OPCAB surgery is cost-effective for elderly patients

Scandinavian Cardiovascular Journal

Volumn 47, Issue 3, 2013, Pages 185-192

  Houlind, Kim ^a,b   Kjeldsen, Bo Juul ^c   Madsen, Susanne Norgaard ^d   Rasmussen, Bodil Steen ^d   Holme, Susanne Juel ^e   Pallesen, Peter Appel ^c   Mortensen, Poul Erik ^c   Fenger Grøn, Morten ^f   Beck, Søren Jepsen ^f   Ehlers, Lars Holger ^g  

^a AARHUS UNIVERSITY HOSPITAL   (Denmark)

^b UNIVERSITY OF SOUTHERN DENMARK   (Denmark)

^c ODENSE UNIVERSITY HOSPITAL   (Denmark)

^d AALBORG UNIVERSITY HOSPITAL   (Denmark)

^e GENTOFTE UNIVERSITY HOSPITAL   (Denmark)

^f AARHUS UNIVERSITY   (Denmark)

^g AALBORG UNIVERSITY   (Denmark)

Author keywords

Coronary artery bypass surgery cost effectiveness; Coronary artery disease; Off pump

Indexed keywords

AGED; ARTICLE; CHEST INFECTION; CONTROLLED STUDY; CORONARY ARTERY BYPASS SURGERY; COST EFFECTIVENESS ANALYSIS; FEMALE; GASTROINTESTINAL HEMORRHAGE; GERIATRIC PATIENT; HEALTH CARE COST; HUMAN; MAJOR CLINICAL STUDY; MALE; OFF PUMP CORONARY SURGERY; ON PUMP CORONARY ARTERY BYPASS SURGERY; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; PRIORITY JOURNAL; QUALITY OF LIFE; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; TREATMENT OUTCOME;

AGE FACTORS; AGED; AGED, 80 AND OVER; CHI-SQUARE DISTRIBUTION; CORONARY ARTERY BYPASS; CORONARY ARTERY BYPASS, OFF-PUMP; CORONARY ARTERY DISEASE; COST-BENEFIT ANALYSIS; DENMARK; FEMALE; HOSPITAL COSTS; HUMANS; MALE; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; QUALITY OF LIFE; QUALITY-ADJUSTED LIFE YEARS; QUESTIONNAIRES; TIME FACTORS; TREATMENT OUTCOME;

EID: 84878127949     PISSN: 14017431     EISSN: 16512006     Source Type: Journal    
DOI: 10.3109/14017431.2013.781672     Document Type: Article

References (23)

