Key result
Coronary by-pass surgery was the preferred therapy in many patients with disabling angina, but rarely in asymptomatic patients, according to a decision analysis model.
Why the study?
Does coronary by-pass surgery improve outcomes compared to medical therapy in patients with coronary artery disease based on decision analysis?
Population
Patients with angiographically documented coronary artery disease
Comparison
Coronary by-pass surgery vs Medical therapy
Authors
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Supports symptom-guided CABG decisions; hypothesis-generating and requires prospective validation before practice change.
Does coronary by-pass surgery improve outcomes compared to medical therapy in patients with coronary artery disease based on decision analysis?
Decision analysis suggests coronary bypass surgery is preferred for disabling angina but rarely for asymptomatic patients, heavily influenced by patient attitudes and surgeon outcomes.
Stephen G. Pauker (1976) studied Coronary artery disease. Coronary by-pass surgery vs. Medical therapy was evaluated. Coronary by-pass surgery was the preferred therapy in many patients with disabling angina, but rarely in asymptomatic patients, according to a decision analysis model.
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