Are racial differences in hospital mortality after coronary artery bypass graft surgery real? A risk-adjusted meta-analysis Umberto Benedetto, MD, PhD,

Slides:

Advertisements

Similar presentations

The “occasional open heart surgeon” revisited

Advertisements

Stephen R. Broderick, MD, MPHS

Ventilator-associated pneumonia after cardiac surgery: A meta-analysis and systematic review Siyi He, MD, Bocheng Chen, MD, Wei Li, MD, Junyan Yan, MD,

Pre-existing psychological depression confers increased risk of adverse cardiovascular outcomes following cardiac surgery: A systematic review and meta-analysis

Systematic review and meta-analysis of randomized controlled trials assessing safety and efficacy of posterior pericardial drainage in patients undergoing.

The impact of placing multiple grafts to each myocardial territory on long-term survival after coronary artery bypass grafting Danny Chu, MD, Faisal.

Ventilator-associated pneumonia after cardiac surgery: A meta-analysis and systematic review Siyi He, MD, Bocheng Chen, MD, Wei Li, MD, Junyan Yan, MD,

A meta-analysis of comparative studies of endovascular versus open repair for blunt thoracic aortic injury Hisato Takagi, MD, PhD, Norikazu Kawai, MD,

The persistent problem of new-onset postoperative atrial fibrillation: A single-institution experience over two decades Jeanne Shen, BS, Shelly Lall,

Damien J. LaPar, MD, MSc, Carlos M. Mery, MD, MPH, Benjamin D

Increased late mortality after coronary artery bypass surgery complicated by isolated new-onset atrial fibrillation: A comprehensive propensity-matched.

Valve-sparing repair of sinus of Valsalva aneurysm: Does early success predict long- term durability? Benjamin C. Degner, MD, Leonard N. Girardi, MD

Prevention of postoperative atrial fibrillation in open heart surgery patients by preoperative supplementation of n-3 polyunsaturated fatty acids: An.

Stenting versus coronary artery bypass grafting for unprotected left main coronary artery disease: A meta-analysis of comparative studies Hisato Takagi,

Unprotected Left Main Coronary Artery Stenting Versus Coronary Artery Bypass Graft Surgery Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Norikazu Kawai,

Jonathan W. Weinsaft, MD, Mario Gaudino, MD, Leonard N. Girardi, MD

Right internal thoracic artery or saphenous vein grafting

Shikhar Agarwal, MD, MPH, Aatish Garg, MD, Akhil Parashar, MD, Lars G

Association Between Obesity and Postoperative Atrial Fibrillation in Patients Undergoing Cardiac Operations: A Systematic Review and Meta-Analysis Adrian.

Neurologic complications after off-pump coronary artery bypass grafting with and without aortic manipulation: Meta-analysis of 11,398 cases from 8 studies

Coronary artery bypass grafting is superior to first-generation drug-eluting stents for unprotected left main coronary artery disease: An updated meta-analysis.

Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials Hisato Takagi, MD, PhD,

Defining operative mortality: Impact on outcome reporting

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Multilevel data analysis: What? Why? How?

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement Ole Lund, MD, PhD, Martin Bland,

One-year results of thoracic endovascular aortic repair for blunt thoracic aortic injury (RESCUE trial) Ali Khoynezhad, MD, PhD, FACS, Carlos E. Donayre,

The lord of the rings Antonio Miceli, MD, PhD

Total occlusion and string sign of radial artery versus saphenous vein graft conduits: An updated meta-analysis Hisato Takagi, MD, PhD, Masafumi Matsui,

Association of hospital coronary artery bypass volume with processes of care, mortality, morbidity, and the Society of Thoracic Surgeons composite quality.

Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model Daniel.

Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Takuya Umemoto, MD, PhD

Performance of the European System for Cardiac Operative Risk Evaluation II: A meta- analysis of 22 studies involving 145,592 cardiac surgery procedures

Anaortic off-pump coronary artery bypass grafting: The criterion standard for minimization of neurologic injury J. James Edelman, BSc(Hons), MBBS(Hons),

Angiographic outcomes of radial artery versus saphenous vein in coronary artery bypass graft surgery: A meta-analysis of randomized controlled trials

Preoperative atrial fibrillation portends poor outcomes after coronary bypass graft surgery: A systematic review and meta-analysis Akshat Saxena, MBBS,

A meta-analysis of adjusted hazard ratios from 20 observational studies of bilateral versus single internal thoracic artery coronary artery bypass grafting

Meta-Analysis of Medium and Long-Term Efficacy of Loading Statins After Coronary Artery Bypass Grafting Cheng Bin, MM, Mu Junsheng, MD, Zhang Jianqun,

The impact of arterial cannulation strategy on operative outcomes in aortic surgery: Evidence from a comprehensive meta-analysis of comparative studies.

