A simple-to-use nomogram to predict long term survival of patients undergoing coronary artery bypass grafting (CABG) using bilateral internal thoracic artery grafting technique
Autoři:
Tomer Ziv-Baran aff001; Rephael Mohr aff002; Dmitry Pevni aff002; Yanai Ben-Gal aff002
Působiště autorů:
Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
aff001; Department of Cardio-Thoracic Surgery, Tel-Aviv Sourasky Medical Center, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
aff002
Vyšlo v časopise:
PLoS ONE 14(10)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0224310
Souhrn
Background
Several risk scores have been created to predict long term mortality after coronary artery bypass grafting (CABG). Several studies demonstrated a reduction in long-term mortality following bilateral internal thoracic arteries (BITA) compared to single internal thoracic artery. However, these prediction models usually referred to long term survival as survival of up to 5 years. Moreover, none of these models were built specifically for operation incorporating BITA grafting.
Methods
A historical cohort study of all patients who underwent isolated BITA grafting between 1996 and 2011 at Tel-Aviv Sourasky medical center, a tertiary referral university affiliated medical center with a 24-bed cardio-thoracic surgery department. Study population (N = 2,935) was randomly divided into 2 groups: learning group which was used to build the prediction model and validation group. Cox regression was used to predict death using pre-procedural risk factors (demographic data, patient comorbidities, cardiac characteristics and patient's status). The accuracy (discrimination and calibration) of the prediction model was evaluated.
Methods and findings
The learning (1,468 patients) and validation (1,467 patients) groups had similar preoperative characteristics and similar survival. Older age, diabetes mellitus, chronic obstructive lung disease, congestive heart failure, chronic renal failure, old MI, ejection fraction ≤30%, pre-operative use of intra-aortic balloon, and peripheral vascular disease, were significant predictors of mortality and were used to build the prediction model. The area under the ROC curves for 5, 10, and 15-year survival ranged between 0.742 and 0.762 for the learning group and between 0.766 and 0.770 for the validation group. The prediction model showed good calibration performance in both groups. A nomogram was built in order to introduce a simple-to-use tool for prediction of 5, 10, and 15-year survival.
Conclusions
A simple-to-use validated model can be used for a prediction of 5, 10, and 15-year mortality after CABG using the BITA grafting technique.
Klíčová slova:
Coronary artery bypass grafting – Chronic obstructive pulmonary disease – Learning curves – Myocardial infarction – Surgical and invasive medical procedures – Vascular surgery – Peripheral vascular disease
Zdroje
1. Loop FD, Lytle BW, Cosgrove DM, Stewart RW, Goormastic M, Williams GW, et al. Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events. N Engl J Med 1986;314:1–6. doi: 10.1056/NEJM198601023140101 3484393
2. Lytle BW, Blackstone EH, Loop FD, Houghtaling PL, Arnold JH, Akhrasss R, et al. Two internal thoracic arteries are better than one. J Thorac Cardiovasc Surg 1999;117:855–72. doi: 10.1016/S0022-5223(99)70365-X 10220677
3. Buxton BF, Komeda M, Fuller JA, Gordon I. Bilateral internal thoracic artery grafting may improve outcome of coronary artery surgery. Risk-adjusted survival. Circulation 1998;98:II1–6 9852872
4. Endo M, Nishida H, Tomizawa Y, Kasanuki H. Benefit of bilateral over single internal mammary artery grafts for multiple coronary artery bypass grafting. Circulation 2001;104:2164–70. doi: 10.1161/hc4301.098283 11684625
5. Tector AJ, Amundsen S, Schmahl TM, Kress DC, Peter M. Total revascularization with T-grafts. Ann Thorac Surg 1994;57:8–9. doi: 10.1016/0003-4975(94)90356-5
6. Taggart DP, D'Amico R, Altman DG. Effect of arterial revascularization on survival: a systematic review of studies comparing bilateral and single internal mammary arteries. Lancet 2001;358:870–5. doi: 10.1016/S0140-6736(01)06069-X 11567701
7. Wu C, Camacho FT, Wechsler AS, Lahey S, Culliford AT, Jordan D, et al. Risk score for predicting long-term mortality after coronary artery bypass graft surgery. Circulation. 2012;125(20):2423–2430. doi: 10.1161/CIRCULATIONAHA.111.055939 22547673
8. Tanaka S, Sakata R, Marui A, Furukawa Y, Kita T, Kimura T. Predicting long-term mortality after first coronary revascularization:–the Kyoto model. Circ J. 2012;76(2):328–334. doi: 10.1253/circj.cj-11-0398 22094912
