Do Women Currently Receive the Same Standard of Care in Coronary Artery Bypass Graft Procedures as Men? A Propensity Analysis

Parolari, Alessandro; Dainese, Luca; Naliato, Moreno; Polvani, Gianluca; Loardi, Claudia; Trezzi, Matteo; Fusari, Melissa; Beverini, Cristina; Tremoli, Elena; Biglioli, Paolo; Alamanni, Francesco

doi:10.1016/j.athoracsur.2007.11.022

Cited by 32 publications

(31 citation statements)

References 27 publications

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“…In contrast, some institutional reports have demonstrated that there is no difference in mortality between female and male patients after CABG. 13- 16 Parolari et al concluded that female sex itself did not seem to pose an independent risk for adverse postoperative outcomes with the use of contemporary surgical techniques. 16 In the present study, female patients had several worse preoperative conditions than those of male patients, which is consistent with previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…13- 16 Parolari et al concluded that female sex itself did not seem to pose an independent risk for adverse postoperative outcomes with the use of contemporary surgical techniques. 16 In the present study, female patients had several worse preoperative conditions than those of male patients, which is consistent with previous studies. We found that females were older, smaller, and had a more unstable angina status with urgent/emergent operations than in male patients.…”

Section: Discussionmentioning

confidence: 99%

“…13- 16 Parolari et al reported that female gender itself does not seem to pose an independent risk for adverse postoperative outcomes with contemporary surgical techniques. 16 It has been suggested that complete revascularization, use of arterial grafts and the off-pump technique might decrease the disparity in mortality between female and male patients. [16][17][18] However, evidence still indicates that short-term mortality is higher in females than in males.…”

mentioning

confidence: 99%

“…16 It has been suggested that complete revascularization, use of arterial grafts and the off-pump technique might decrease the disparity in mortality between female and male patients. [16][17][18] However, evidence still indicates that short-term mortality is higher in females than in males. 19 There have been no reports with regard to gender differences in clinical and angiographic outcomes after CABG from Japanese institutes.…”

mentioning

confidence: 99%

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Gender Differences in Clinical and Angiographic Outcomes After Coronary Artery Bypass Surgery

Fukui

Takanashi

2010

Circ J

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Background:The impact of gender on outcome after coronary artery bypass grafting (CABG) is controversial. The aim of this study was to compare the differences of clinical and angiographic outcomes between female and male patients after CABG. Methods and Results:The records of 954 patients who underwent isolated CABG between 2004 and 2009 were reviewed. There were 188 female and 766 male patients. Female patients were smaller (P<0.0001) and had a more unstable status (P=0.0024) preoperatively compared with the male patients. Left internal thoracic artery (ITA) use was identical in both genders. However, the right ITA (P=0.006) and radial artery (P<0.0001) use were less frequent in females compared with that in males. Consequently, the use of saphenous vein grafts (SVGs) was more frequent in females than in males (P<0.0001). Mortality was similar between the genders (1.0% vs 1.1%). Although the rate of major complications was not significantly different between the genders (12.2% vs 9.5%), the cerebrovascular event rate was higher in females compared with that in males (4.3% vs 1.6%; P= 0.0432). Patency rates of arterial grafts were not significantly different between the genders; however, those of SVGs were lower in females than those in males (88.6% vs 96.1%; P=0.0003). Conclusions:The clinical outcomes of females after CABG were comparable with those of males. (Circ J 2010; 74: 2103 - 2108

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Gender Differences in Clinical and Angiographic Outcomes After Coronary Artery Bypass Surgery

Fukui

Takanashi

2010

Circ J

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“…Studies have suggested that women may be referred for CABG less often than men, and possibly later in the course of disease. The referral bias may have contributed to higher mortality 23. In addition, female gender was also considered as an independent predictor of early morbidity and mortality in the perioperative period, with increased risk for death 24…”

Section: Discussionmentioning

confidence: 99%

Does prior coronary artery bypass surgery alter the gender gap in patients presenting with acute coronary syndrome? A 20-year retrospective cohort study

et al. 2012

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ObjectivesPrevious studies demonstrated women presenting with acute coronary syndrome (ACS) have poor outcomes when compared with men ‘the gender gap phenomenon’. The impact of prior coronary artery bypass graft (CABG) on women presenting with ACS is unknown. We hypothesised that the gender gap is altered in ACS patients with prior CABG. The aim of this study was to evaluate patients presenting with ACS according to their gender and history of prior CABG.DesignRetrospective, observational (cohort) study.SettingData were collected from hospital-based registry of patients hospitalised with ACS in Doha, Qatar, from 1991 through 2010. The data were analysed according to their gender and history of prior CABG.ParticipantsA total of 16 750 consecutive patients with ACS were studied. In total, 693 (4.3%) patients had prior CABG; among them 125 (18%) patients were women.Primary and secondary outcome measuresComparisons of clinical characteristics, inhospital treatment, and outcomes, including inhospital mortality and stroke were made.ResultsWomen with or without prior CABG were older, less likely to be smokers, but more likely to have diabetes mellitus (DM), hypertension and renal impairment than men (p=0.001). Women were less likely to receive reperfusion and early invasive therapies. When compared with men, women without prior CABG carried higher inhospital mortality (11% vs 4.9%; p=0.001) and stroke rates (0.9% vs 0.3%; p=0.001). Female gender was independent predictor of poor outcome. Among prior CABG patients, despite the fact that women had worse baseline characteristics and were less likely to receive evidence-based therapy, there were no significant differences in mortality or stroke rates between the two groups.ConclusionsConsistent with the world literature, women presenting with ACS and without prior CABG had higher death rates compared with men. Patients with prior CABG had comparable death rates regardless of the gender status.

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Arterial Graft Failure

Slevin

Bontaș

2016

Coronary Graft Failure

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Do Women Currently Receive the Same Standard of Care in Coronary Artery Bypass Graft Procedures as Men? A Propensity Analysis

Cited by 32 publications

References 27 publications

Gender Differences in Clinical and Angiographic Outcomes After Coronary Artery Bypass Surgery

Gender Differences in Clinical and Angiographic Outcomes After Coronary Artery Bypass Surgery

Does prior coronary artery bypass surgery alter the gender gap in patients presenting with acute coronary syndrome? A 20-year retrospective cohort study

Arterial Graft Failure

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