What does this research mean for the field?

Health-related quality of life improves significantly one year after coronary artery bypass grafting, and this improvement is independent of whether cardiopulmonary bypass (on-pump versus off-pump) is used. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

September 29, 2004World Journal of Surgery

Improved Health‐related Quality of Life after Coronary Artery Bypass Grafting Is Unrelated to Use of Cardiopulmonary Bypass

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Why the study?

Does off-pump CABG improve health-related quality of life compared to on-pump CABG in patients undergoing coronary artery bypass grafting?

Population

508 patients undergoing coronary artery bypass graft (CABG) surgery at a university hospital Heart Center

Comparison

Off-pump CABG (without cardiopulmonary bypass) vs On-pump CABG (with cardiopulmonary bypass)

Design

Cohort

Follow-up

12 months

Authors

OJOtso JärvinenTampere University Hospital TSTimo SaarinenUniversity of Turku JJJuhani JulkunenUniversity of Helsinki

Discussion

Member takes

Implication

Both on-pump and off-pump CABG were associated with similar 1-year QoL gains; leaves open whether randomized trials would confirm equivalence.

Structured PICO

Does off-pump CABG improve health-related quality of life compared to on-pump CABG in patients undergoing coronary artery bypass grafting?

Population

508 patients undergoing coronary artery bypass graft (CABG) surgery at a university hospital Heart Center

Intervention

Off-pump CABG (without cardiopulmonary bypass)

Comparator

On-pump CABG (with cardiopulmonary bypass)

Outcome

Change in the physical component summary (PCS) and mental component summary (MCS) from the RAND-36 Health Survey at 12 monthspatient reported

Both on-pump and off-pump CABG significantly improve health-related quality of life at 1 year, with no significant difference between the two surgical techniques.

Cite This Study

Järvinen et al. (2004) studied this question.

synapsesocial.com/papers/6a1bcf21ea84844e355f00df https://doi.org/10.1007/s00268-004-7486-1

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Implication

Both on-pump and off-pump CABG were associated with similar 1-year QoL gains; leaves open whether randomized trials would confirm equivalence.

Improved Health‐related Quality of Life after Coronary Artery Bypass Grafting Is Unrelated to Use of Cardiopulmonary Bypass

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Improved Health‐related Quality of Life after Coronary Artery Bypass Grafting Is Unrelated to Use of Cardiopulmonary Bypass

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider