| Employment after coronary angioplasty or coronary bypass surgery in patients employed at the time of revascularization. | |
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MedLine Citation:
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PMID: 9758574 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Patients who undergo coronary angioplasty have a shorter convalescence than those who undergo coronary bypass surgery. This may improve subsequent employment. OBJECTIVE: To compare employment patterns after coronary angioplasty or surgery. DESIGN: Multicenter, randomized clinical trial. SETTING: Seven tertiary care hospitals. PATIENTS: 409 employed patients with multivessel coronary artery disease. INTERVENTION: Coronary bypass surgery or balloon angioplasty. MEASUREMENTS: Time to return to work and time spent working during 4 years of follow-up. RESULTS: Patients who underwent angioplasty returned to work 6 weeks sooner than patients who underwent coronary bypass surgery (P < 0.001), but long-term employment did not differ significantly (P > 0.2). Long-term employment was significantly lower among patients who were 60 to 64 years of age (P < 0.001), those who worked less than full-time at study entry (P < 0.001), and those who had less formal education (P = 0.005). Patients with only one source of health insurance were more likely to continue working (P = 0.005). CONCLUSIONS: Faster recovery after angioplasty speeds return to work but does not improve long-term employment, which is primarily associated with nonmedical factors. |
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Authors:
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M A Hlatky; D Boothroyd; S Horine; C Winston; M M Brooks; W Rogers; B Pitt; G Reeder; T Ryan; H Smith; P Whitlow; R Wiens; D B Mark |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Annals of internal medicine Volume: 129 ISSN: 0003-4819 ISO Abbreviation: Ann. Intern. Med. Publication Date: 1998 Oct |
Date Detail:
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Created Date: 1998-10-01 Completed Date: 1998-10-01 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0372351 Medline TA: Ann Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 543-7 Citation Subset: AIM; IM |
Affiliation:
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Stanford University School of Medicine, California 94305-5405, USA. hlatky@stanford.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Angioplasty, Balloon* Coronary Artery Bypass* Educational Status Employment* Female Follow-Up Studies Humans Insurance, Health Male Middle Aged |
| Grant Support | |
ID/Acronym/Agency:
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HL38610/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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