Brorsson B, Bernstein SJ, Herlitz J; International Society of Technology Assessment in Health Care. Meeting.

Annu Meet Int Soc Technol Assess Health Care Int Soc Technol Assess Health Care Meet. 1999; 15: 63.

The Swedish Collaborative Study on Coronary Revascularization (SECOR/SBU), SBU, P.O. Box 5650, S-114 86, Stockholm, Sweden.

OBJECTIVE: To present outcomes in terms of mortality, anginal symptoms and well-being before and at 6, 18 and 48 months after CABG, PTCA or medical treatment. METHODS: Prospective cohort study of 2030 consecutive patients referred for coronary angiography at 7 of the 8 hospitals in Sweden that performed coronary revascularization in 1995. RESULTS: 50% of the patients (79% of which were males) were recommended CABG. 25% were recommended PTCA (73% of which were males) and 25% continued medical treatment (57% of which were males). Median ages were 66 years, 60 years and 57 years in the CABG, PTCA and medical treatment groups, respectively. Sixty-one percent, 54% and 39% had severe angina (CCS III/IV). At follow-up after 48 months, total mortality was 7.8%; 4.3% and 3.3%, respectively. Comparison of baseline results with results at 6 month follow-up show that symptom frequency and severity had decreased (p<0.001) and physical functioning and well-being had increased (p<0.001). E.g. the proportion of patients reporting having at least 3 attacks of angina pectoris per week was 70% before intervention and 10% at 6 months after intervention in the CABG group, 67% and 17%, respectively, in the PTCA group and 54% and 29%, respectively, in the group treated medically. Physical functioning increased from a mean score of 67 before intervention to a mean score of 84 among CABG patients (identical to the score concurrently reported from a general population sample), from 70 to 81 among PTCA patients and from 74 to 79 among patients treated medically. Similar changes were recorded in patients' perceptions of their general health. The results did not change significantly between the 6 month and the 21 month follow-up. At the 48 month follow-up some of the comparisons with the 21 months follow-up results show a worsening in symptoms and well-being. CONCLUSIONS: This study, carried out by a government agency on a national basis, shows that the 4-year mortality after coronary artery interventions is similar to that observed in the general population and that interventions reduce symptoms and increase functioning and well-being for a considerable time period.

Publication Types:

• Meeting Abstracts

Keywords:

• Angina Pectoris
• Angioplasty, Transluminal, Percutaneous Coronary
• Cohort Studies
• Coronary Angiography
• Coronary Artery Bypass
• Humans
• Longitudinal Studies
• Male
• Prospective Studies
• Reoperation
• Sweden
• diagnosis
• mortality
• radiography
• surgery
• therapy
• hsrmtgs

Other ID:

• HTX/20602145

UI: 102193834

From Meeting Abstracts