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Relative benefit of coronary artery bypass grafting versus stent-assisted percutaneous coronary intervention for angina pectoris and multivessel coronary disease in women versus men (one-year results from the Stent or Surgery trial).
Am J Cardiol 2004; 93(4):404-9AJ

Abstract

Information on the relative benefit of coronary artery bypass grafting (CABG) versus stent-assisted percutaneous coronary intervention (PCI) for improvement of cardiac-related health status in women and how it compares with men is limited. The Stent or Surgery trial compared randomly assigned CABG and stent-assisted PCI in 206 women and 782 men with multivessel disease. We examined longitudinal changes at 6 and 12 months from baseline by gender and treatment in 3 subscales of the Seattle Angina Questionnaire (SAQ): physical limitation, angina frequency, and quality of life. At the time of revascularization, women were older, more severely ill, and tended to have lower SAQ scores than men. At 6 months, SAQ scores after both procedures improved significantly in both genders, with greater improvement achieved with CABG. After adjustment for other factors, in men, CABG was associated with a 54.7% greater improvement in physical limitation compared with PCI, 31.3% greater improvement in angina frequency, and 18.3% greater improvement in quality of life. In women, these relative differences were 11.6%, 43.2%, and 39.3%, respectively. At 1 year, men continued to show greater improvement with CABG in all 3 dimensions (50.6%, 19.7%, and 15.3%, respectively), but in women the relative differences decreased substantially (1.6%, 11.1%, and 0.6%, respectively) due to a greater later improvement after PCI (p = 0.049 for the interaction among treatment, gender, and follow-up for the quality of life domain). Although CABG may be superior to PCI in men, in women, at 1 year after intervention, both procedures appear equally effective.

Authors+Show Affiliations

Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia 30306, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

14969611

Citation

Zhang, Zefeng, et al. "Relative Benefit of Coronary Artery Bypass Grafting Versus Stent-assisted Percutaneous Coronary Intervention for Angina Pectoris and Multivessel Coronary Disease in Women Versus Men (one-year Results From the Stent or Surgery Trial)." The American Journal of Cardiology, vol. 93, no. 4, 2004, pp. 404-9.
Zhang Z, Weintraub WS, Mahoney EM, et al. Relative benefit of coronary artery bypass grafting versus stent-assisted percutaneous coronary intervention for angina pectoris and multivessel coronary disease in women versus men (one-year results from the Stent or Surgery trial). Am J Cardiol. 2004;93(4):404-9.
Zhang, Z., Weintraub, W. S., Mahoney, E. M., Spertus, J. A., Booth, J., Nugara, F., ... Vaccarino, V. (2004). Relative benefit of coronary artery bypass grafting versus stent-assisted percutaneous coronary intervention for angina pectoris and multivessel coronary disease in women versus men (one-year results from the Stent or Surgery trial). The American Journal of Cardiology, 93(4), pp. 404-9.
Zhang Z, et al. Relative Benefit of Coronary Artery Bypass Grafting Versus Stent-assisted Percutaneous Coronary Intervention for Angina Pectoris and Multivessel Coronary Disease in Women Versus Men (one-year Results From the Stent or Surgery Trial). Am J Cardiol. 2004 Feb 15;93(4):404-9. PubMed PMID: 14969611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relative benefit of coronary artery bypass grafting versus stent-assisted percutaneous coronary intervention for angina pectoris and multivessel coronary disease in women versus men (one-year results from the Stent or Surgery trial). AU - Zhang,Zefeng, AU - Weintraub,William S, AU - Mahoney,Elizabeth M, AU - Spertus,John A, AU - Booth,Jean, AU - Nugara,Fiona, AU - Stables,Rodney H, AU - Vaccarino,Viola, PY - 2003/07/15/received PY - 2003/10/24/revised PY - 2003/10/24/accepted PY - 2004/2/19/pubmed PY - 2004/3/19/medline PY - 2004/2/19/entrez SP - 404 EP - 9 JF - The American journal of cardiology JO - Am. J. Cardiol. VL - 93 IS - 4 N2 - Information on the relative benefit of coronary artery bypass grafting (CABG) versus stent-assisted percutaneous coronary intervention (PCI) for improvement of cardiac-related health status in women and how it compares with men is limited. The Stent or Surgery trial compared randomly assigned CABG and stent-assisted PCI in 206 women and 782 men with multivessel disease. We examined longitudinal changes at 6 and 12 months from baseline by gender and treatment in 3 subscales of the Seattle Angina Questionnaire (SAQ): physical limitation, angina frequency, and quality of life. At the time of revascularization, women were older, more severely ill, and tended to have lower SAQ scores than men. At 6 months, SAQ scores after both procedures improved significantly in both genders, with greater improvement achieved with CABG. After adjustment for other factors, in men, CABG was associated with a 54.7% greater improvement in physical limitation compared with PCI, 31.3% greater improvement in angina frequency, and 18.3% greater improvement in quality of life. In women, these relative differences were 11.6%, 43.2%, and 39.3%, respectively. At 1 year, men continued to show greater improvement with CABG in all 3 dimensions (50.6%, 19.7%, and 15.3%, respectively), but in women the relative differences decreased substantially (1.6%, 11.1%, and 0.6%, respectively) due to a greater later improvement after PCI (p = 0.049 for the interaction among treatment, gender, and follow-up for the quality of life domain). Although CABG may be superior to PCI in men, in women, at 1 year after intervention, both procedures appear equally effective. SN - 0002-9149 UR - https://www.unboundmedicine.com/medline/citation/14969611/Relative_benefit_of_coronary_artery_bypass_grafting_versus_stent_assisted_percutaneous_coronary_intervention_for_angina_pectoris_and_multivessel_coronary_disease_in_women_versus_men__one_year_results_from_the_Stent_or_Surgery_trial__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002914903015698 DB - PRIME DP - Unbound Medicine ER -