SynthesisJournal of the American Heart Association2018
Off- Versus On-Pump Coronary Surgery and the Effect of Follow-Up Length and Surgeons' Experience: A Meta-Analysis.
Synthesis in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
What it found
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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.
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
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence and Impact of Treatment Crossover in Cardiac Surgery Randomized Trials: A Meta-Epidemiologic Study.Journal of the American Heart Association · 2019Pooled it
- Off- Versus On-Pump Coronary Surgery and the Effect of Follow-Up Length and Surgeons' Experience: A Meta-Analysis.Journal of the American Heart Association · 2018Pooled it
- Early and mid-term outcomes of off-pump versus on-pump coronary artery bypass surgery in patients with triple-vessel coronary artery disease: a randomized controlled trial.Journal of cardiothoracic surgery · 2023Trial
- OPCAB in the minimally invasive era: impact on wound complications-a comparative study with on-pump CABG.Frontiers in cardiovascular medicine · 2026Article
- Post-operative and long-term outcomes in dialysis and non-dialysis patients undergoing on-pump and off-pump CABG: a nationwide cohort analysis.Journal of cardiothoracic surgery · 2025Article
- On-pump versus off-pump coronary artery bypass grafting for left main coronary artery disease: long-term outcomes.Journal of thoracic disease · 2025Article
- Short-term outcomes of off-pump vs. on-pump coronary artery bypass grafting in left main coronary artery disease: a systematic review and meta-analysis.Indian journal of thoracic and cardiovascular surgery · 2025Article
- Development and internal validation of an OPCABG-specific prediction model for postoperative atrial fibrillation in Chinese patients: a retrospective cohort study.BMC cardiovascular disorders · 2025Article
- Differential impacts of clinical, anatomical, and procedural factors on early and late mortality following open thoracoabdominal aortic repair: a retrospective observational study.Journal of cardiothoracic surgery · 2024Observational
- Impact of on-pump and off-pump coronary artery bypass grafting on 10-year mortality versus percutaneous coronary intervention.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023Article
- Hemodynamic management during off-pump coronary artery bypass surgery: a narrative review of proper targets for safe execution and troubleshooting.Korean journal of anesthesiology · 2023Review
- Intensive care unit length of stay and mortality comparison between on-pump and off-pump coronary artery bypass graft: a retrospective study.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023Article
- Off pump Versus On pump Coronary Artery Bypass Grafting: Short-term Outcomes.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2023Article
- Dissemination and Implementation Science in Cardiothoracic Surgery: A Review and Case Study.The Annals of thoracic surgery · 2022Review
- Revascularization strategies for patients with established chronic coronary syndrome.European journal of clinical investigation · 2022Review
- Sutureless versus Hand-Sewn Coronary Anastomoses: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2022Review
- Long-Term Efficacy and Anticoagulation Strategy of Left Atrial Appendage Occlusion During Total Thoracoscopic Ablation of Atrial Fibrillation to Prevent Ischemic Stroke.Frontiers in cardiovascular medicine · 2022Article
- Intimal aortic atherosclerosis in cardiac surgery: surgical strategies to prevent embolic stroke.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2021Review
- Mid-term outcomes of off-pump versus on-pump coronary artery bypass graft surgery; statistical challenges in comparison.BMC cardiovascular disorders · 2021Observational
- Coronary Artery Bypass: Review of Surgical Techniques and Impact on Long-Term Revascularization Outcomes.Cardiology and therapy · 2021Review
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
Background The debate on the relative benefits of off-pump and on-pump coronary artery bypass surgery ( OPCABG and ONCABG ) is still open. We aimed to provide an updated and complete summary of the evidence on the differences between OPCABG and ONCABG and to explore whether the length of the follow-up and the surgeons' experience in OPCABG modify the comparative results. Methods and Results All randomized clinical trials comparing OPCABG and ONCABG were included. Primary outcome was follow-up mortality. Secondary outcomes were operative mortality, perioperative stroke, perioperative myocardial infarction, and late repeated revascularization. Subgroup analyses were performed based on the length of the follow-up and the percentage of crossover from the OPCABG group (used as a surrogate of surgeon experience with OPCABG ). One hundred four trials were included (20 627 patients, OPCABG : 10 288; ONCABG : 10 339). Weighted mean follow-up time was 3.7 years (range 1-7.5 years). OPCABG was associated with a higher risk of follow-up mortality (incidence rate ratio 1.11, 95% confidence interval 1.00-1.23, P=0.05). The difference was significant only for trials with mean follow-up of ≥3 years and for studies with a crossover rate of ≥10%. There was a trend toward lower risk of perioperative stroke and higher need for late repeated revascularization in the OPCABG arm. Conclusions OPCABG is associated with a higher incidence of incomplete revascularization, an increased need for repeated revascularization, and decreased midterm survival compared with ONCABG . Surgeon inexperience in OPCABG is associated with late mortality.
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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.