Time-varying comparative effectiveness of surgical or percutaneous revascularization on patient-centred outcomes

Vikram Fielding-Singh, Christian O’Donnell, Jack H. Boyd, Meltem Tuna, Mamas A. Mamas, Marc Ruel, Louise Y. Sun · 2025

Read Time-varying comparative effectiveness of surgical or percutaneous revascularization on patient-centred outcomes by Vikram Fielding-Singh, Christian O’Donnell, Jack H. Boyd, Meltem Tuna, Mamas A. Mamas, Marc Ruel, Louise Y. Sun (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12685096.txt.

Description

Vikram Fielding-Singh and co-authors compare two ways to reopen blocked heart arteries in Ontario, Canada. One is bypass surgery, the other a catheter procedure that props the artery open with a stent. They focus on outcomes patients themselves named as most feared, grouped as patient-defined adverse events.

Using records for procedures from late 2008 through 2018, they track stroke, ventilator dependence, heart failure, dialysis, and admission to long-term care. Their models show how the risk of each outcome shifts over time after each procedure. The timing view helps patients weigh surgery against the catheter route. The authors stress that the better choice can differ by patient, because early and late risks pull in opposite directions.

Catalog record

CREATORVikram Fielding-Singh, Christian O’Donnell, Jack H. Boyd, Meltem Tuna, Mamas A. Mamas, Marc Ruel, Louise Y. Sun
YEAR2025
COLLECTIONPAPERS
FORMATTXT
FILE SIZE32 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC12685096

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