Why the study?
Heart Team discussions optimize revascularization decisions in multivessel coronary disease, but data were lacking on whether hierarchical issues impact these recommendations.
Does the presence of department heads impact Heart Team recommendations for CABG vs PCI in patients with isolated multivessel coronary artery disease?
Population
209 Heart Team discussions in patients with isolated MVD
Comparison
Both directors present vs both absent vs only HOS present vs only HOC present
Design
Retrospective analysis
Authors
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Hierarchy may bias Heart Team CABG/PCI choices in multivessel disease; leaves open whether structured protocols alter decisions or outcomes.
Does the presence of department heads impact Heart Team recommendations for CABG vs PCI in patients with isolated multivessel coronary artery disease?
The hierarchical presence of department heads significantly biases multidisciplinary Heart Team recommendations toward their respective specialties in patients with isolated multivessel coronary disease.
Abdulrahman et al. (2019) studied this question.
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