{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T21:01:43Z","timestamp":1774990903049,"version":"3.50.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"16","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2013,4,23]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>A major advantage of coronary artery bypass graft surgery (CABG) relative to percutaneous coronary intervention is its durability, yet there is a paucity of information on rates and predictors of repeat coronary revascularization after CABG in the modern era.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>We included patients \u226565 years from the Society of Thoracic Surgeons\u2019 National Adult Cardiac Surgery Database who were undergoing first-time isolated CABG from 1991 to 2007 (n=723 134, median age 73 years). After linking to Medicare claims data, long-term outcomes of CABG (up to 18 years after surgery) were examined by use of cumulative incidence curves. Multivariable Cox proportional hazard analysis was used to identify factors associated with 1- and 5-year repeat revascularization trends and variability. We found that the overall 18-year survival rate was 20%. Cumulative incidences of any repeat revascularization (percutaneous coronary intervention or CABG, yet most often percutaneous coronary intervention) were 2%, 7%, 13%, and 16% at 1, 5, 10, and 18 years after surgery, respectively. The rates of repeat CABG procedures were quite low for all time points (0.1%, 0.6%, 1.3%, and 1.7%, respectively). Female sex, disease severity represented by a history of percutaneous coronary intervention, preoperative dialysis, and partial revascularization were strongly associated with a higher revascularization rate, whereas advanced age, left main disease, and smoking were associated with a lower rate. There was approximately a 2-fold variation in repeat revascularization rates across centers at 1 year (interquartile range 1.7\u20133.6%) and 5 years (interquartile range 6.7\u201312.0%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>Repeat revascularization is performed infrequently among older patients who undergo CABG; however, these rates vary substantially by patient subgroups and among providers.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circulationaha.113.001882","type":"journal-article","created":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T04:14:41Z","timestamp":1364357681000},"page":"1656-1663","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":48,"title":["Repeat Coronary Revascularization After Coronary Artery Bypass Surgery in Older Adults"],"prefix":"10.1161","volume":"127","author":[{"given":"Emil L.","family":"Fosb\u00f8l","sequence":"first","affiliation":[{"name":"From the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC (E.L.F., Y.Z., E.D.P.); the Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, MA (D.M.S.); the Division of Cardiothoracic Surgery, University of Colorado School of Medicine, and the Surgical Service, Denver VA Medical Center, Denver, CO (F.L.G.); and the Department of Cardiothoracic Surgery, University of Florida, Jacksonville, FL (F.H.E.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Zhao","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC (E.L.F., Y.Z., E.D.P.); the Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, MA (D.M.S.); the Division of Cardiothoracic Surgery, University of Colorado School of Medicine, and the Surgical Service, Denver VA Medical Center, Denver, CO (F.L.G.); and the Department of Cardiothoracic Surgery, University of Florida, Jacksonville, FL (F.H.E.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Shahian","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC (E.L.F., Y.Z., E.D.P.); the Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, MA (D.M.S.); the Division of Cardiothoracic Surgery, University of Colorado School of Medicine, and the Surgical Service, Denver VA Medical Center, Denver, CO (F.L.G.); and the Department of Cardiothoracic Surgery, University of Florida, Jacksonville, FL (F.H.E.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick L.","family":"Grover","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC (E.L.F., Y.Z., E.D.P.); the Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, MA (D.M.S.); the Division of Cardiothoracic Surgery, University of Colorado School of Medicine, and the Surgical Service, Denver VA Medical Center, Denver, CO (F.L.G.); and the Department of Cardiothoracic Surgery, University of Florida, Jacksonville, FL (F.H.E.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred H.","family":"Edwards","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC (E.L.F., Y.Z., E.D.P.); the Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, MA (D.M.S.); the Division of Cardiothoracic Surgery, University of Colorado School of Medicine, and the Surgical Service, Denver VA Medical Center, Denver, CO (F.L.G.); and the Department of Cardiothoracic Surgery, University of Florida, Jacksonville, FL (F.H.E.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric D.","family":"Peterson","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC (E.L.F., Y.Z., E.D.P.); the Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, MA (D.M.S.); the Division of Cardiothoracic Surgery, University of Colorado School of Medicine, and the Surgical Service, Denver VA Medical Center, Denver, CO (F.L.G.); and the Department of Cardiothoracic Surgery, University of Florida, Jacksonville, FL (F.H.E.)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.08.064"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.039842"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.05.042"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/10629360600810434"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/9780470316696"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.111.066902"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00563-4"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198601023140101"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199601253340402"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.09.022"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.05.086"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00973-6"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)82539-9"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0900708"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.110.991299"},{"key":"e_1_3_4_17_2","unstructured":"Society of Thoracic Surgery Surgeons Adult Cardiac Surgery Database. The Society of Thoracic Surgeons Web site. http:\/\/www.sts.org\/sts-national-database\/database-managers\/adult-cardiac-surgery-database. Accessed June 8 2012."}],"container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCULATIONAHA.113.001882","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T06:41:04Z","timestamp":1715582464000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.113.001882"}},"subtitle":["The Society of Thoracic Surgeons\u2019 National Experience, 1991\u20132007"],"short-title":[],"issued":{"date-parts":[[2013,4,23]]},"references-count":16,"journal-issue":{"issue":"16","published-print":{"date-parts":[[2013,4,23]]}},"alternative-id":["10.1161\/CIRCULATIONAHA.113.001882"],"URL":"https:\/\/doi.org\/10.1161\/circulationaha.113.001882","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,23]]},"assertion":[{"value":"2012-06-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-03-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-03-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}