Coronary artery bypass surgery prognosis: Difference between revisions
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Hardik Patel (talk | contribs) /* 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT){{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery... |
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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' Public reporting of cardiac surgery outcomes should use risk-adjusted results based on clinical data.<ref name="pmid15655428">{{cite journal| author=Geraci JM, Johnson ML, Gordon HS, Petersen NJ, Shroyer AL, Grover FL et al.| title=Mortality after cardiac bypass surgery: prediction from administrative versus clinical data. | journal=Med Care | year= 2005 | volume= 43 | issue= 2 | pages= 149-58 | pmid=15655428 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15655428 }} </ref><ref name="pmid1405795">{{cite journal| author=Hannan EL, Kilburn H, Lindsey ML, Lewis R| title=Clinical versus administrative data bases for CABG surgery. Does it matter? | journal=Med Care | year= 1992 | volume= 30 | issue= 10 | pages= 892-907 | pmid=1405795 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1405795 }} </ref><ref name="pmid9018210">{{cite journal| author=Hannan EL, Racz MJ, Jollis JG, Peterson ED| title=Using Medicare claims data to assess provider quality for CABG surgery: does it work well enough? | journal=Health Serv Res | year= 1997 | volume= 31 | issue= 6 | pages= 659-78 | pmid=9018210 | doi= | pmc=PMC1070152 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9018210 }} </ref><ref name="pmid7943479">{{cite journal| author=Hartz AJ, Kuhn EM| title=Comparing hospitals that perform coronary artery bypass surgery: the effect of outcome measures and data sources. | journal=Am J Public Health | year= 1994 | volume= 84 | issue= 10 | pages= 1609-14 | pmid=7943479 | doi= | pmc=PMC1615096 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7943479 }} </ref><ref name="pmid8917261">{{cite journal| author=Jones RH, Hannan EL, Hammermeister KE, Delong ER, O'Connor GT, Luepker RV et al.| title=Identification of preoperative variables needed for risk adjustment of short-term mortality after coronary artery bypass graft surgery. The Working Group Panel on the Cooperative CABG Database Project. | journal=J Am Coll Cardiol | year= 1996 | volume= 28 | issue= 6 | pages= 1478-87 | pmid=8917261 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8917261 }} </ref><ref name="pmid15942571">{{cite journal| author=Mack MJ, Herbert M, Prince S, Dewey TM, Magee MJ, Edgerton JR| title=Does reporting of coronary artery bypass grafting from administrative databases accurately reflect actual clinical outcomes? | journal=J Thorac Cardiovasc Surg | year= 2005 | volume= 129 | issue= 6 | pages= 1309-17 | pmid=15942571 | doi=10.1016/j.jtcvs.2004.10.036 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15942571 }} </ref><ref name="pmid17353447">{{cite journal| author=Shahian DM, Silverstein T, Lovett AF, Wolf RE, Normand SL| title=Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards. | journal=Circulation | year= 2007 | volume= 115 | issue= 12 | pages= 1518-27 | pmid=17353447 | doi=10.1161/CIRCULATIONAHA.106.633008 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17353447 }} </ref><ref name="pmid9350934">{{cite journal| author=Tu JV, Sykora K, Naylor CD| title=Assessing the outcomes of coronary artery bypass graft surgery: how many risk factors are enough? Steering Committee of the Cardiac Care Network of Ontario. | journal=J Am Coll Cardiol | year= 1997 | volume= 30 | issue= 5 | pages= 1317-23 | pmid=9350934 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9350934 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki> | | bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' Public reporting of cardiac surgery outcomes should use risk-adjusted results based on clinical data.<ref name="pmid15655428">{{cite journal| author=Geraci JM, Johnson ML, Gordon HS, Petersen NJ, Shroyer AL, Grover FL et al.| title=Mortality after cardiac bypass surgery: prediction from administrative versus clinical data. | journal=Med Care | year= 2005 | volume= 43 | issue= 2 | pages= 149-58 | pmid=15655428 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15655428 }} </ref><ref name="pmid1405795">{{cite journal| author=Hannan EL, Kilburn H, Lindsey ML, Lewis R| title=Clinical versus administrative data bases for CABG surgery. Does it matter? | journal=Med Care | year= 1992 | volume= 30 | issue= 10 | pages= 892-907 | pmid=1405795 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1405795 }} </ref><ref name="pmid9018210">{{cite journal| author=Hannan EL, Racz MJ, Jollis JG, Peterson ED| title=Using Medicare claims data to assess provider quality for CABG surgery: does it work well enough? | journal=Health Serv Res | year= 1997 | volume= 31 | issue= 6 | pages= 659-78 | pmid=9018210 | doi= | pmc=PMC1070152 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9018210 }} </ref><ref name="pmid7943479">{{cite journal| author=Hartz AJ, Kuhn EM| title=Comparing hospitals that perform coronary artery bypass surgery: the effect of outcome measures and data sources. | journal=Am J Public Health | year= 1994 | volume= 84 | issue= 10 | pages= 1609-14 | pmid=7943479 | doi= | pmc=PMC1615096 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7943479 }} </ref><ref name="pmid8917261">{{cite journal| author=Jones RH, Hannan EL, Hammermeister KE, Delong ER, O'Connor GT, Luepker RV et al.