Evidence map›Paper›PMID 33045889›Full record

ArticleJournal of the American Heart Association2020

Trends in Reoperative Coronary Artery Bypass Graft Surgery for Older Adults in the United States, 1998 to 2017.

Makoto Mori, Yun Wang, Karthik Murugiah, Rohan Khera, Aakriti Gupta, Prashanth Vallabhajosyula, Frederick A Masoudi, Arnar Geirsson, Harlan M Krumholz

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Ticagrelor with and without aspirin in patients with a prior coronary artery bypass graft undergoing percutaneous coronary intervention: the TWILIGHT-CABG study.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Trial
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Makoto MoriSection of Cardiac Surgery Yale School of Medicine New Haven CT.
Yun WangCenter for Outcomes Research and Evaluation Yale New Haven Hospital New Haven CT.
Karthik MurugiahCenter for Outcomes Research and Evaluation Yale New Haven Hospital New Haven CT.
Rohan KheraDivision of Cardiology UT Southwestern Medical Center Dallas TX.
Aakriti GuptaCenter for Outcomes Research and Evaluation Yale New Haven Hospital New Haven CT.
Prashanth VallabhajosyulaSection of Cardiac Surgery Yale School of Medicine New Haven CT.
Frederick A MasoudiDivision of Cardiology University of Colorado Anschutz Medical Campus Aurora CO.
Arnar GeirssonSection of Cardiac Surgery Yale School of Medicine New Haven CT.
Harlan M KrumholzCenter for Outcomes Research and Evaluation Yale New Haven Hospital New Haven CT.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background The likelihood of undergoing reoperative coronary artery bypass graft surgery (CABG) is important for older patients who are considering first-time CABG. Trends in the reoperative CABG for these patients are unknown. Methods and Results We used the Medicare fee-for-service inpatient claims data of adults undergoing isolated first-time CABG between 1998 and 2017. The primary outcome was time to first reoperative CABG within 5 years of discharge from the index surgery, treating death as a competing risk. We fitted a Cox regression to model the likelihood of reoperative CABG as a function of patient baseline characteristics. There were 1 666 875 unique patients undergoing first-time isolated CABG and surviving to hospital discharge. The median (interquartile range) age of patients did not change significantly over time (from 74 [69-78] in 1998 to 73 [69-78] in 2017); the proportion of women decreased from 34.8% to 26.1%. The 5-year rate of reoperative CABG declined from 0.77% (95% CI, 0.72%-0.82%) in 1998 to 0.23% (95% CI, 0.19%-0.28%) in 2013. The annual proportional decline in the 5-year rate of reoperative CABG overall was 6.6% (95% CI, 6.0%-7.1%) nationwide, which did not differ across subgroups, except the non-white non-black race group that had an annual decline of 8.5% (95% CI, 6.2%-10.7%). Conclusions Over a recent 20-year period, the Medicare fee-for-service patients experienced a significant decline in the rate of reoperative CABG. In this cohort of older adults, the rate of declining differed across demographic subgroups.

Indexed as

Coronary Artery BypassCoronary Artery DiseaseLong Term Adverse EffectsReoperationAgedEthnicityFemaleHeart Disease Risk FactorsHospitalizationHumansLikelihood FunctionsMaleMedicarePrognosisUnited Statesolder adultsreoperative CABGtrend

Identifiers

PMID33045889
PMCPMC7763387

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Registered trials

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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.