Employment after coronary angioplasty or coronary bypass surgery in patients employed at the time of revascularization.

Journal Article (Clinical Trial;Journal Article;Multicenter Study)

BACKGROUND: Patients who undergo coronary angioplasty have a shorter convalescence than those who undergo coronary bypass surgery. This may improve subsequent employment. OBJECTIVE: To compare employment patterns after coronary angioplasty or surgery. DESIGN: Multicenter, randomized clinical trial. SETTING: Seven tertiary care hospitals. PATIENTS: 409 employed patients with multivessel coronary artery disease. INTERVENTION: Coronary bypass surgery or balloon angioplasty. MEASUREMENTS: Time to return to work and time spent working during 4 years of follow-up. RESULTS: Patients who underwent angioplasty returned to work 6 weeks sooner than patients who underwent coronary bypass surgery (P < 0.001), but long-term employment did not differ significantly (P > 0.2). Long-term employment was significantly lower among patients who were 60 to 64 years of age (P < 0.001), those who worked less than full-time at study entry (P < 0.001), and those who had less formal education (P = 0.005). Patients with only one source of health insurance were more likely to continue working (P = 0.005). CONCLUSIONS: Faster recovery after angioplasty speeds return to work but does not improve long-term employment, which is primarily associated with nonmedical factors.

Full Text

Duke Authors

Cited Authors

  • Hlatky, MA; Boothroyd, D; Horine, S; Winston, C; Brooks, MM; Rogers, W; Pitt, B; Reeder, G; Ryan, T; Smith, H; Whitlow, P; Wiens, R; Mark, DB

Published Date

  • October 1, 1998

Published In

Volume / Issue

  • 129 / 7

Start / End Page

  • 543 - 547

PubMed ID

  • 9758574

International Standard Serial Number (ISSN)

  • 0003-4819

Digital Object Identifier (DOI)

  • 10.7326/0003-4819-129-7-199810010-00006


  • eng

Conference Location

  • United States