Patient preferences in coronary revascularization.
BACKGROUND
This study was performed to assess patient preferences for consequences of 3 coronary revascularization procedures: angioplasty, conventional coronary bypass surgery, and minimally invasive coronary bypass surgery.


METHODS
A nationwide sample of 3 types of respondents was recruited: respondents with no heart disease (n = 89), respondents with heart disease who had not undergone cardiac surgery (n = 97), and respondents with heart disease who had undergone cardiac surgery (n = 118).


RESULTS
Sixty-two percent ranked the risk of repeat revascularization as the most important concern, followed by postprocedure pain (22%), time to recovery of physical functioning (8%), time in hospital (4%), and body appearance (4%). Respondents preferred angioplasty to conventional and minimally invasive cardiac surgery if the 3-year risk of repeat revascularization with angioplasty were to decline to less than 28% and 21%, respectively.


CONCLUSIONS
These data suggest that patient preference should influence individual and policy recommendations when choosing among coronary revascularization procedures.
Hornberger
J
J
Departments of Health Research & Policy and of Medicine, Stanford University School of Medicine, CA, USA. john.hornberger@roche.com
Bloch
D A
DA
Hlatky
M A
MA
Baumgartner
W
W
D003625:Data Collection / Q000379:methods; D003657:Decision Making; D006801:Humans; D016014:Linear Models; D016015:Logistic Models; D009204:Myocardial Revascularization / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010350:Patient Credit and Collection / Q000191:economics / Q000706:statistics & numerical data; D011379:Prognosis; D011897:Random Allocation; D019233:Retreatment / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States