial improvements in HF-specific HRQOL (KCCQ) compared with rural recipients (13.0 ± 5.6, p =.02), but subsequent improvements were similar among rural and urban recipients. Ongoing assessment of generic and HF-specific HRQOL is necessary during LVAD therapy.

This is the peer reviewed version of the following article: [Alonso, W.W., Faulkner, K.M., Pozehl, B.J., Hupcey, J.E., Kitko, L.A., and Lee, C.S. (2020). A longitudinal comparison of health‐related quality of life in rural and urban recipients of left ventricular assist devices. Research in Nursing & Health 43, 396–406.], which has been published in final form at https://doi.org/10.1002/nur.22052. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions: https://authorservices.wiley.com/author-resources/Journal-Authors/licensing/self-archiving.html#3.

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Work Title A longitudinal comparison of health-related quality of life in rural and urban recipients of left ventricular assist devices.
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Open Access
Creators
  1. Windy W. Alonso
  2. Kenneth M. Faulkner
  3. Bunny J. Pozehl
  4. Judith E. Hupcey
  5. Lisa A. Kitko
  6. Christopher S. Lee
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Wiley
Publication Date July 6, 2020
Publisher Identifier (DOI)
  1. 10.1002/nur.22052
Source
  1. Research in Nursing & Health
Deposited January 13, 2022

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  • Created
  • Added Quality+of+Life+in+Rural+and+Urban+LVAD+Recipients_5.1-1.docx
  • Added Creator Windy W. Alonso
  • Added Creator Kenneth M. Faulkner
  • Added Creator Bunny J. Pozehl
  • Added Creator Judith E. Hupcey
  • Added Creator Lisa A. Kitko
  • Added Creator Christopher S. Lee
  • Published
  • Updated
  • Updated