In an observational study in Medicare patients, a long-term survival advantage of CABG was evident for patients with particular clinical characteristics.
In a general population of patients with multivessel coronary artery disease, do certain clinical characteristics modify the relative effectiveness of coronary artery bypass grafting (CABG) versus percutaneous coronary intervention (PCI)? To find out, researchers analyzed baseline variables and postprocedural outcomes in 105,156 Medicare patients (aged 66 or older) with multivessel disease who underwent CABG or PCI from 1992 through 2008. Propensity scoring was used to match CABG and PCI patients based on clinical characteristics.
Within 5 years after revascularization, CABG patients had a small but statistically significant mean survival benefit of 0.053 life-year, compared with PCI patients. However, the relative advantage of CABG over PCI…
Reviewing Author
DisclosuresGrant/Research SupportNIH–National Heart, Lung, and Blood Institute
DisclosuresGrant/Research SupportNIH–National Heart, Lung, and Blood Institute