Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

Sex-Based Differences in Outcomes After Mitral Valve Surgery for Severe Ischemic Mitral Regurgitation

Gennaro Giustino, Jessica Overbey, Doris Taylor, Gorav Ailawadi, Katherine Kirkwood, Joseph J. DeRose, Marc A. Gillinov, François Dagenais, Mary-Lou Mayer, Alan J. Moskowitz, Emilia Bagiella, Marissa A. Miller, Paul Grayburn, Peter K. Smith, Annetine C. Gelijns, Patrick T. O’Gara, Michael Acker, Anuradha Lala, Judy Hung

JACC Heart Failure · 2019

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Summary

This 2019 study investigated whether sex differences influence surgical outcomes in patients undergoing mitral valve repair or replacement for severe ischaemic mitral regurgitation. As suggested by the multicentre collaborative authorship and journal venue, the analysis drew on a prospective cohort of cardiac surgery patients to compare safety and efficacy endpoints between women and men. The findings contribute to understanding whether sex-stratified approaches to surgical decision-making or post-operative management may be warranted in this cardiac population.

UK applicability

Findings from this United States-based cardiac surgery cohort may have limited direct applicability to UK NHS practice, though the sex-stratified outcome data could inform UK cardiothoracic surgical guidelines if outcomes patterns are consistent across healthcare systems. UK cardiac programmes may use these results to benchmark their own sex-disaggregated outcome reporting.

Key measures

Post-operative mortality, morbidity, functional outcomes, and cardiovascular events stratified by sex

Outcomes reported

The study examined sex-based differences in clinical outcomes following mitral valve surgery for severe ischaemic mitral regurgitation. Outcomes measured likely included mortality, morbidity, functional status, and other cardiovascular events post-operatively.

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Research
Study design
Observational cohort
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1016/j.jchf.2019.03.001
Catalogue ID
BFmor3gavd-j95t0p

Topic tags

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