9. Shahian DM, O'Brien SM, Sheng S, Grover FL, Mayer JE, Jacobs JP, et al. Predictors of long-term survival after coronary artery bypass grafting surgery: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database (the ASCERT study). Circulation. 2012;125(12):1491–1500. doi: 10.1161/CIRCULATIONAHA.111.066902 22361330
10. Campos CM, van Klaveren D, Farooq V, Simonton CA, Kappetein AP, Sabik J, et al. Long-term forecasting and comparison of mortality in the Evaluation of the Xience Everolimus Eluting Stent vs. Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization (EXCEL) trial: prospective validation of the SYNTAX Score II. Eur Heart J. 2015;36(20):1231–1241. doi: 10.1093/eurheartj/ehu518 25583761
11. Carr BM, Romeiser J, Ruan J, Gupta S, Seifert FC, Zhu W, et al. Long-Term Post-CABG Survival: Performance of Clinical Risk Models Versus Actuarial Predictions. J Card Surg. 2016;31(1):23–30. doi: 10.1111/jocs.12665 26543019
12. Kilpin M, Talwar A, Meneguzzi J, Tran L, Reid C, Hayward P. Two Long-Term Mortality Risk Models For Coronary Artery Bypass Graft Surgery Produced in American Populations Validated in an Australian Population. Heart Lung Circ. 2018;27(1):79–88. doi: 10.1016/j.hlc.2017.02.008 28389195
13. Karim MN, Reid CM, Huq M, Brilleman SL, Cochrane A, Tran L, et al. Predicting long-term survival after coronary artery bypass graft surgery. Interact Cardiovasc Thorac Surg. 2018;26(2):257–263. doi: 10.1093/icvts/ivx330 29049838
14. MacKenzie TA, Malenka DJ, Olmstead EM, Piper WD, Langner C, Ross CS, et al. Prediction of survival after coronary revascularization: modeling short-term, mid-term, and long-term survival. Ann Thorac Surg. 2009;87(2):463–572. doi: 10.1016/j.athoracsur.2008.09.042 19161761
15. Wu C, Camacho FT, Zhao S, Wechsler AS, Culliford AT, Lahey SJ, et al. Long-term mortality of coronary artery bypass graft surgery and stenting with drug-eluting stents. Ann Thorac Surg. 2013;95(4):1297–1305. doi: 10.1016/j.athoracsur.2012.11.073 23391171
16. Pevni D, Uretzky G, Mohr A, Braunstein R, Kramer A, Paz Y, et al. Routine use of bilateral skeletonized internal thoracic artery grafting: long-term results. Circulation 2008;118:705–12. doi: 10.1161/CIRCULATIONAHA.107.756676 18663087
17. Roques F, Nashef SA, Michel P, Gauducheau E, de Vincentiis C, Baudet E, et al. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patients. Eur J Cardiothorac Surg. 1999;15(6):816–823. doi: 10.1016/s1010-7940(99)00106-2 10431864
18. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg. 1999;16(1):9–13. doi: 10.1016/s1010-7940(99)00134-7 10456395
19. Shahian DM, O'Brien SM, Filardo G, Ferraris VA, Haan CK, Rich JB, et al. The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1—coronary artery bypass grafting surgery. Ann Thorac Surg. 2009 Jul;88(1 Suppl):S2–22. doi: 10.1016/j.athoracsur.2009.05.053 19559822
20. Brockman JA, Alanee S, Vickers AJ, Scardino PT, Wood DP, Kibel AS, et al. Nomogram Predicting Prostate Cancer-specific Mortality for Men with Biochemical Recurrence After Radical Prostatectomy. Eur Urol. 2015;67(6):1160–1167. doi: 10.1016/j.eururo.2014.09.019 25301759
21. Aviram G, Shmueli H, Adam SZ, Bendet A, Ziv-Baran T, Steinvil A, et al. Pulmonary Hypertension: A Nomogram Based on CT Pulmonary Angiographic Data for Prediction in Patients without Pulmonary Embolism. Radiology. 2015;277(1):236–246. doi: 10.1148/radiol.15141269 25961630
22. Ziv-Baran T, Hussey S, Sladek M, Amil Dias J, Martin de Carpi J, Miele E, et al. Response to treatment is more important than disease severity at diagnosis for prediction of early relapse in new-onset paediatric Crohn's disease. Aliment Pharmacol Ther. 2018;48(11–12):1242–1250. doi: 10.1111/apt.15016 30450578
23. Buxton BF, Komeda M, Fuller JA, Gordon I. Bilateral internal thoracic artery grafting may improve outcome of coronary artery surgery. Risk-adjusted survival. Circulation. 1998;98(19 Suppl):II1–6. 9852872
24. Schmidt SE, Jones JW, Thornby JI, Miller CC 3rd, Beall AC Jr. Improved survival with multiple left-sided bilateral internal thoracic artery grafts. Ann Thorac Surg. 1997;64(1):9–14. doi: 10.1016/s0003-4975(97)00473-6 9236328
25. Lytle BW, Blackstone EH, Loop FD, Houghtaling PL, Arnold JH, Akhrass R, et al. Two internal thoracic artery grafts are better than one. J Thorac Cardiovasc Surg. 1999;117(5):855–872. doi: 10.1016/S0022-5223(99)70365-X 10220677
26. Taggart DP, D'Amico R, Altman DG. Effect of arterial revascularisation on survival: a systematic review of studies comparing bilateral and single internal mammary arteries. Lancet. 2001;358(9285):870–875. doi: 10.1016/S0140-6736(01)06069-X 11567701
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PLOS One
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