Medical care costs and quality of life after randomization to coronary angioplasty or coronary bypass surgery
Medical care costs and quality of life after randomization to coronary angioplasty or coronary bypass surgery
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DOI：
10.1056/nejm199701093360203
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发表时间：
1997-01-09
影响因子：
158.5
通讯作者：
Mark, DB
中科院分区：
文献类型：
--
作者：
Hlatky, MA;Rogers, WJ;Mark, DB
背景：比较多支冠状动脉疾病患者冠状动脉血管成形术与旁路手术的随机试验显示，总死亡率和心肌梗死率无显著差异。我们比较了生活质量，就业和医疗保健费用在五年的后续治疗与gioplasty或bypass surgery.Methods共934的1829例患者参加了随机旁路血管成形术血运重建调查的患者。每年收集生活质量的详细数据，每季度收集经济数据。结果在随访的前三年，杜克活动状态指数的功能状态评分，该指数衡量了进行日常生活活动的能力，手术组患者比血管成形术组患者改善更多（P
Background Randomized trials comparing coronary angioplasty with bypass surgery in patients with multivessel coronary disease have shown no significant differences in overall rates of death and myocardial infarction. We compared quality of life, employment, and medical care costs during five years of follow-up among patients treated with an gioplasty or bypass surgery.Methods A total of 934 of the 1829 patients enrolled in the randomized Bypass Angioplasty Revascularization Investigation participated in this study. Detailed data on quality of life were collected annually, and economic data were collected quarterly.Results During the first three years of follow-up, functional-status scores on the Duke Activity Status Index, which measures the ability to perform common activities of daily living, improved more in patients assigned to surgery than in those assigned to angioplasty (P