1. ., L loyd-Jones DM, B enjamin EJ, B erry JD, Borden WB, et al. Heart Disease and Stroke Statistics-2012 update: A report from the American Heart Association. Circulation. 2012 ; 125: E2-E220.
2. van Dijk D, S poor M, H ijman R, N athoe H M, B orst C, Jansen EW, et al. Cognitive and cardiac outcomes 5 years after off-pump vs on-pump coronary artery bypass graft surgery. JAMA. 2007; 297: 701-8.
3. Angelini G D, T aylor F C, R eeves B C. E arly and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): A pooled analysis of two randomised controlled trials. Lancet. 2002; 359: 1194-9.
4. Czerny M, B aumer H, K ilo J, Z uckermann A, G rubhofer G, Chevtchik O, et al. Complete Revascularization in coronary artery bypass grafting with and without cardiopulmonary bypass. Ann Thorac Surg. 2001; 71: 165-9.
5. Lé garé J-F, B uth KJ, K ing S, W ood J, S ullivan JA, H ancock Friesen C, et al. Coronary bypass surgery performed off pump does not result in lower in-hospital morbidity than coronary artery bypass grafting performed on pump. Circulation. 2004 ; 109: 887-92.
6. Lingaas PS, H ol PK, L undblad R, R ein KA, V atne K, Smith HJ, et al. Clinical and angiographic outcome of coronary surgery with and without cardiopulmonary bypass: A prospective randomized trial. Heart Surg Forum. 2004; 7: 37-41.
7. Puskas JD, W illiams WH, M ahoney EM, H uber PR, Block PC, Duke PG, et al. Off-pump vs conventional coronary artery bypass grafting: Early and 1 year graft patency, cost, and quality-of-life outcomes. A randomized trial. JAMA. 2004; 291: 1841-9.
8. Straka Z, W idimsky P, J irasek K, S tros P, V otava J, V anek T, et al. Off-pump versus on-pump coronary surgery: fi nal results from a prospective randomized study PRAGUE-4. Ann Thorac Surg. 2004; 77: 789-93.
9. Shroyer AL, G rover FL, H attler B, C ollins JF, McDonald GO, Kozora E, et al. On-pump versus off-pump coronary-Artery bypass surgery. N Engl J Med. 2009; 361: 1827-37.
10. Houlind K, K jeldsen BJ, M adsen SN, R asmussen BS, Holme SJ, Nielsen PH, et al. On-pump versus off-pump coronary artery bypass surgery in elderly patients. Results from the Danish on-pump vs. off-pump randomization study (DOORS). Circulation. 2012; 125: 2431-9.
11. M øl ler C H, P erko M J, L und J T, A ndersen L W, K elbaek H, Madsen JK, et al. No major differences in 30-day outcomes in high-risk patients randomized to off-pump versus onpump coronary bypass surgery. The best bypass surgery trial. Circulation. 2010 ; 121: 498-504.
12. Nathoe HM, D ijk D, J ansen EWL, S uyker WJ, D iephuis JC, van Boven WJ, et al. A comparison of on-pump and off-pump coronary bypass surgery in low-risk patients. N Engl J Med. 2003; 348: 394-402.
13. Al-Ruzzeh S, E pstein D, G eorge S, B ustami M, I lsley C, Sculpher M, et al. Economic evaluation of coronary artery bypass grafting surgery with and without cardiopulmonary bypass: Cost-Effectiveness and quality-Adjusted life years in a randomized controlled trial. Artif Organs. 2008; 32: 891-7.
14. Ascoine R, L loyd C T, U nderwood M J, L otto AA, P itsis AA, Angelini GD. Economic outcome of off-pump coronary artery bypass surgery: A prospective randomized study. Ann Thorac Surg. 1999; 68: 2237-42.
15. Lee JD, L ee SJ, T sushima WT, Y amauchi H, L au W, Popper J, et al. Benefi ts of off-pump bypass on neurologic and clinical morbidity: A prospective randomized trial. Ann Thorac Surg. 2003; 76: 18-26.
16. Houlind K, K jeldsen BJ, M adsen SN, R asmussen BS, Holme SJ, Schmidt TA, et al. The impact of avoiding cardiopulmonary by-pass during coronary artery bypass surgery in elderly patients: The Danish On-pump Off-pump Randomisation Study (DOORS). Trials. 2009; 10: 47.
17. Ankjaer-Jensen A, R osling P, B ilde L. V ariable prospective fi nancing in the Danish hospital sector and the development of a Danish case-mix system. Health Care Manag Sci. 2006; 9: 259-68.
18. Wittrup-Jensen K, L auridsen J T, G udex C, P edersen K M. Generation of a Danish TTO value set for EQ-5D health states. Scand J Public Health. 2009; 37: 459-66.
19. Drummond MF, S chulper MJ, T orrance GW, O ' B rien B, Stoddart GL. Methods for the economic evaluation of health care programmes. Oxford: Oxford University Pres s; 1997.
20. Manca A, H awkins N, S chulper M J. E stimating mean QALYs in trial-based cost-Effectiveness analysis: The importance of controlling for baseline utility. Health Econ. 2005; 14: 487-96.
21. Devlin N, P arkin D. D oes nice have a cost effectiveness threshold and what other factors infl uence its decisions? Health Econ. 2004; 13: 437-452.
22. Raja SG, Haider Z, A hmad M. P redictors of gastrointestinal complications after conventional and beating heart coronary surgery. Surgeon. 2003; 1: 221-8.
23. Cheng D C, B ainbridge D, M artin J E, N ovick R J. T he evidence-based perioperative clinical outcomes research group. Does Off-pump coronary artery bypass reduce mortality, morbidity, and resource utilization when compared with conventional coronary artery bypass? A meta-Analysis of randomized trials. Anesthesiology. 2005; 102: 188-203.