Patient and physician preferences for attributes of coronary revascularization

Figures & data

Figure 1 The dotmocracy rating method.

Table 1 Patients’ sociodemographic characteristics

Characteristic	N (%)
Number of participants	54
Gender
Male	40 (74)
Female	14 (26)
Age (years), mean±SD	62.5±8.6
Religion
Catholic	25 (46)
Evangelical	16 (30)
Spiritism	6 (11)
Other	7 (13)
Ethnicity
White	27 (50)
Pardo	22 (41)
Black	5 (9)
Years of education
1–5	13 (24)
6–10	12 (22)
11–13	18 (33)
>13	11 (21)
Retired	37 (69)
Married	37 (69)
Monthly income (R$), median±SD	2205.37±2890.26

Note: Data are shown as n (%) unless otherwise indicated.

Figure 2 Flowchart of the systematic review.

Abbreviation: CAD, coronary artery disease.

Table 2 Definitions of attributes

Attribute	Definition
Atrial fibrillation Heart failure*	Permanent atrial fibrillation, patient received anticoagulation Symptomatic heart failure, NYHA class III or IV. Class III: marked limitation of physical activity in which less than ordinary activity results in fatigue, palpitation, dyspnea, or angina pain, but the person is comfortable at rest. Class IV: inability to carry on any physical activity without discomfort, symptoms of heart failure or angina syndrome even when at rest, and increased discomfort if any physical activity is undertaken
Incision scar	Median sternotomy incision scar
Length of stay	Hospitalization length of stay
Long-term survival	5-year survival after treatment
Myocardial infarction	Myocardial infarction not related to death. “Commonly known as a heart attack, occurs when blood flow decreases or stops to a part of the heart. The symptoms include chest pain or discomfort, shortness of breath, nausea, feeling faint, a cold sweat, or feeling tired.”^Citation10
Periprocedural death	Death within 30 days after treatment
Postoperative infection	Infection after surgery, including skin infections, pneumonia, or mediastinitis
Postprocedural angina	Return of angina symptoms despite treatment, including chest pain or pressure, which is usually related to exercise or emotional stress
Pseudoaneurysm	Femoral pseudoaneurysm. A pseudoaneurysm, also known as a false aneurysm, is a collection of blood that forms between the two outer layers of an artery. It is caused by an injury to the femoral vessel that occurs during angioplasty. Correction may require surgery
Renal failure	Chronic kidney failure, also known as renal failure or renal insufficiency, is a medical condition in which the kidneys do not work properly, and dialysis is needed to perform their function
Repeat CABG	The necessity to redo surgery
Repeat PCI	The necessity to redo angioplasty
Stroke	Permanent stroke. Signs and symptoms of a stroke may include an inability to move, the loss of feeling on one side of the body, problems understanding or speaking, feeling like the world is spinning, or loss of vision to one side

Note:

* https://emedicine.medscape.com/article/2500037-overview.¹¹

Abbreviations: NYHA, New York Heart Association; CABG, coronary artery bypass graft; PCI, percutaneous coronary intervention.

Table 3 Ranking and rating of attributes according to patients and cardiologists

Attribute	Patients		Cardiologists		p-value
	Ranking	Rating	Ranking	Rating
Renal failure	1st	50	6th	10	<0.001
Periprocedural death	2nd	43	1st	72	<0.001
Stroke	3rd	25	3rd	26	NS
Repeat surgery	4th	19	8th	8	NS
Myocardial infarction	5th	16	4th	18	NS
Heart failure	6th	15	5th	15	NS
Angina	7th	12	9th	4	NS
Atrial fibrillation	8th	10	12th	1	0.01
Postoperative infection	9th	9	7th	4	NS
Long-term survival	10th	9	2nd	53	<0.001
Length of stay	11th	4	11th	2	NS
Pseudoaneurysm	12th	2	13th	1	NS
Repeat angioplasty	13th	2	10th	2	NS
Incision scar	14th	0	14th	0	NS

Abbreviation: NS, not significant.

IbanezBJamesSAgewallSESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevationRevista espanola de cardiologia20177012108229198432

 PubMed Web of Science ®Google Scholar

HoKKPinskyJLKannelWBLevyDThe epidemiology of of heart failure: the Framingham studyJ Am Coll Cardiol19934 suppl A6A13A

 Web of Science ®Google Scholar