Evidence map›Paper›PMID 36110419›Full record

ArticleFrontiers in cardiovascular medicine2022

Robot-assisted vs. conventional MIDCAB: A propensity-matched analysis.

Jan Gofus, Stepan Cerny, Youssef Shahin, Zdenek Sorm, Martin Vobornik, Petr Smolak, Ananya Sethi, Samuel Marcinov, Mikita Karalko, James Chek and 3 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

13 authors.

Jan GofusDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Stepan CernyDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Youssef ShahinDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Zdenek SormDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Martin VobornikDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Petr SmolakDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Ananya SethiDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Samuel MarcinovDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Mikita KaralkoDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
James ChekDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Jan HarrerDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Jan VojacekDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.
Marek PojarDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital in Hradec Králové, Charles University, Hradec Králové, Czechia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Robotic assistance (RA) in the harvesting of internal thoracic artery during minimally invasive direct coronary artery bypass grafting (MIDCAB) provides several potential benefits for surgeon and patient in comparison with conventional MIDCAB. The two technical options have not been thoroughly compared in the literature yet. We aimed to perform this in our cohort with the use of propensity-score matching (PSM). Methods: This was a retrospective comparison of all consecutive patients undergoing conventional MIDCAB (2005-2021) and RA-MIDCAB (2018-2021) at our institution with the use of PSM with 27 preoperative covariates. Results: Throughout the study period 603 patients underwent conventional and 132 patients underwent RA-MIDCAB. One hundred and thirty matched pairs were selected for further comparison. PSM successfully eliminated all preoperative differences. Patients after RA-MIDCAB had lower 24 h blood loss post-operatively (300 vs. 450 ml, Conclusions: RA-MIDCAB is an attractive alternative to conventional MIDCAB. It is associated with lower post-operative blood loss and potentially faster rehabilitation after surgery. The mortality and the risk of perioperative complications are comparable among the groups.

Indexed as

coronary artery bypass graftinginternal thoracic arteryMIDCABminimally invasive surgeryrobotic surgery

Identifiers

PMID36110419
PMCPMC9468449

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