Trial reportCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2013
Patient preferences for coronary artery bypass graft surgery or percutaneous intervention in multivessel coronary artery disease.
Trial report in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 63 citations in OpenAlex.
- Ten-year all-cause death following percutaneous or surgical revascularization in patients with prior cerebrovascular disease: insights from the SYNTAX Extended Survival study.Clinical research in cardiology : official journal of the German Cardiac Society · 2021Trial
- Individualizing Revascularization Strategy for Diabetic Patients With Multivessel Coronary Disease.Journal of the American College of Cardiology · 2019Trial
- Time-varying comparative effectiveness of surgical or percutaneous revascularization on patient-centred outcomes.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Article
- Observational
- Short-Term Outcomes of Impella-Supported High-Risk Percutaneous Coronary Intervention in Surgically Ineligible Patients: Insights From PROTECT III.Journal of the Society for Cardiovascular Angiography & Interventions · 2025Article
- Article
- Outcomes Following Percutaneous Coronary Intervention in Patients With Multivessel Disease Who Were Recommended for But Declined Coronary Artery Bypass Graft Surgery.Journal of the American Heart Association · 2024Article
- Impacts of the SYNTAX score I, II and SYNTAX score II 2020 on left main revascularization.Scientific reports · 2024Article
- A Single Center Initial Experience with Robotic-Assisted Minimally Invasive Coronary Artery Bypass Surgery (RA-MIDCAB).Journal of personalized medicine · 2022Article
- The clinical value and cost-effectiveness of treatments for patients with coronary artery disease.Health economics review · 2022Article
- Prognostic and Practical Validation of ESC/EACTS High Ischemic Risk Definition on Long-Term Thrombotic and Bleeding Events in Contemporary PCI Patients.Journal of atherosclerosis and thrombosis · 2022Article
- A Partially Randomized Patient Preference Trial to Assess the Quality of Life and Patency Rate After Minimally Invasive Cardiac Surgery-Coronary Artery Bypass Grafting: Design and Rationale of the MICS-CABG PRPP Trial.Frontiers in cardiovascular medicine · 2022Article
- The Evolving Role of the Multidisciplinary Heart Team in Aortic Stenosis.US cardiology · 2022Review
- Article
- Coronary artery bypass graft surgeryTherapeutic advances in chronic disease · 2021Article
- Trends in Reoperative Coronary Artery Bypass Graft Surgery for Older Adults in the United States, 1998 to 2017.Journal of the American Heart Association · 2020Article
- Patients' Preferences after Recurrent Coronary Narrowing: Discrete Choice Experiments.Arquivos brasileiros de cardiologia · 2020Article
- Long-term survival after endoscopic vein harvest for coronary artery bypass grafting.Annals of the Royal College of Surgeons of England · 2020Article
- Patients' preferences for coronary revascularization: a systematic review.Patient preference and adherence · 2019Review
- A review of hybrid coronary revascularization.Indian journal of thoracic and cardiovascular surgery · 2018Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectivesDetermine if patients prefer multivessel percutaneous coronary intervention (mv-PCI) over coronary artery bypass graft surgery (CABG) for treatment of symptomatic multivessel coronary artery disease (mv-CAD) despite high 1-year risk.
backgroundPatient risk perception and preference for CABG or mv-PCI to treat medically refractory mv-CAD are poorly understood. We hypothesize that patients prefer mv-PCI instead of CABG even when quoted high mv-PCI risk.
methods585 patients and 31 physicians were presented standardized questionnaires with a hypothetical scenario describing chest pain and medically refractory mv-CAD. CABG or mv-PCI was presented as treatment options. Risk scenarios included variable 1-year risks of death, stroke, and repeat procedures for mv-PCI and fixed risks for CABG. Participants indicated their preference of revascularization method based on the presented risks. We calculated the odds that patients or physicians would favor mv-PCI over CABG across a range of quoted risks of death, stroke, and repeat procedures.
resultsFor nearly all quoted risks, patients preferred mv-PCI over CABG, even when the risk of death was double the risk with CABG or the risk of repeat procedures was more than three times that for CABG (P < 0.0001). Compared to patients, physicians chose mv-PCI less often than CABG as the risk of death and repeat procedures increased (P < 0.001 and P = 0.004, respectively).
conclusionPatients favor mv-PCI over CABG to treat mv-CAD, even if 1-year risks of death and repeat procedures far exceed risk with CABG. Physicians are more influenced by actual risk and prefer mv-PCI less than patients despite similarly quoted 1-year risks.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.