{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:40:52Z","timestamp":1740170452801,"version":"3.37.3"},"reference-count":29,"publisher":"PeerJ","license":[{"start":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T00:00:00Z","timestamp":1695168000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fundaci\u00f3n Instituto de Investigaci\u00f3n Marqu\u00e9s de Valdecilla (IDIVAL)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Aortic valve stenosis (AVS) affects 25% of the population over 65 years. At present, there is no curative medical treatment for AVS and therefore the surgical approach, consisting of transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR), is the treatment of choice.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methodology<\/jats:title>\n<jats:p>The aim of this study was to analyze the sociodemographic and clinical characteristics, quality of life and functionality of a sample of patients with AVS over 75 years of age, who underwent TAVR or SAVR, applying standard clinical practice. A prospective multicenter observational study was conducted in two hospitals of the Spanish National Health System. Data were collected at baseline, 1, 6 months and 1 year.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>In total, 227 participants were included, with a mean age of 80.6 [SD 4.1]. Statistically significant differences were found in terms of quality of life, which was higher at 1 year in patients who underwent SAVR. In terms of functionality, SAVR patients obtained a better score (<jats:italic>p<\/jats:italic> &lt; 0.01). However, patients who underwent TAVR began with a worse baseline situation and managed to increase their quality of life and functionality after 1 year of follow-up.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The individualized choice of TAVR or SAVR in patients with AVS improves patients\u2019 quality of life and function. Moreover, the TAVR procedure in patients with a worse baseline situation and a high surgical risk achieved a similar increase in quality of life and functionality compared to patients undergoing SAVR with a better baseline situation.<\/jats:p>\n<\/jats:sec>","DOI":"10.7717\/peerj.16102","type":"journal-article","created":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T07:03:42Z","timestamp":1695193422000},"page":"e16102","source":"Crossref","is-referenced-by-count":2,"title":["Surgical <i>vs.<\/i> transcatheter arotic valve replacement in patients over 75 years with aortic stenosis: sociodemographic profile, clinical characteristics, quality of life and functionality"],"prefix":"10.7717","volume":"11","author":[{"given":"V\u00edctor","family":"Fradejas-Sastre","sequence":"first","affiliation":[{"name":"Nursing Department, Universidad de Cantabria, Santander, Cantabria, Spain"},{"name":"Interventional Cardiology and Hemodynamics Unit, Hospital Universitario Marqu\u00e9s de Valdecilla, Spain, Santander, Cantabria, Spain"},{"name":"Research Group in Cardiovascular, Instituto de Investigaci\u00f3n Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Par\u00e1s-Bravo","sequence":"additional","affiliation":[{"name":"Nursing Department, Universidad de Cantabria, Santander, Cantabria, Spain"},{"name":"Nursing Research Group, Instituto de Investigaci\u00f3n Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5732-8344","authenticated-orcid":true,"given":"Manuel","family":"Herrero-Montes","sequence":"additional","affiliation":[{"name":"Nursing Department, Universidad de Cantabria, Santander, Cantabria, Spain"},{"name":"Nursing Research Group, Instituto de Investigaci\u00f3n Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"Paz-Zulueta","sequence":"additional","affiliation":[{"name":"Nursing Department, Universidad de Cantabria, Santander, Cantabria, Spain"},{"name":"Research Group in Health Law and Bioethics, Instituto de Investigaci\u00f3n Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ester","family":"Boixadera-Planas","sequence":"additional","affiliation":[{"name":"Servei d\u2019Estad\u00edstica Aplicada, Universidad Autonoma de Barcelona, Barcelona, Catalu\u00f1a, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Manuel","family":"Fern\u00e1ndez-Cacho","sequence":"additional","affiliation":[{"name":"Nursing Department, Universidad de Cantabria, Santander, Cantabria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela","family":"Veiga-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Interventional Cardiology and Hemodynamics Unit, Hospital Universitario Marqu\u00e9s de Valdecilla, Spain, Santander, Cantabria, Spain"},{"name":"Research Group in Cardiovascular, Instituto de Investigaci\u00f3n Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Elena","family":"Arn\u00e1iz-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Service, Hospital Universitario de Salamanca, Spain, Salamanca, Castilla y Leon, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Mar\u00eda","family":"De-la-Torre-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Interventional Cardiology and Hemodynamics Unit, Hospital Universitario Marqu\u00e9s de Valdecilla, Spain, Santander, Cantabria, Spain"},{"name":"Research Group in Cardiovascular, Instituto de Investigaci\u00f3n Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4443","published-online":{"date-parts":[[2023,9,20]]},"reference":[{"issue":"10","key":"10.7717\/peerj.16102\/ref-1","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1056\/NEJMc1408396","article-title":"Transcatheter aortic-valve replacement with a self-expanding prosthesis","volume":"371","author":"Adams","year":"2014","journal-title":"The New England Journal of Medicine"},{"key":"10.7717\/peerj.16102\/ref-2","first-page":"147","article-title":"Aspectos estad\u00edsticos del cuestionario de calidad de vida relacionada con salud short form-36 (SF-36)","volume":"50","author":"Arostegui Madariaga","year":"2008","journal-title":"Estad\u00edstica Espa\u00f1ola"},{"issue":"Suppl 1","key":"10.7717\/peerj.16102\/ref-3","first-page":"79","article-title":"La versi\u00f3n espa\u00f1ola del EuroQol: descripci\u00f3n y aplicaciones [The Spanish version of EuroQol: a description and its applications. 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