Skip to main content
Top
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 2/2019

01-04-2019 | CABG | Critical Appraisal of Trials

Five-year clinical outcomes of diabetic patients in the Randomized On/Off Bypass Follow-up (ROOBY-FS) trial—is the evidence enough to change the practice?

Author: Pradeep Narayan

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 2/2019

Login to get access

Excerpt

The 5-year outcome of diabetic patients undergoing coronary revascularization in the Randomized On/Off Bypass (ROOBY) trial has recently been published [1]. The main finding of the study is that compared to off-pump coronary artery bypass (OPCAB) the 5-year survival is 6.1% higher in diabetics undergoing on-pump coronary artery bypass grafting (CABG). Thus, there is a strong trend toward improved survival with on-pump CABG in diabetics. …
Literature
2.
go back to reference Narayan P, Kshirsagar SN, Mandal CK, et al. Preoperative glycosylated hemoglobin: a risk factor for patients undergoing coronary artery bypass. Ann Thorac Surg. 2017;104:606–12.CrossRefPubMed Narayan P, Kshirsagar SN, Mandal CK, et al. Preoperative glycosylated hemoglobin: a risk factor for patients undergoing coronary artery bypass. Ann Thorac Surg. 2017;104:606–12.CrossRefPubMed
3.
go back to reference Shroyer AL, Grover FL, Hattler B, et al. On-pump versus off-pump coronary-artery bypass surgery. N Engl J Med. 2009;361:1827–37.CrossRefPubMed Shroyer AL, Grover FL, Hattler B, et al. On-pump versus off-pump coronary-artery bypass surgery. N Engl J Med. 2009;361:1827–37.CrossRefPubMed
4.
go back to reference Shroyer AL, Hattler B, Wagner TH, et al. Five-year outcomes after on-pump and off-pump coronary-artery bypass. N Engl J Med. 2017;377:623–32.CrossRefPubMed Shroyer AL, Hattler B, Wagner TH, et al. Five-year outcomes after on-pump and off-pump coronary-artery bypass. N Engl J Med. 2017;377:623–32.CrossRefPubMed
5.
go back to reference Shroyer AL, Hattler B, Wagner TH, et al. Comparing off-pump and on-pump clinical outcomes and costs for diabetic cardiac surgery patients. Ann Thorac Surg. 2014;98:38–44.CrossRefPubMed Shroyer AL, Hattler B, Wagner TH, et al. Comparing off-pump and on-pump clinical outcomes and costs for diabetic cardiac surgery patients. Ann Thorac Surg. 2014;98:38–44.CrossRefPubMed
6.
go back to reference Magee MJ, Dewey TM, Acuff T, et al. Influence of diabetes on mortality and morbidity: off-pump coronary artery bypass grafting versus coronary artery bypass grafting with cardiopulmonary bypass. Ann Thorac Surg. 2001;72:776–80.CrossRefPubMed Magee MJ, Dewey TM, Acuff T, et al. Influence of diabetes on mortality and morbidity: off-pump coronary artery bypass grafting versus coronary artery bypass grafting with cardiopulmonary bypass. Ann Thorac Surg. 2001;72:776–80.CrossRefPubMed
7.
go back to reference Renner A, Zittermann A, Aboud A, et al. Coronary revascularization in diabetic patients: off-pump versus on-pump surgery. Ann Thorac Surg. 2013;96:528–34.CrossRefPubMed Renner A, Zittermann A, Aboud A, et al. Coronary revascularization in diabetic patients: off-pump versus on-pump surgery. Ann Thorac Surg. 2013;96:528–34.CrossRefPubMed
8.
go back to reference Magee MJ, Coombs LP, Peterson ED, Mack MJ. Patient selection and current practice strategy for off-pump coronary artery bypass surgery. Circulation. 2003;108:II9–14.CrossRefPubMed Magee MJ, Coombs LP, Peterson ED, Mack MJ. Patient selection and current practice strategy for off-pump coronary artery bypass surgery. Circulation. 2003;108:II9–14.CrossRefPubMed
9.
go back to reference Srinivasan AK, Grayson AD, Fabri BM. On-pump versus off-pump coronary artery bypass grafting in diabetic patients: a propensity score analysis. Ann Thorac Surg. 2004;78:1604–9.CrossRefPubMed Srinivasan AK, Grayson AD, Fabri BM. On-pump versus off-pump coronary artery bypass grafting in diabetic patients: a propensity score analysis. Ann Thorac Surg. 2004;78:1604–9.CrossRefPubMed
10.
go back to reference Emmert MY, Salzberg SP, Seifert B, et al. Is off-pump superior to conventional coronary artery bypass grafting in diabetic patients with multivessel disease? Eur J Cardiothorac Surg. 2011;40:233–9.CrossRefPubMed Emmert MY, Salzberg SP, Seifert B, et al. Is off-pump superior to conventional coronary artery bypass grafting in diabetic patients with multivessel disease? Eur J Cardiothorac Surg. 2011;40:233–9.CrossRefPubMed
11.
go back to reference Benedetto U, Caputo M, Vohra H, et al. Off-pump versus on-pump coronary artery bypass surgery in patients with actively treated diabetes and multivessel coronary disease. J Thorac Cardiovasc Surg. 2016;152:1321–30.CrossRefPubMed Benedetto U, Caputo M, Vohra H, et al. Off-pump versus on-pump coronary artery bypass surgery in patients with actively treated diabetes and multivessel coronary disease. J Thorac Cardiovasc Surg. 2016;152:1321–30.CrossRefPubMed
12.
go back to reference Wang Y, Shi X, Du R, Chen Y, Zhang Q. Off-pump versus on-pump coronary artery bypass grafting in patients with diabetes: a meta-analysis. Acta Diabetol. 2017;54:283–92.CrossRefPubMed Wang Y, Shi X, Du R, Chen Y, Zhang Q. Off-pump versus on-pump coronary artery bypass grafting in patients with diabetes: a meta-analysis. Acta Diabetol. 2017;54:283–92.CrossRefPubMed
