Inter-observer variation of Syntax score among cardiac surgeons, clinical and interventional cardiologists
| Autor: | Guilherme Pinheiro Machado, Ana Maria Rocha Krepsky, Carisi Anne Polanczyk, Luiz Carlos Corsetti Bergoli, Sandro Cadaval Gonçalves, Mariana Vargas Furtado, Bruno da Silva Matte, Gustavo Neves de Araújo, Marco Vugman Wainstein, Tiago Luiz Luz Leiria |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system Bypass grafting left main medicine.medical_treatment Clinical Decision-Making Coronary Artery Disease 030204 cardiovascular system & hematology Coronary Angiography multivessel disease Decision Support Techniques 03 medical and health sciences Cardiologists 0302 clinical medicine coronary artery bypass graft Predictive Value of Tests Internal medicine medicine Humans Pharmacology (medical) 030212 general & internal medicine Coronary Artery Bypass Original Research Observer Variation Surgeons Syntax (programming languages) business.industry Patient Selection percutaneous coronary intervention Reproducibility of Results Percutaneous coronary intervention Multivessel disease Coronary Vessels SYNTAX score Cross-Sectional Studies lcsh:RC666-701 Conventional PCI Cardiology Cardiology and Cardiovascular Medicine business Observer variation |
| Zdroj: | Therapeutic Advances in Cardiovascular Disease, Vol 14 (2020) Therapeutic Advances in Cardiovascular Disease |
| ISSN: | 1753-9455 |
| Popis: | Background: Despite the complexity of SYNTAX score (SS), guidelines recommend this tool to help choosing between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in patients with left main of three-vessel coronary artery disease. The aim of this study was to compare the inter-observer variation in SS performed by clinical cardiologists (CC), interventional cardiologists (IC), and cardiac surgeons (CS). Methods: Seven coronary angiographies from patients with left main and/or three-vessel disease chosen by a heart team were analyzed by 10 CC, 10 IC and 10 CS. SS was calculated via SYNTAX website. Results: Kappa concordance was very low between CC and CS (k = 0.176), moderate between CS and IC (k = 0.563), and moderate between CC and IC (0.553). There was a statistically significant difference between CC, who classified more cases as low complexity (70%), and CS, who classified more cases as moderate complexity (80%) ( p = 0.041). Conclusion: Concordance between SS analyzed by CC, CS and IC is low. The usefulness of SS in decision-making of revascularization strategy is undeniable and evidence supports its use. However, this study highlights the importance of well-trained professionals on calculating the SS. It could avoid misclassification of borderline cases. |
| Databáze: | OpenAIRE |
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