Off-pump versus on-pump coronary artery bypass grafting: A systematic review and meta-analysis of propensity score analyses Oliver Kuss, PhD, Benita.

Slides:

Advertisements

Similar presentations

The “occasional open heart surgeon” revisited

Advertisements

Previous coronary stents do not increase early and long-term adverse outcomes in patients undergoing off-pump coronary artery bypass grafting: A propensity-matched.

Meta-analysis of minimally invasive coronary artery bypass versus drug-eluting stents for isolated left anterior descending coronary artery disease Ralf.

Benefits and risks of using clopidogrel before coronary artery bypass surgery: Systematic review and meta-analysis of randomized trials and observational.

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

The Effect of Smoking on the Risk of Sciatica: A Meta-analysis

Rapid deployment or sutureless versus conventional bioprosthetic aortic valve replacement: A meta-analysis Suk Ho Sohn, MD, Myoung-jin Jang, PhD, Ho.

Equivalent outcomes after coronary artery bypass graft surgery performed by consultant versus trainee surgeons: A systematic review and meta-analysis

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.

Preoperative Prophylactic Intraaortic Balloon Pump Reduces the Incidence of Postoperative Acute Kidney Injury and Short-Term Death of High-Risk Patients.

Off-pump coronary artery bypass grafting does not preserve renal function better than on-pump coronary artery bypass grafting: Results of a case-matched.

Platelet-rich plasmapheresis in cardiac surgery: A meta-analysis of the effect on transfusion requirements F.D. Rubens, MDa, D. Fergusson, MHAb, P.S.

Meta-analysis of minimally invasive coronary artery bypass versus drug-eluting stents for isolated left anterior descending coronary artery disease Ralf.

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

Intraoperative bypass graft flow in intra-aortic balloon pump–supported patients: Differences in arterial and venous sequential conduits Francesco Onorati,

Robert Brewer, MD, MHSA, Patricia F. Theurer, BSN, Chad M

Do higher-risk patients benefit from off-pump coronary artery bypass grafting? Evidence from an ecologic analysis of randomized trials Oliver Kuss, PhD,

Amiodarone after surgical ablation for atrial fibrillation: Is it really necessary? A prospective randomized controlled trial Niv Ad, MD, Sari D. Holmes,

Should clopidogrel be discontinued before coronary artery bypass grafting for patients with acute coronary syndrome? A systematic review and meta-analysis

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

Mitral valve surgery: Right lateral minithoracotomy or sternotomy

Right internal thoracic artery or saphenous vein grafting

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,

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

Zheng-Zhe Feng, MD, Jian Shi, MD, Xue-Wei Zhao, MD, Zhi-Fei Xu, MD

Multilevel data analysis: What? Why? How?

Go on-pump or off-pump in diabetic patients?

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

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

Transfusion of sex-mismatched and non–leukocyte-depleted red blood cells in cardiac surgery increases mortality Henrik Bjursten, MD, PhD, Alain Dardashti,

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

Predictors of survival in lung torsion: A systematic review and pooled analysis Jie Dai, PhD, Dong Xie, MD, Haifeng Wang, MD, Wenxin He, MD, Yiming Zhou,

Zoe K. McQuilten, MBBS, Nick Andrianopoulos, MBBS, MBiostat, Erica M

Intra-aortic balloon pumps and continuous flow left ventricular assist devices: Don't let balloon pumps overstay their welcome Kevin G. Soucy, PhD, Steven.

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

Reintervention after endovascular repair for aortic dissection: A systematic review and meta-analysis Lei Zhang, MD, Zhiqing Zhao, MD, Yanqing Chen,

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

Yin-Shu Chang, MD, Jia-Xiang Wang, MD, PhD, Da-Wei Chang, PhD

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

Drug-eluting stents versus coronary artery bypass grafting for the treatment of coronary artery disease: A meta-analysis of randomized and nonrandomized.

