Wesley T O'Neal1, Jimmy T Efird2, Stephen W Davies3, Jason B O'Neal4, Curtis A Anderson2, W Randolph Chitwood2, T Bruce Ferguson2, Alan P Kypson2. 1. Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina. 2. Department of Cardiovascular Sciences, East Carolina Heart Institute, Brody School of Medicine, East Carolina University, Greenville, North Carolina. 3. Department of General Surgery, University of Virginia School of Medicine, Charlottesville, Virginia. 4. Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Abstract
BACKGROUND: Diabetes is a known predictor of decreased long-term survival after coronary artery bypass grafting (CABG). Differences in survival by race have not been examined. METHODS: A retrospective cohort study was conducted for CABG patients between 1992 and 2011. Long-term survival was compared in patients with and without diabetes and stratified by race. Hazard ratios (HR) and 95% confidence intervals (CI) were computed using a Cox regression model. RESULTS: Out of the 13,053 patients undergoing CABG, 35% (black n = 1,655; white n = 2,884) had diabetes at the time of surgery. The median follow-up for study participants was 8.2 years. Long-term survival after CABG was similar between black and white diabetic patients (no diabetes, HR = 1.0; white diabetic patients, adjusted HR = 1.5, 95%CI = 1.4-1.6; black diabetic patients, adjusted HR = 1.5, 95%CI = 1.4-1.7). CONCLUSION: A survival disadvantage after CABG was not observed among black versus white diabetic patients in our study. Georg Thieme Verlag KG Stuttgart · New York.
BACKGROUND:Diabetes is a known predictor of decreased long-term survival after coronary artery bypass grafting (CABG). Differences in survival by race have not been examined. METHODS: A retrospective cohort study was conducted for CABG patients between 1992 and 2011. Long-term survival was compared in patients with and without diabetes and stratified by race. Hazard ratios (HR) and 95% confidence intervals (CI) were computed using a Cox regression model. RESULTS: Out of the 13,053 patients undergoing CABG, 35% (black n = 1,655; white n = 2,884) had diabetes at the time of surgery. The median follow-up for study participants was 8.2 years. Long-term survival after CABG was similar between black and white diabeticpatients (no diabetes, HR = 1.0; white diabeticpatients, adjusted HR = 1.5, 95%CI = 1.4-1.6; black diabeticpatients, adjusted HR = 1.5, 95%CI = 1.4-1.7). CONCLUSION: A survival disadvantage after CABG was not observed among black versus white diabeticpatients in our study. Georg Thieme Verlag KG Stuttgart · New York.
Authors: Jimmy T Efird; William F Griffin; Daniel F Sarpong; Stephen W Davies; Iulia Vann; Nathaniel T Koutlas; Ethan J Anderson; Patricia B Crane; Hope Landrine; Linda Kindell; Zahra J Iqbal; T Bruce Ferguson; W Randolph Chitwood; Alan P Kypson Journal: Int J Environ Res Public Health Date: 2015-07-06 Impact factor: 3.390
Authors: Jimmy T Efird; Wesley T O'Neal; William F Griffin; Ethan J Anderson; Stephen W Davies; Hope Landrine; Jason B O'Neal; Kristin Y Shiue; Linda C Kindell; T Bruce Ferguson; W Randolph Chitwood; Alan P Kypson Journal: Medicine (Baltimore) Date: 2015-02 Impact factor: 1.889
Authors: Jimmy T Efird; Wesley T O'Neal; Stephen W Davies; Jason B O'Neal; Linda C Kindell; Curtis A Anderson; W Randolph Chitwood; T Bruce Ferguson; Alan P Kypson Journal: Int J Environ Res Public Health Date: 2014-07-21 Impact factor: 3.390