Evidence map›Paper›PMID 42266971›Full record

ArticleAnnals of thoracic surgery short reports2026

Long-Term Survival and Mortality Predictors of Off-Pump vs On-Pump Coronary Artery Bypass Grafting: A 25-Year Cohort Study.

Shahzad G Raja, Kabeer Umakumar, Abu Ali Farmidi, Sunil K Bhudia, Nandor Marczin, Maria Comanici

Abstract read
In one paragraph

Article in Annals of thoracic surgery short reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Shahzad G RajaDepartment of Cardiac Surgery, Harefield Hospital, London, United Kingdom.
Kabeer UmakumarDepartment of Cardiac Surgery, Harefield Hospital, London, United Kingdom.
Abu Ali FarmidiDepartment of Cardiac Surgery, Harefield Hospital, London, United Kingdom.
Sunil K BhudiaDepartment of Cardiac Surgery, Harefield Hospital, London, United Kingdom.
Nandor MarczinDepartment of Anaesthesia and Critical Care, Harefield Hospital, London, United Kingdom.
Maria ComaniciDepartment of Cardiac Surgery, Harefield Hospital, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Coronary artery bypass grafting (CABG), a key procedure for managing severe coronary artery disease, is performed by 2 primary surgical strategies: off-pump CABG and on-pump CABG. The long-term survival impact of off-pump CABG compared with on-pump CABG remains debated because of conflicting evidence. This study compared 25-year survival rates between off-pump CABG and on-pump CABG and identified key predictors of long-term mortality in CABG patients. Methods: A retrospective cohort study analyzed 13,626 patients who underwent isolated CABG from January 1996 to September 2023. Patients were divided into off-pump CABG (n = 7408) and on-pump CABG (n = 6218) groups. Propensity score matching minimized baseline differences, yielding a matched cohort of 11,368 patients (5684 per group). Kaplan-Meier survival analysis was used to compare long-term survival between groups, and Cox proportional hazards regression identified independent predictors of mortality. Results: Off-pump CABG demonstrated superior 25-year survival (unmatched, 58.2% vs 42.2% [ Conclusions: Off-pump CABG is associated with superior long-term survival compared with on-pump CABG, with the survival gap widening over time. Identifying high-risk patients on the basis of demographic and comorbid factors can optimize surgical decision-making and guide revascularization strategies.

Identifiers

PMID42266971
PMCPMC13245300

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.