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Geographic disparit...
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Kageyama, ShigetakaNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.
(författare)
Geographic disparity in 10-year mortality after coronary artery revascularization in the SYNTAXES trial
- Artikel/kapitelEngelska2022
Förlag, utgivningsår, omfång ...
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Elsevier,2022
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-488572
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-488572URI
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https://doi.org/10.1016/j.ijcard.2022.08.013DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Aims: To investigate geographic disparity in long-term mortality following revascularization in patients with complex coronary artery disease (CAD).Methods and results: The SYNTAXES trial randomized 1800 patients with three-vessel and/or left main CAD to percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and assessed their survival at 10 years. Patients were stratified according to the region of recruitment: North America (N-A, n = 245), Eastern Europe (E-E, n = 189), Northern Europe (N-E, n = 425), Southern Europe (S-E, n = 263), and Western Europe (W-E, n = 678), which also served as the reference group. Compared to W-E, patients were younger in E-E (62 vs 65 years, p < 0.001), and less frequently male in N-A (65.3% vs 79.6%, p < 0.001). Diabetes (16.0% vs 25.4%, p < 0.001) and peripheral vascular disease (6.8% vs 10.9%, p = 0.025) were less frequent in N-E than W-E. Ejection fraction was highest in W-E (62% vs 56%, p < 0.001). Compared to W-E, the mean anatomic SYNTAX score was higher in S-E (29 vs 31, p = 0.008) and lower in N-A (26, p < 0.001). Crude ten-year mortality was similar in N-A (31.6%), and W-E (30.7%), and significantly lower in E-E (22.5%, p = 0.041), N-E (21.9%, p = 0.003) and S-E (22.0%, p = 0.014). Compared to W-E, adjusted mortality in N-E (HR 0.85, p = 0.019) and S-E (HR 0.72, p = 0.043) remain significantly lower after adjustment for pre-and peri-procedural factors, but no significant interaction (Pinteraction = 0.728) between region and modality of revascularization was seen.Conclusion: In the era of globalization, knowledge, and understanding of geographic disparity are of paramount importance for the correct interpretation of global studies.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Serruys, Patrick W.Natl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.;Imperial Coll London, Natl Heart & Lung Inst, London, England.
(författare)
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Garg, ScotRoyal Blackburn Hosp, Dept Cardiol, Blackburn, Lancs, England.
(författare)
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Ninomiya, KaiNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.
(författare)
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Masuda, ShinichiroNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.
(författare)
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Kotoku, NozomiNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.
(författare)
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Colombo, AntonioHumanitas Univ, Dept Biomed Sci, Pieve Emanuele Milan, Italy.;Humanitas Clin & Res Ctr IRCCS, Rozzano Milan, Italy.
(författare)
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Mack, Michael J.Baylor Univ, Med Ctr, Dept Cardiothorac Surg, Dallas, TX USA.
(författare)
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Banning, Adrian P.Oxford Univ Hosp, John Radcliffe Hosp, Dept Cardiol, Oxford, England.
(författare)
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Morice, Marie-ClaudeHop Prive Jacques Cartier, Gen Sante Massy, Dept Cardiol, Massy, France.
(författare)
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Witkowski, AdamNatl Inst Cardiol, Dept Intervent Cardiol & Angiol, Warsaw, Poland.
(författare)
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Curzen, NickUniv Southampton, Fac Med, Southampton, Hants, England.;Univ Hosp Southampton NHS Trust, Cardiothorac Unit, Southampton, Hants, England.
(författare)
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Burzotta, FrancescoUniv Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Inst Cardiol, Rome, Italy.
(författare)
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James, Stefan,1964-Uppsala universitet,Institutionen för medicinska vetenskaper(Swepub:uu)stjam367
(författare)
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van Geuns, Robert-JanRadboud Univ Nijmegen, Dept Cardiol, Med Ctr, Nijmegen, Netherlands.
(författare)
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Davierwala, Piroze M.Univ Toronto, Dept Surg, Toronto, ON, Canada.;Toronto Gen Hosp, Peter Munk Cardiac Ctr, Div Cardiovasc Surg, Toronto, ON, Canada.;Univ Hlth Network, Toronto, ON, Canada.
(författare)
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Holmes, David R., Jr.Mayo Clin, Dept Cardiovasc Dis & Internal Med, Rochester, MN USA.
(författare)
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Wood, David A.Imperial Coll London, Natl Heart & Lung Inst, London, England.;Natl Univ Ireland, Natl Inst Prevent & Cardiovasc Hlth, Galway, Ireland.
(författare)
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McEvoy, John WilliamNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.;Natl Univ Ireland, Natl Inst Prevent & Cardiovasc Hlth, Galway, Ireland.
(författare)
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Onuma, YoshinobuNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.
(författare)
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Natl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.Natl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.;Imperial Coll London, Natl Heart & Lung Inst, London, England.
(creator_code:org_t)
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Ingår i:International Journal of Cardiology: Elsevier368, s. 28-380167-52731874-1754
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Kageyama, Shiget ...
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Serruys, Patrick ...
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Garg, Scot
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Ninomiya, Kai
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Masuda, Shinichi ...
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Kotoku, Nozomi
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visa fler...
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Colombo, Antonio
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Mack, Michael J.
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Banning, Adrian ...
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Morice, Marie-Cl ...
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Witkowski, Adam
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Curzen, Nick
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Burzotta, France ...
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James, Stefan, 1 ...
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van Geuns, Rober ...
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Davierwala, Piro ...
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Holmes, David R. ...
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Wood, David A.
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McEvoy, John Wil ...
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Onuma, Yoshinobu
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