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Predialysis coronar...
Predialysis coronary revascularization and postdialysis mortality
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- Gaipov, Abduzhappar (author)
- Natl Sci Med Res Ctr, Kazakhstan
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- Molnar, Miklos Z. (author)
- Methodist Univ Hosp, TN USA; Semmelweis Univ, Hungary
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- Potukuchi, Praveen K. (author)
- Natl Sci Med Res Ctr, Kazakhstan
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- Sumida, Keiichi (author)
- Natl Sci Med Res Ctr, Kazakhstan; Toranomon Hosp Kajigaya, Japan
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- Canada, Robert B. (author)
- Natl Sci Med Res Ctr, Kazakhstan
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- Akbilgic, Oguz (author)
- Kazakh Natl Med Univ, Kazakhstan
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- Kabulbayev, Kairat (author)
- Kazakh Natl Med Univ, Kazakhstan
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- Szabo, Zoltán (author)
- Linköpings universitet,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland
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- Koshy, Santhosh K. G. (author)
- Univ Tennessee, TN 38104 USA
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- Kalantar-Zadeh, Kamyar (author)
- Univ Calif Irvine, CA 92668 USA
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- Kovesdy, Csaba P. (author)
- Natl Sci Med Res Ctr, Kazakhstan; Memphis VA Med Ctr, TN 38104 USA
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(creator_code:org_t)
- MOSBY-ELSEVIER, 2019
- 2019
- English.
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In: Journal of Thoracic and Cardiovascular Surgery. - : MOSBY-ELSEVIER. - 0022-5223 .- 1097-685X. ; 157:3, s. 976-
- Related links:
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http://www.jtcvs.org...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Objectives: Coronary artery bypass grafting (CABG) is associated with better survival than percutaneous coronary intervention (PCI) in patients with mild-to-moderate chronic kidney disease (CKD) and end-stage renal disease (ESRD). However, the optimal strategy for coronary artery revascularization in patients with advanced CKD who transition to ESRD is unclear. Methods: We examined a contemporary national cohort of 971 US veterans with incident ESRD who underwent first CABG or PCI up to 5 years before dialysis initiation. We examined the association of a history of CABG versus PCI with all-cause mortality following transition to dialysis using Cox proportional hazards models adjusted for time between procedure and dialysis initiation, sociodemographics, comorbidities, and medications. Results: In total, 582 patients underwent CABG and 389 patients underwent PCI. The mean age was 64 +/- 8 years, 99% of patients were male, 79% were white, 19% were African American, and 84% had diabetes. The all-cause post-dialysis mortality rates after CABG and PCI were 229 per 1000 patient-years (95% confidence interval [CI], 205-256) and 311 per 1000 patient years (95% CI, 272-356), respectively. Compared with PCI, patients who underwent CABG had 34% lower risk of death (multivariable adjusted hazard ratio, 0.66; 95% CI, 0.51-0.86, P = .002) after initiation of dialysis. Results were similar in all subgroups of patients stratified by age, race, type of intervention, presence/absence of myocardial infarction, congestive heart failure, and diabetes. Conclusions: CABG in patients with advanced CKD was associated lower risk of death after initiation of dialysis compared with PCI.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- all-cause mortality; coronary artery bypass grafting; percutaneous coronary interventions; chronic kidney disease; end-stage renal disease
Publication and Content Type
- ref (subject category)
- art (subject category)
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Gaipov, Abduzhap ...
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Molnar, Miklos Z ...
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Potukuchi, Prave ...
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Sumida, Keiichi
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Canada, Robert B ...
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Akbilgic, Oguz
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Kabulbayev, Kair ...
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Szabo, Zoltán
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Koshy, Santhosh ...
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Kalantar-Zadeh, ...
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Kovesdy, Csaba P ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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Journal of Thora ...
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Linköping University