Skip to main content
Journal cover image

Changes in health-related quality of life in off-pump versus on-pump cardiac surgery: Veterans Affairs Randomized On/Off Bypass trial.

Publication ,  Journal Article
Bishawi, M; Shroyer, AL; Rumsfeld, JS; Spertus, JA; Baltz, JH; Collins, JF; Quin, JA; Almassi, GH; Grover, FL; Hattler, B ...
Published in: The Annals of thoracic surgery
June 2013

The relative benefits of performing coronary artery bypass graft surgery off-pump versus on-pump continue to be debated. A critical, patient-centered outcome is health-related quality of life; yet there has been limited evaluation in large-scale, multicenter trials of the off-pump versus on-pump impact upon quality of life.The Veterans Affairs Randomized On/Off Bypass trial randomized 2,203 nonemergent patients to off-pump or on-pump from February 2002 to May 2007. Patients completed a general quality of life survey (VR-36) and a disease-specific quality of life survey, the Seattle Angina Questionnaire (SAQ), prior to surgery, then again at 3 and 12 months post-bypass.Of the 2,130 1-year survivors, 1,805 patients (85%) completed 1-year surveys. Randomization resulted in comparable baseline patient characteristics, including VR-36 and SAQ scores. At 3 months and 1-year post-procedure, there were no clinically relevant differences between off-pump and on-pump patients in any of the quality of life measures. Both groups had statistically significant, comparable improvements in the physical component scale of the VR-36, and in the SAQ scales.For this trial's male, low-to-moderate risk, veteran population, there were no significant differences between off-pump and on-pump with regard to 1-year general and disease-specific quality of life outcomes. Both treatment arms experienced some improvements by 3 months, with continued improvements through 1-year post-bypass.

Duke Scholars

Published In

The Annals of thoracic surgery

DOI

EISSN

1552-6259

ISSN

0003-4975

Publication Date

June 2013

Volume

95

Issue

6

Start / End Page

1946 / 1951

Related Subject Headings

  • United States
  • Treatment Outcome
  • Survival Rate
  • Severity of Illness Index
  • Risk Assessment
  • Respiratory System
  • Quality of Life
  • Prospective Studies
  • Postoperative Complications
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Bishawi, M., Shroyer, A. L., Rumsfeld, J. S., Spertus, J. A., Baltz, J. H., Collins, J. F., … Va #517 Randomized on/off Bypass (Rooby) Study Group, . (2013). Changes in health-related quality of life in off-pump versus on-pump cardiac surgery: Veterans Affairs Randomized On/Off Bypass trial. The Annals of Thoracic Surgery, 95(6), 1946–1951. https://doi.org/10.1016/j.athoracsur.2012.12.014
Bishawi, Muath, A Laurie Shroyer, John S. Rumsfeld, John A. Spertus, Janet H. Baltz, Joseph F. Collins, Jacquelyn A. Quin, et al. “Changes in health-related quality of life in off-pump versus on-pump cardiac surgery: Veterans Affairs Randomized On/Off Bypass trial.The Annals of Thoracic Surgery 95, no. 6 (June 2013): 1946–51. https://doi.org/10.1016/j.athoracsur.2012.12.014.
Bishawi M, Shroyer AL, Rumsfeld JS, Spertus JA, Baltz JH, Collins JF, et al. Changes in health-related quality of life in off-pump versus on-pump cardiac surgery: Veterans Affairs Randomized On/Off Bypass trial. The Annals of thoracic surgery. 2013 Jun;95(6):1946–51.
Bishawi, Muath, et al. “Changes in health-related quality of life in off-pump versus on-pump cardiac surgery: Veterans Affairs Randomized On/Off Bypass trial.The Annals of Thoracic Surgery, vol. 95, no. 6, June 2013, pp. 1946–51. Epmc, doi:10.1016/j.athoracsur.2012.12.014.
Bishawi M, Shroyer AL, Rumsfeld JS, Spertus JA, Baltz JH, Collins JF, Quin JA, Almassi GH, Grover FL, Hattler B, Va #517 Randomized on/off Bypass (Rooby) Study Group. Changes in health-related quality of life in off-pump versus on-pump cardiac surgery: Veterans Affairs Randomized On/Off Bypass trial. The Annals of thoracic surgery. 2013 Jun;95(6):1946–1951.
Journal cover image

Published In

The Annals of thoracic surgery

DOI

EISSN

1552-6259

ISSN

0003-4975

Publication Date

June 2013

Volume

95

Issue

6

Start / End Page

1946 / 1951

Related Subject Headings

  • United States
  • Treatment Outcome
  • Survival Rate
  • Severity of Illness Index
  • Risk Assessment
  • Respiratory System
  • Quality of Life
  • Prospective Studies
  • Postoperative Complications
  • Middle Aged