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December 25, 2009European Journal of Cardio-Thoracic SurgeryOpen Access

Diabetes and survival after coronary artery bypass grafting: comparison with an age- and sex-matched population

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Why the study?

Does diabetes affect long-term survival after coronary artery bypass grafting compared to non-diabetic patients and the general population?

Population

10,626 patients who underwent coronary artery bypass grafting between January 1998 and December 2007

Comparison

Coronary artery bypass grafting in diabetic… vs Coronary artery bypass grafting in non-diabetic…

Design

Cohort

Follow-up

up to 10 years

Authors

ASAlbert H.M. van StratenRadboud University NijmegenMHMohamed A. Soliman HamadRadboud University NijmegenAZAndré van ZundertThe University of Queensland

Discussion

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Implication

May inform risk stratification in diabetic CABG patients; leaves open whether optimized management alters long-term survival.

Structured PICO

Does diabetes affect long-term survival after coronary artery bypass grafting compared to non-diabetic patients and the general population?

P
Population
10,626 patients who underwent coronary artery bypass grafting between January 1998 and December 2007 (8,287 non-diabetic, 1,587 non-insulin-dependent diabetic, and 630 insulin-dependent diabetic patients)
I
Intervention
Coronary artery bypass grafting in diabetic patients (insulin-dependent and non-insulin-dependent)
C
Comparator
Coronary artery bypass grafting in non-diabetic patients, and age- and sex-matched cohorts from the general Dutch population
O
Outcome
Survival (early and late mortality, 1-, 5- and 10-year survival rates)hard clinical

Diabetic patients undergoing CABG have significantly worse long-term survival compared to both non-diabetic CABG patients and the age- and sex-matched general population.

Cite This Study

Straten et al. (2009) studied this question.

synapsesocial.com/papers/6a1c053ab33628da419d1efdhttps://doi.org/10.1016/j.ejcts.2009.11.042
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Postoperative recovery: How diabetes complicates care1993 · 3 citations
  2. 2Coronary morphologic and clinical determinants of procedural outcome with angioplasty for multivessel coronary disease. Implications for patient selection. Multivessel Angioplasty Prognosis Study Group.1990 · 1,354 citations
  3. 3Diabetes is not a risk factor for hospital mortality following contemporary coronary artery bypass grafting2007 · 49 citations
  4. 4Mortality, mode of death and risk indicators for death during 5 years after coronary artery bypass grafting among patients with and without a history of diabetes mellitus2000 · 66 citations
  5. 5Effect of Diabetes and Associated Conditions on Long-Term Survival After Coronary Artery Bypass Graft Surgery2004 · 131 citations