| title=Identification of preoperative variables needed for risk adjustment of short-term mortality after coronary artery bypass graft surgery. The Working Group Panel on the Cooperative CABG Database Project. | journal=J Am Coll Cardiol | year= 1996 | volume= 28 | issue= 6 | pages= 1478-87 | pmid=8917261 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8917261 }} </ref><ref name="pmid15942571">{{cite journal| author=Mack MJ, Herbert M, Prince S, Dewey TM, Magee MJ, Edgerton JR| title=Does reporting of coronary artery bypass grafting from administrative databases accurately reflect actual clinical outcomes? | journal=J Thorac Cardiovasc Surg | year= 2005 | volume= 129 | issue= 6 | pages= 1309-17 | pmid=15942571 | doi=10.1016/j.jtcvs.2004.10.036 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15942571 }} </ref><ref name="pmid17353447">{{cite journal| author=Shahian DM, Silverstein T, Lovett AF, Wolf RE, Normand SL| title=Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards. | journal=Circulation | year= 2007 | volume= 115 | issue= 12 | pages= 1518-27 | pmid=17353447 | doi=10.1161/CIRCULATIONAHA.106.633008 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17353447 }} </ref><ref name="pmid9350934">{{cite journal| author=Tu JV, Sykora K, Naylor CD| title=Assessing the outcomes of coronary artery bypass graft surgery: how many risk factors are enough? Steering Committee of the Cardiac Care Network of Ontario. | journal=J Am Coll Cardiol | year= 1997 | volume= 30 | issue= 5 | pages= 1317-23 | pmid=9350934 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9350934 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki> | ||
|} | |} | ||
====Use of Outcomes or Volume as CABG Quality Measures (DO NOT EDIT)<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume= | issue= | pages= | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599 }} </ref>==== | |||
==References== | ==References== | ||
Revision as of 18:54, 7 November 2012
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Coronary Artery Bypass Surgery Microchapters | |
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Pathophysiology | |
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Diagnosis | |
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Treatment | |
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Perioperative Monitoring | |
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Surgical Procedure | |
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Special Scenarios | |
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Coronary artery bypass surgery prognosis On the Web | |
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Directions to Hospitals Performing Coronary artery bypass surgery prognosis | |
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Risk calculators for Coronary artery bypass surgery prognosis | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Cafer Zorkun, M.D., Ph.D. [2], Mohammed A. Sbeih, M.D. [3]
Overview
Prognosis following CABG depends on a variety of factors. In general, CABG improves the chances of survival of patients who are at high risk, such as those patients with left main disease. After approximately 5 years the difference in survival rate between those who have had surgery and those treated by drug therapy diminishes. Age at the time of CABG is critical to the prognosis; consequently younger patients with no complicating diseases have a high probability of greater longevity.
In a cohort of 1,388 patients who were 48.9 years at the time of their first surgery (young by today's standards) survival was as follows:
- 5 years: 93.6%
- 10 years: 81.1%
- 15 years: 62.1%
- 20 years: 46.7%
- 23 years: 38.4%
2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)[1]
Public Reporting of Cardiac Surgery Outcomes (DO NOT EDIT)[1]
| Class I |
| "1. Public reporting of cardiac surgery outcomes should use risk-adjusted results based on clinical data.[2][3][4][5][6][7][8][9] (Level of Evidence: B)" |
Use of Outcomes or Volume as CABG Quality Measures (DO NOT EDIT)[1]
References
- ↑ 1.0 1.1 1.2 Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). "2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e31823c074e. PMID 22064599.
- ↑ Geraci JM, Johnson ML, Gordon HS, Petersen NJ, Shroyer AL, Grover FL; et al. (2005). "Mortality after cardiac bypass surgery: prediction from administrative versus clinical data". Med Care. 43 (2): 149–58. PMID 15655428.
- ↑ Hannan EL, Kilburn H, Lindsey ML, Lewis R (1992). "Clinical versus administrative data bases for CABG surgery. Does it matter?". Med Care. 30 (10): 892–907. PMID 1405795.
- ↑ Hannan EL, Racz MJ, Jollis JG, Peterson ED (1997). "Using Medicare claims data to assess provider quality for CABG surgery: does it work well enough?". Health Serv Res. 31 (6): 659–78. PMC 1070152. PMID 9018210.
- ↑ Hartz AJ, Kuhn EM (1994). "Comparing hospitals that perform coronary artery bypass surgery: the effect of outcome measures and data sources". Am J Public Health. 84 (10): 1609–14. PMC 1615096. PMID 7943479.
- ↑ Jones RH, Hannan EL, Hammermeister KE, Delong ER, O'Connor GT, Luepker RV; et al. (1996). "Identification of preoperative variables needed for risk adjustment of short-term mortality after coronary artery bypass graft surgery. The Working Group Panel on the Cooperative CABG Database Project". J Am Coll Cardiol. 28 (6): 1478–87. PMID 8917261.
- ↑ Mack MJ, Herbert M, Prince S, Dewey TM, Magee MJ, Edgerton JR (2005). "Does reporting of coronary artery bypass grafting from administrative databases accurately reflect actual clinical outcomes?". J Thorac Cardiovasc Surg. 129 (6): 1309–17. doi:10.1016/j.jtcvs.2004.10.036. PMID 15942571.
- ↑ Shahian DM, Silverstein T, Lovett AF, Wolf RE, Normand SL (2007). "Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards". Circulation. 115 (12): 1518–27. doi:10.1161/CIRCULATIONAHA.106.633008. PMID 17353447.
- ↑ Tu JV, Sykora K, Naylor CD (1997). "Assessing the outcomes of coronary artery bypass graft surgery: how many risk factors are enough? Steering Committee of the Cardiac Care Network of Ontario". J Am Coll Cardiol. 30 (5): 1317–23. PMID 9350934.