Effect of diastolic dysfunction on postoperative outcomes after cardiovascular surgery: A systematic review and meta-analysis Roop Kaw, MD, Adrian V.

Stephen R. Broderick, MD, MPHS

Effect of hydroxyethyl starch on bleeding after cardiopulmonary bypass: A meta-analysis of randomized trials Roberta J. Navickis, PhD, Gary R. Haynes,

Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass Benjamin Medalion, MD, Michael G. Katz, MD,

Niv Ad, MD, Lawrence M. Wei, MD

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Preoperative and intraoperative variables to predict mortality: Which comes first, the chicken or the egg? Umberto Benedetto, MD, PhD, Gianni D. Angelini,

Late outcomes after radial artery versus saphenous vein grafting during reoperative coronary artery bypass surgery Anoar Zacharias, MD, Thomas A. Schwann,

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

The thoracoabdominal saga and heroes

Impact of multiple arterial grafts in off-pump and on-pump coronary artery bypass surgery Umberto Benedetto, MD, PhD, Massimo Caputo, MD, Giovanni Mariscalco,

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

Syphilitic aortitis: The bigger picture

Meta-analysis of randomized trials on the efficacy of posterior pericardiotomy in preventing atrial fibrillation after coronary artery bypass surgery

The Journal of Thoracic and Cardiovascular Surgery

Occult renal dysfunction: a mortality and morbidity risk factor in coronary artery bypass grafting surgery Antonio Miceli, MD, Vito D. Bruno, MD, Radek.

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

Do statins delay the progression of aortic stenosis?

Valve-sparing root replacement: Still so much to learn

Improved quality and cost-effectiveness of coronary artery bypass grafting in the United States from 1988 to 2005 Howard K. Song, MD, PhD, Brian S. Diggs,

Right internal thoracic artery versus radial artery as the second best arterial conduit: Insights from a meta-analysis of propensity-matched data on long-term.

“The more things change…”: The challenges ahead

Apples remain apples NO matter what

National trends in utilization and in-hospital outcomes of mechanical versus bioprosthetic aortic valve replacements Abby J. Isaacs, MS, Jeffrey Shuhaiber,

The relationship between perioperative temperature and adverse outcomes after off- pump coronary artery bypass graft surgery Edward L. Hannan, PhD, Zaza.

Perioperative renal function and thoracoabdominal aneurysm repair: Where do we go from here? Leonard N. Girardi, MD The Journal of Thoracic and Cardiovascular.

Left atrial to left ventricle bypass for mitral valve stenosis

IS local wound infection rate more important than long-term graft patency in coronary artery bypass grafting? Tomislav Kopjar, MD, PhD, Michael R. Dashwood,

Presentation transcript:

Are racial differences in hospital mortality after coronary artery bypass graft surgery real? A risk-adjusted meta-analysis Umberto Benedetto, MD, PhD, Mohamed K. Kamel, MD, Faiza M. Khan, MD, Gianni D. Angelini, MD, Massimo Caputo, MD, Leonard N. Girardi, MD, Mario Gaudino, MD The Journal of Thoracic and Cardiovascular Surgery Volume 157, Issue 6, Pages 2216-2225.e4 (June 2019) DOI: 10.1016/j.jtcvs.2018.12.002 Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Study selection process for meta-analysis. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 2216-2225.e4DOI: (10.1016/j.jtcvs.2018.12.002) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Meta-analytic unadjusted estimates of race effect on operative mortality (white as reference). M-H, Mantel-Haenszel; CI, confidence interval; IV, inverse variance. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 2216-2225.e4DOI: (10.1016/j.jtcvs.2018.12.002) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Meta-analytic risk-adjusted estimates of race effect on operative mortality (white as reference). SE, Standard error; IV, inverse variance; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 2216-2225.e4DOI: (10.1016/j.jtcvs.2018.12.002) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Meta-regression of crude mortality rate in separate ethnical groups and race effect on mortality across different study periods (median year of enrollment). The Journal of Thoracic and Cardiovascular Surgery 2019 157, 2216-2225.e4DOI: (10.1016/j.jtcvs.2018.12.002) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Meta-analytic unadjusted and adjusted risk of operative mortality in South Asian compared with white patients. IV, inverse variance; CI, confidence interval; SE, standard error. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 2216-2225.e4DOI: (10.1016/j.jtcvs.2018.12.002) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Meta-analytic estimates of unadjusted effect of black vs white race on postoperative complications. M-H, Mantel-Haenszel; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 2216-2225.e4DOI: (10.1016/j.jtcvs.2018.12.002) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Meta-analytic risk-adjusted estimates of race effect on operative mortality. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 2216-2225.e4DOI: (10.1016/j.jtcvs.2018.12.002) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions