Living Longer or Better-Patient's Choice in Cardiac Surgery Is Gender-Dependent-A Multicenter Study

Research output: Contribution to journalResearch articleContributedpeer-review


  • Britt Hofmann - , Martin Luther University Hospital (Author)
  • Epp Rae - , Martin Luther University Hospital (Author)
  • Ulrike Puvogel - , University Hospital Carl Gustav Carus Dresden (Author)
  • Mihaela Spatarelu - , Department of Cardiac Surgery (Author)
  • Salah A Mohamed - , TUD Dresden University of Technology (Author)
  • Almoan Bungaran - , Department of Cardiac Surgery (Author)
  • Sebastian Arzt - , Department of Cardiac Surgery (Author)
  • Magdalena L Laux - , Brandenburg Medical School Theodor Fontane (Author)
  • Klaus Matschke - , Department of internal Medicine with focus on Cardiology (at Herzzentrum Dresden), Department of Cardiac Surgery (Author)
  • Richard Feyrer - , Department of Cardiac Surgery (Author)
  • Hans-Hinrich Sievers - , TUD Dresden University of Technology (Author)
  • Ivar Friedrich - , Department of Cardiac Surgery (Author)
  • Bernd Niemann - , University Hospital Carl Gustav Carus Dresden (Author)
  • Rolf-Edgar Silber - , Martin Luther University Hospital (Author)
  • Andreas Wienke - , Centre for Social Research in Halle (e.V.) at the Martin Luther University of Halle-Wittenberg (Author)
  • Andreas Simm - , Martin Luther University Hospital (Author)


In view of the increasing age of cardiac surgery patients, questions arise about the expected postoperative quality of life and the hoped-for prolonged life expectancy. Little is known so far about how these, respectively, are weighted by the patients concerned. This study aims to obtain information on the patients' preferences. Between 2015 and 2017, data were analyzed from 1349 consecutive patients undergoing cardiac surgery at seven heart centers in Germany. Baseline data regarding the patient's situation as well as a questionnaire regarding quality of life versus lifespan were taken preoperatively. Patients were divided by age into four groups: below 60, 60-70, 70-80, and above 80 years. As a result, when asked to decide between quality of life and length of life, about 60% of the male patients opted for quality of life, independent of their age. On the other hand, female patients' preference for quality of life increased significantly with age, from 51% in the group below sixty to 76% in the group above eighty years. This finding suggests that female patients adapt their preferences with age, whereas male patients do not. This should impact further the treatment decisions of elderly patients in cardiac surgery within a shared decision-making process.


Original languageEnglish
JournalJournal of clinical medicine
Issue number24
Publication statusPublished - 9 Dec 2023

External IDs

PubMedCentral PMC10743955
Scopus 85180716950


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