13.
go back to reference Gaudino M, Benedetto U, Bakaeen F, et al. Off-versus on-pump coronary surgery and the effect of follow-up length and Surgeons' experience: a meta-analysis. J Am Heart Assoc. 2018;7:e010034.PubMedPubMedCentral Gaudino M, Benedetto U, Bakaeen F, et al. Off-versus on-pump coronary surgery and the effect of follow-up length and Surgeons' experience: a meta-analysis. J Am Heart Assoc. 2018;7:e010034.PubMedPubMedCentral
14.
go back to reference Rodrigues AJ, Evora PR, Tubino PV. On-pump versus off-pump coronary artery bypass graft surgery: what do the evidence show? Rev Bras Cir Cardiovasc. 2013;28:531–7.CrossRefPubMedPubMedCentral Rodrigues AJ, Evora PR, Tubino PV. On-pump versus off-pump coronary artery bypass graft surgery: what do the evidence show? Rev Bras Cir Cardiovasc. 2013;28:531–7.CrossRefPubMedPubMedCentral
15.
go back to reference Puskas JD, Williams WH, Duke PG, et al. Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury, transfusion requirements, and length of stay: a prospective randomized comparison of two hundred unselected patients undergoing off-pump versus conventional coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2003;125:797–808.CrossRef Puskas JD, Williams WH, Duke PG, et al. Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury, transfusion requirements, and length of stay: a prospective randomized comparison of two hundred unselected patients undergoing off-pump versus conventional coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2003;125:797–808.CrossRef
16.
go back to reference Puskas JD, Edwards FH, Pappas PA, et al. Off-pump techniques benefit men and women and narrow the disparity in mortality after coronary bypass grafting. Ann Thorac Surg. 2007;84:1447–56.CrossRefPubMed Puskas JD, Edwards FH, Pappas PA, et al. Off-pump techniques benefit men and women and narrow the disparity in mortality after coronary bypass grafting. Ann Thorac Surg. 2007;84:1447–56.CrossRefPubMed
17.
go back to reference Edgerton JR, Dewey TM, Magee MJ, et al. Conversion in off-pump coronary artery bypass grafting: an analysis of predictors and outcomes. Ann Thorac Surg. 2003;76:1138–42.CrossRefPubMed Edgerton JR, Dewey TM, Magee MJ, et al. Conversion in off-pump coronary artery bypass grafting: an analysis of predictors and outcomes. Ann Thorac Surg. 2003;76:1138–42.CrossRefPubMed
18.
go back to reference Puskas JD, Thourani VH, Kilgo P, et al. Off-pump coronary artery bypass disproportionately benefits high-risk patients. Ann Thorac Surg. 2009;88:1142–7.CrossRef Puskas JD, Thourani VH, Kilgo P, et al. Off-pump coronary artery bypass disproportionately benefits high-risk patients. Ann Thorac Surg. 2009;88:1142–7.CrossRef
19.
go back to reference Diegeler A, Börgermann J, Kappert U, et al. Off-pump versus on-pump coronary-artery bypass grafting in elderly patients. N Engl J Med. 2013;368:1189–98.CrossRefPubMed Diegeler A, Börgermann J, Kappert U, et al. Off-pump versus on-pump coronary-artery bypass grafting in elderly patients. N Engl J Med. 2013;368:1189–98.CrossRefPubMed
20.
go back to reference Lamy A, Devereaux PJ, Prabhakaran D, et al. Five-year outcomes after off-pump or on-pump coronary-artery bypass grafting. N Engl J Med. 2016;375:2359–68.CrossRefPubMed Lamy A, Devereaux PJ, Prabhakaran D, et al. Five-year outcomes after off-pump or on-pump coronary-artery bypass grafting. N Engl J Med. 2016;375:2359–68.CrossRefPubMed
21.
go back to reference Lemma MG, Coscioni E, Tritto FP, et al. On-pump versus off-pump coronary artery bypass surgery in high-risk patients: operative results of a prospective randomized trial (on-off study). J Thorac Cardiovasc Surg. 2012;143:625–31.CrossRefPubMed Lemma MG, Coscioni E, Tritto FP, et al. On-pump versus off-pump coronary artery bypass surgery in high-risk patients: operative results of a prospective randomized trial (on-off study). J Thorac Cardiovasc Surg. 2012;143:625–31.CrossRefPubMed
22.
go back to reference Houlind K, Kjeldsen BJ, Madsen SN, et al. On-pump versus off-pump coronary artery bypass surgery in elderly patients: results from the Danish on-pump versus off-pump randomization study. Circulation. 2012;125:2431–9.CrossRefPubMed Houlind K, Kjeldsen BJ, Madsen SN, et al. On-pump versus off-pump coronary artery bypass surgery in elderly patients: results from the Danish on-pump versus off-pump randomization study. Circulation. 2012;125:2431–9.CrossRefPubMed
Metadata
Title
Five-year clinical outcomes of diabetic patients in the Randomized On/Off Bypass Follow-up (ROOBY-FS) trial—is the evidence enough to change the practice?
Author
Pradeep Narayan
Publication date
01-04-2019
Publisher
Springer Singapore
Keywords
CABG
CABG
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue 2/2019
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-018-00781-z

Other articles of this Issue 2/2019

Indian Journal of Thoracic and Cardiovascular Surgery 2/2019 Go to the issue