Evidence map›Paper›PMID 37273356›Full record

ArticleCureus2023

Survival and Independent Predictors of Mortality Following Coronary Artery Bypass Graft Surgery in a Single-Unit Practice in the United Kingdom Over 20 Years.

Aziz Momin, Redoy Ranjan, Oswaldo Valencia, Adam Jacques, Pitt Lim, David Fluck, Tuan P Chua, Venkatachalam Chandrasekaran

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
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

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

8 authors at 4 institutions in 2 countries.

Aziz MominCardiac Surgery, St. George's University Hospitals NHS Foundation Trust, London, GBR.
Redoy RanjanCardiac Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, BGD.
Oswaldo ValenciaCardiac Surgery, St. George's University Hospitals NHS Foundation Trust, London, GBR.
Adam JacquesCardiology, Ashford and St Peter's Hospitals NHS Foundation Trust, Chertsey, GBR.
Pitt LimCardiology, St. George's University Hospitals NHS Foundation Trust, London, GBR.
David FluckCardiology, Ashford and St Peter's Hospitals NHS Foundation Trust, Chertsey, GBR.
Tuan P ChuaCardiology, Royal Surrey NHS Foundation Trust, London, GBR.
Venkatachalam ChandrasekaranCardiac Surgery, St. George's University Hospitals NHS Foundation Trust, London, GBR.
Bangladesh Medical University · BDSt George’s University Hospitals NHS Foundation Trust · GBAshford and St Peter's Hospitals NHS Foundation Trust · GBRoyal Surrey NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe types of graft conduits and surgical techniques may impact the long-term outcomes of patients after coronary artery bypass graft (CABG) revascularization. This study observed a long-term survival rate following CABG surgery over 20 years in the United Kingdom.

methodsA total of 2979 isolated CABG patients were studied from 1999 to 2020, and postoperative data were obtained from the hospital-recorded mortality by the data quality team of the information department. Postdischarge survival was estimated using the Kaplan-Meier method, and statistical significance was obtained with log-rank tests and the Gehan-Breslow test, and the Holm-Sidak method was used for multiple pairwise comparisons.

resultsThe study observed male predominance (80%), and the median age was statistically significant (P <0.001) among the groups, 66 years (interquartile range 58-73) and 72 years (interquartile range 66-78) in survivor and non-survivor groups, respectively. In the Holm-Sidak method analysis, the best survival rate (mean 18.7 years) was observed in the total arterial group with significantly decreased survival for the mixed arterial and venous group (mean 16.12 years) and only the vein group (10.44 years). The Cox regression model observed that the New York Heart Association (NYHA) class III-IV (HR 1.57), chest re-exploration (HR 2.14), preoperative dialysis (HR 3.13), and redo surgery (HR 3.04) were potential predictors of the postoperative mortality (P ≤0.05).

conclusionIn our series over 20 years, albeit off-pump and on-pump CABG observed similar survival rates, the total arterial myocardial revascularization population has significantly better long-term survival benefits.

Indexed as

bilateral internal mammary arterycoronary artery bypass graftlong term outcomemortalitymultiple arterial graftsurvival benefitstotal arterial cabg

Identifiers

PMID37273356
PMCPMC10234614
OpenAlexW4367853778

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LicenceCC BY
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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.