Blood transfusion balance: Too much, not enough, or just right

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

Jeevanantham Rajeswaran, PhD, Eugene H. Blackstone, MD

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Instrumental variable methods in clinical research

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

Shengshou Hu, MD, Xin Yuan, MD, PhD

Transfusion outcomes in patients undergoing coronary artery bypass grafting treated with prasugrel or clopidogrel: TRITON-TIMI 38 retrospective data analysis

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

Discussion The Journal of Thoracic and Cardiovascular Surgery

Do statins delay the progression of aortic stenosis?

Systematic review of the influence of enhanced recovery pathways in elective lung resection Julio F. Fiore, PhD, Jimmy Bejjani, MD, Kate Conrad, MD,

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 impact of a multidisciplinary blood conservation protocol on patient outcomes and cost after cardiac surgery Niv Ad, MD, Sari D. Holmes, PhD, Jay.

Gentamicin collagen sponges for the prevention of sternal wound infection: A meta- analysis of randomized controlled trials Michael N. Mavros, MD, Pantelis.

Apples remain apples NO matter what

Lung cancer randomized controlled trials should compare stereotactic body radiation therapy with observation, NOT surgery Raja M. Flores, MD The Journal.

A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.

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

Hisato Takagi, MD, PhD, Masafumi Matsui, MD, Takuya Umemoto, MD, PhD

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:

Off-pump versus on-pump coronary artery bypass grafting: A systematic review and meta-analysis of propensity score analyses Oliver Kuss, PhD, Benita von Salviati, MS, Jochen Börgermann, MD The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 4, Pages 829-835.e13 (October 2010) DOI: 10.1016/j.jtcvs.2009.12.022 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Flow diagram of initially retrieved and eventually included studies. PS, Propensity score. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Results from previous meta-analyses of RCTs, observational studies, and our propensity-score analyses for all our prespecified outcomes. For the meta-analyses of RCTs, we give the results from the most recent meta-analyses. Results are shown as ORs with 95% CIs. In cases for which the previous meta-analyses reported relative risks, we recalculated the OR by using the formula of Zhang and Yu.21RCT, Randomized clinical trial; OBS, observational study; PS, propensity score; RBC, red blood cell; OP, operation; IABP, intraaortic balloon pump; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Forest plots for all outcomes Forest plots for all outcomes. To enhance readability, x-axes are only drawn from 0.1 to 10. CIs having values outside this range are marked by an asterisk (∗). CI, Confidence interval; RBC, red blood cell; IABP, intraaortic balloon pump. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Forest plots for all outcomes Forest plots for all outcomes. To enhance readability, x-axes are only drawn from 0.1 to 10. CIs having values outside this range are marked by an asterisk (∗). CI, Confidence interval; RBC, red blood cell; IABP, intraaortic balloon pump. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Forest plots for all outcomes Forest plots for all outcomes. To enhance readability, x-axes are only drawn from 0.1 to 10. CIs having values outside this range are marked by an asterisk (∗). CI, Confidence interval; RBC, red blood cell; IABP, intraaortic balloon pump. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Forest plots for all outcomes Forest plots for all outcomes. To enhance readability, x-axes are only drawn from 0.1 to 10. CIs having values outside this range are marked by an asterisk (∗). CI, Confidence interval; RBC, red blood cell; IABP, intraaortic balloon pump. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Forest plots for all outcomes Forest plots for all outcomes. To enhance readability, x-axes are only drawn from 0.1 to 10. CIs having values outside this range are marked by an asterisk (∗). CI, Confidence interval; RBC, red blood cell; IABP, intraaortic balloon pump. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Forest plots for all outcomes Forest plots for all outcomes. To enhance readability, x-axes are only drawn from 0.1 to 10. CIs having values outside this range are marked by an asterisk (∗). CI, Confidence interval; RBC, red blood cell; IABP, intraaortic balloon pump. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Funnel plots for all outcomes Funnel plots for all outcomes. SQRT, Square root; OR, odds ratio; IABP, intraaortic balloon pump. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Funnel plots for all outcomes Funnel plots for all outcomes. SQRT, Square root; OR, odds ratio; IABP, intraaortic balloon pump. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Funnel plots for all outcomes Funnel plots for all outcomes. SQRT, Square root; OR, odds ratio; IABP, intraaortic balloon pump. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 829-835.e13DOI: (10.1016/j.jtcvs.2009.12.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions