Trial reportJournal of epidemiology and community health2000
Coronary artery bypass graft surgery: socioeconomic inequalities in access and in 30 day mortality. A population-based study in Rome, Italy.
Trial report in Journal of epidemiology and community health, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
33 citing papers in PubMed, 82 citations in OpenAlex.
- Socioeconomic deprivation is associated with worse in-hospital survival after isolated coronary artery bypass grafting in the UK.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- The Impact of International Missions in Provision of Cardiac Services and Skill Transfer in Respect to Coronary Artery Bypass Grafting at Jakaya Kikwete Cardiac Institute - Tanzania.Brazilian journal of cardiovascular surgery · 2025Article
- Persistent income-based disparities in clinical outcomes of cardiac surgery across the United States: A contemporary appraisal.JTCVS open · 2024Article
- Household Income as a Predictor for Surgical Outcomes and Opioid Use After Spine Surgery in the United States.Global spine journal · 2023Article
- Disparities in surgical outcomes for low socioeconomic status patients in Australia.ANZ journal of surgery · 2022Article
- Article
- Psychological Preparation for Cardiac Surgery.Current cardiology reports · 2020Review
- Validation and quality measurements for STS, EuroSCORE II and a regional risk model in Brazilian patients.PloS one · 2020Article
- CHIVA to treat saphenous vein insufficiency in chronic venous disease: characteristics and results.Jornal vascular brasileiro · 2019Review
- Geographically Derived Socioeconomic Factors to Improve Risk Prediction in Patients Having Aortic Valve Replacement.The American journal of cardiology · 2019Article
- The relation between household income and surgical outcome in the Dutch setting of equal access to and provision of healthcare.PloS one · 2018Article
- Practice Variation Among Hospitals in Revascularization Therapy and Its Association With Procedure-related Mortality.Medical care · 2016Article
- Nationwide variation in outcomes and cost of laparoscopic procedures.Surgical endoscopy · 2016Article
- Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE.Arquivos brasileiros de cardiologia · 2015Observational
- Has socioeconomic equity increased in somatic specialist care: a register-based cohort study from Finland in 1995-2010.BMC health services research · 2014Article
- Article
- Temporal and geographic heterogeneity of the association between socioeconomic position and hospitalisation in Italy: an income based indicator.International journal for equity in health · 2009Article
- Inequality in treatment use among elderly patients with acute myocardial infarction: USA, Belgium and Quebec.BMC health services research · 2009Article
- The association of socioeconomic disadvantage with postoperative complications after major elective cardiovascular surgery.Journal of epidemiology and community health · 2008Article
- Equity in the use of antithrombotic drugs, beta-blockers and statins among Finnish coronary patients.International journal for equity in health · 2008Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate whether coronary artery bypass graft (CABG) surgery is equally provided among different socioeconomic status (SES) groups in accordance with need. To estimate the association between SES and mortality occurring 30 days after CABG surgery.
designIndividual socioeconomic index assigned with respect to the characteristics of the census tract of residence (level I = highest SES; level IV = lowest SES). Comparison of age adjusted hospital admission rates of ischaemic heart disease (IHD) and CABG surgery among four SES groups. Retrospective cohort study of all patients who underwent CABG surgery during 1996-97.
settingRome (2 685 890 inhabitants) and the seven cardiac surgery units in the city.
participantsAll residents in Rome aged 35 years or more. A cohort of 1875 CABG patients aged 35 years or more.
main outcome measuresAge adjusted hospitalisation rates for CABG and IHD and rate of CABG per 100 IHD hospitalisations by SES group, taking level I as the reference group. Odds ratios of 30 day mortality after CABG surgery, adjusted for age, gender, illness severity at admission, and type of hospital where CABG was performed.
resultsPeople in the lowest SES level experienced an excess in the age adjusted IHD hospitalisation rates compared with the highest SES level (an excess of 57% among men, and of 94% among women), but the rate of CABG per 100 IHD hospitalisations was lower, among men, in the most socially disadvantaged level (8.9 CABG procedures per 100 IHD hospital admissions in level IV versus 14.1 in level I rate ratio= 0.63; 95% CI 0.44, 0.89). The most socially disadvantaged SES group experienced a higher risk of 30 day mortality after CABG surgery (8. 1%) than those in the highest SES group (4.8%); this excess in mortality was confirmed even when initial illness severity was taken into account (odds ratio= 2.89; 95% CI 1.44, 5.80).
conclusionsThe universal coverage of the National Health Service in Italy does not guarantee equitable access to CABG surgery for IHD patients. Factors related to SES are likely to influence poor prognosis after CABG surgery.
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