A consensus panel reviewed coronary artery bypass surgery for coronary artery disease, noting that operation rates in Britain were about one sixth of those in the United States.
What is the consensus on the use of coronary artery bypass grafting for patients with coronary artery disease?
This consensus statement outlines the objectives and indications for CABG while highlighting significant variations in its utilization rates.
Consensus development conference: coronary artery bypass grafting Britain's first consensus development conference was held in London from 21 to 23 November, sponsored by the King's Fund in association with the Royal College ofj Physicians and the Royal College of Surgeons.A panel oJ doctors and other professionals, including lawyers and economists, listened to expert evidence and debated it first in public and later in closed session.7he panel's report appears below (see leading article at p 14 7 7. Consensus statementCoronary artery disease is one of the major health problems in the Western world today.Coronary artery bypass surgery is a tech- nique in which a blocked or narrowed section of a coronary artery is bypassed using part of a vein or artery from elsewhere in the patient's body.The treatment has two separate objectives: the relief of angina and the prolongation of life.There are, however, alternative methods of treatment for coronary arterv disease, and there are a wide variety of views about which patients stand to benefit from coronary artery bypass surgery, especially in com- parison with these alternatives.Britain shares with Sweden, France, and Germany a rate of bypass operations per million population that is about one sixth of that in the United States, a quarter of that in Australia, and a third of that in Holland.Within the United Kingdom the rates over the five year period 1977-82 varied 10-fold among regions.These variations reflect differences in the availability of facilities for investigation and surgery and probably!also the differing views of doctors and patients about the indications for the procedure.A major questioin is whether there should be any change in the number of coronary artery bypass operations over the next few years, taking into account other demands on health care resources.Coronarv artery bypass surgery is only one aspect, albeit an important one, of the whole massive problem of coronary arteryThe panel comprised: 1rofessor
A Sat, study conducted a other in Coronary artery disease. Coronary artery bypass surgery vs. Alternative methods of treatment was evaluated. A consensus panel reviewed coronary artery bypass surgery for coronary artery disease, noting that operation rates in Britain were about one sixth of those in the United States.