{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T21:42:26Z","timestamp":1781041346694,"version":"3.54.1"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T00:00:00Z","timestamp":1606694400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>To compare patient-reported outcome measures of minimally invasive (MI) to sternotomy (ST) mitral valve repair.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We included all patients undergoing isolated mitral valve surgery via either a right mini-thoracotomy (MI) or ST over a 36-month period. Patients were asked to complete a modified Composite Physical Function questionnaire. Intraoperative and postoperative outcomes, and patient-reported outcome measures were compared between 2 propensity-matched groups (n\u2009=\u200947\/group), assessing 3 domains: \u2018Recovery Time\u2019, \u2018Postoperative Pain\u2019 (at day 2 and 1, 3, 6 and 12\u2009weeks) and \u2018Treatment Satisfaction\u2019. Composite scores for each domain were subsequently constructed and multivariable analysis was used to determine whether surgical approach was associated with domain scores.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The response rate was 79%. There was no mortality in either group. In the matched groups, operative times were longer in the MI group (P\u2009&amp;lt;\u20090.001), but postoperative outcomes were similar. Composite scores for Recovery Time [ST 51.7 (31.8\u201362.1) vs MI 61.7 (43.1\u201373.9), P\u2009=\u20090.03] and Pain [ST 65.7 (40.1\u201383.1) vs MI 79.1 (65.5\u201389.5), P\u2009=\u20090.02] significantly favoured the MI group. Scores in the Treatment Satisfaction domain were high for both surgical approaches [ST 100 (82.5\u2013100) vs MI 100 (95.0\u2013100), P\u2009=\u20090.15]. The strongest independent predictor of both faster recovery parameter estimate 12.0 [95% confidence interval (CI) 5.7\u201318.3, P\u2009&amp;lt;\u20090.001] and less pain parameter estimate 7.6 (95% CI 0.7\u201314.5, P\u2009=\u20090.03) was MI surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>MI surgery was associated with faster recovery and less pain; treatment satisfaction and safety profiles were similar.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivaa276","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T19:13:44Z","timestamp":1603134824000},"page":"433-440","source":"Crossref","is-referenced-by-count":14,"title":["Patient-reported outcome measures after mitral valve repair: a comparison between minimally invasive and sternotomy"],"prefix":"10.1093","volume":"32","author":[{"given":"Jennifer","family":"Whiteley","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Toolan","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9184-5591","authenticated-orcid":false,"given":"Matthew","family":"Shaw","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giordano","family":"Perin","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"},{"name":"Department of Cardiothoracic Anaesthesia, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Al-Rawi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"},{"name":"Department of Cardiothoracic Anaesthesia, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2851-3249","authenticated-orcid":false,"given":"Paul","family":"Modi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,11,30]]},"reference":[{"key":"2022030919184197400_ivaa276-B1","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1016\/j.ejcts.2008.07.057","article-title":"Minimally invasive mitral valve surgery: a systematic review and meta-analysis","volume":"34","author":"Modi","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022030919184197400_ivaa276-B2","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/imi.0b013e3182167feb","article-title":"Minimally invasive versus conventional open mitral valve surgery: a meta-analysis and systematic review","volume":"6","author":"Cheng","year":"2011","journal-title":"Innovations (Phila)"},{"key":"2022030919184197400_ivaa276-B3","first-page":"693","article-title":"A meta-analysis of minimally invasive versus conventional 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