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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 ...

  • Elsevier,2022
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-488572
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-488572URI
  • https://doi.org/10.1016/j.ijcard.2022.08.013DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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 ...)

  • Serruys, Patrick W.Natl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.;Imperial Coll London, Natl Heart & Lung Inst, London, England. (författare)
  • Garg, ScotRoyal Blackburn Hosp, Dept Cardiol, Blackburn, Lancs, England. (författare)
  • Ninomiya, KaiNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland. (författare)
  • Masuda, ShinichiroNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland. (författare)
  • Kotoku, NozomiNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland. (författare)
  • Colombo, AntonioHumanitas Univ, Dept Biomed Sci, Pieve Emanuele Milan, Italy.;Humanitas Clin & Res Ctr IRCCS, Rozzano Milan, Italy. (författare)
  • Mack, Michael J.Baylor Univ, Med Ctr, Dept Cardiothorac Surg, Dallas, TX USA. (författare)
  • Banning, Adrian P.Oxford Univ Hosp, John Radcliffe Hosp, Dept Cardiol, Oxford, England. (författare)
  • Morice, Marie-ClaudeHop Prive Jacques Cartier, Gen Sante Massy, Dept Cardiol, Massy, France. (författare)
  • Witkowski, AdamNatl Inst Cardiol, Dept Intervent Cardiol & Angiol, Warsaw, Poland. (författare)
  • Curzen, NickUniv Southampton, Fac Med, Southampton, Hants, England.;Univ Hosp Southampton NHS Trust, Cardiothorac Unit, Southampton, Hants, England. (författare)
  • Burzotta, FrancescoUniv Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Inst Cardiol, Rome, Italy. (författare)
  • James, Stefan,1964-Uppsala universitet,Institutionen för medicinska vetenskaper(Swepub:uu)stjam367 (författare)
  • van Geuns, Robert-JanRadboud Univ Nijmegen, Dept Cardiol, Med Ctr, Nijmegen, Netherlands. (författare)
  • 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)
  • Holmes, David R., Jr.Mayo Clin, Dept Cardiovasc Dis & Internal Med, Rochester, MN USA. (författare)
  • Wood, David A.Imperial Coll London, Natl Heart & Lung Inst, London, England.;Natl Univ Ireland, Natl Inst Prevent & Cardiovasc Hlth, Galway, Ireland. (författare)
  • McEvoy, John WilliamNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland.;Natl Univ Ireland, Natl Inst Prevent & Cardiovasc Hlth, Galway, Ireland. (författare)
  • Onuma, YoshinobuNatl Univ Ireland, Dept Cardiol, Galway NUIG, Galway, Ireland. (författare)
  • 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)

Sammanhörande titlar

  • Ingår i:International Journal of Cardiology: Elsevier368, s. 28-380167-52731874-1754

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