Anxiety, depression and health-related quality of life in patients with thoracic aortic disease: a longitudinal study in a cardiothoracic outpatient clinic - Scorecard - MDSpire

Anxiety, depression and health-related quality of life in patients with thoracic aortic disease: a longitudinal study in a cardiothoracic outpatient clinic

  • By

  • Ismail Dalyanoglu

  • Anna Maria Markser

  • Johannes Nienhaus

  • Esma Yilmaz

  • Mohammed Morjan

  • Amin Thwairan

  • Ulrike Dinger

  • Artur Lichtenberg

  • Hannan Dalyanoglu

  • June 29, 2026

  • 0 min

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Clinical Scorecard: Psychological Distress and Quality of Life in Thoracic Aortic Disease Patients: A Longitudinal Analysis from a Cardiothoracic Outpatient Setting

At a Glance

CategoryDetail
ConditionThoracic Aortic Disease (TAD)
Key MechanismsPsychological distress and health-related quality of life (HRQoL) are influenced by surgical status and time since surgery.
Target PopulationPatients aged 18 years or older presenting to aortic outpatient clinic.
Care SettingCardiothoracic outpatient clinic

Key Highlights

  • Preoperative patients reported lower HRQoL and higher psychological distress.
  • Postoperative recovery was associated with gradual improvement in HRQoL.
  • Female patients showed nonsignificant trends toward lower HRQoL and higher distress.
  • Time since surgery positively predicted HRQoL improvement.
  • Integration of psychosocial screening into routine follow-up is suggested.

Guideline-Based Recommendations

Diagnosis

  • Utilize EQ-5D-5L and PHQ-4 for assessing HRQoL and psychological distress.

Management

  • Consider psychosocial factors in the management of TAD patients.

Monitoring & Follow-up

  • Regularly assess HRQoL and psychological distress in follow-up visits.

Risks

  • Preoperative patients have twice the odds of clinically relevant distress.

Patient & Prescribing Data

111 patients with TAD, including pre- and postoperative individuals.

Longitudinal assessment indicates the need for psychosocial support in TAD management.

Clinical Best Practices

  • Incorporate brief psychosocial screening tools into routine outpatient care.
  • Monitor HRQoL and psychological distress throughout the patient journey.

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