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Comparison of the Postprocedural Quality of Life between Coronary Artery Bypass Graft Surgery and Percutaneous Coronary Intervention: a Systematic Review


Affiliations
1 MBBS-Dow University of Health Sciences (DUHS), Karachi 74100, Pakistan
2 Kharadar General Hospital, Karachi, Pakistan
3 Cardiology, CivilHospital, DUHS, Karachi 74100, Pakistan
4 Aga Khan University of Health Sciences, Karachi 74800, Pakistan
5 Department of Biological Sciences,The Lyceum, Karachi 75600, Pakistan
6 The Karachi Grammar School, Karachi 75600, Pakistan
 

The treatment of choice between coronary artery bypass graft surgery (CABG) and percutaneous coronary intervention (PCI) has remained unclear. Considering quality of life (QOL) increases life expectancy, we believe QOL should be important in determining the optimum treatment.Thus the objective of this review was to illustrate the comparative effects of CABG and PCI on postprocedural QOL. Methods.We searched PubMed (Medline) and Embase frominception of the databases toMay 2014 using "PCI versus CABG quality of life", "Percutaneous Coronary intervention versus Coronary artery bypass graft surgery Quality of life", "PCI versus CABG health status", "Angioplasty versus CABG", "Percutaneous coronary intervention versus coronary artery bypass surgery health status", and different combinations of the above terms. 447 articles were found. After applying strict exclusion criteria, we included 13 studies in this review. Results. From the 9 studies that compared QOL scores at 6 months after procedure, 5 studies reported CABG to be superior. Fromthe 10 studies that compared QOL among patients at 1 year after procedure, 9 reported CABG to be superior. Conclusion. It can be established that CABG is superior to PCI in improving patient's QOL with respect to all scales used to determine quality of life.
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  • Comparison of the Postprocedural Quality of Life between Coronary Artery Bypass Graft Surgery and Percutaneous Coronary Intervention: a Systematic Review

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Authors

Kaneez Fatima
MBBS-Dow University of Health Sciences (DUHS), Karachi 74100, Pakistan
Mohammad Yousuf-ul-Islam
MBBS-Dow University of Health Sciences (DUHS), Karachi 74100, Pakistan
Mehreen Ansari
MBBS-Dow University of Health Sciences (DUHS), Karachi 74100, Pakistan
Faizan Imran Bawany
MBBS-Dow University of Health Sciences (DUHS), Karachi 74100, Pakistan
Muhammad Shahzeb Khan
MBBS-Dow University of Health Sciences (DUHS), Karachi 74100, Pakistan
Akash Khetpal
MBBS-Dow University of Health Sciences (DUHS), Karachi 74100, Pakistan
Neelam Khetpal
Kharadar General Hospital, Karachi, Pakistan
Muhammad Nawaz Lashari
Cardiology, CivilHospital, DUHS, Karachi 74100, Pakistan
Mohammad Hussham Arshad
Aga Khan University of Health Sciences, Karachi 74800, Pakistan
Raamish Bin Amir
Department of Biological Sciences,The Lyceum, Karachi 75600, Pakistan
Hoshang Rustom Kakalia
Department of Biological Sciences,The Lyceum, Karachi 75600, Pakistan
Qaiser Hasan Zaidi
Department of Biological Sciences,The Lyceum, Karachi 75600, Pakistan
Sharmeen Kamran Mian
Department of Biological Sciences,The Lyceum, Karachi 75600, Pakistan
Bahram Kazani
The Karachi Grammar School, Karachi 75600, Pakistan

Abstract


The treatment of choice between coronary artery bypass graft surgery (CABG) and percutaneous coronary intervention (PCI) has remained unclear. Considering quality of life (QOL) increases life expectancy, we believe QOL should be important in determining the optimum treatment.Thus the objective of this review was to illustrate the comparative effects of CABG and PCI on postprocedural QOL. Methods.We searched PubMed (Medline) and Embase frominception of the databases toMay 2014 using "PCI versus CABG quality of life", "Percutaneous Coronary intervention versus Coronary artery bypass graft surgery Quality of life", "PCI versus CABG health status", "Angioplasty versus CABG", "Percutaneous coronary intervention versus coronary artery bypass surgery health status", and different combinations of the above terms. 447 articles were found. After applying strict exclusion criteria, we included 13 studies in this review. Results. From the 9 studies that compared QOL scores at 6 months after procedure, 5 studies reported CABG to be superior. Fromthe 10 studies that compared QOL among patients at 1 year after procedure, 9 reported CABG to be superior. Conclusion. It can be established that CABG is superior to PCI in improving patient's QOL with respect to all scales used to determine quality of life.