Survival outcomes and adverse events in patients with chronic kidney disease after coronary artery bypass grafting and percutaneous coronary intervention: a meta-analysis of propensity score-matching studies

The present meta-analysis of propensity score-matching studies aimed to compare the long-term survival outcomes and adverse events associated with coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in patients with chronic kidney disease (CKD). Electronic databases w...

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Bibliographic Details
Published in:Renal failure 2021-01, Vol.43 (1), p.606-616
Main Authors: Yang, Ye-gui, Li, Nuo, Chen, Meng-hua
Format: Article
Language:English
Subjects:
Angioplasty
Cerebral infarction
Chronic kidney disease
Clinical Study
Coronary artery
Coronary Artery Bypass - adverse effects
coronary artery bypass surgery
Coronary vessels
Dialysis
Glomerular filtration rate
Heart attacks
Heart surgery
Humans
Incidence
Kidney diseases
Kidney transplantation
Meta-analysis
Mortality
Myocardial infarction
Myocardial Infarction - epidemiology
Myocardial Infarction - etiology
percutaneous coronary intervention
Percutaneous Coronary Intervention - adverse effects
Propensity Score
propensity score matching
Renal Dialysis - adverse effects
Renal Insufficiency, Chronic - mortality
Renal Insufficiency, Chronic - therapy
Stents
Stroke - epidemiology
Stroke - etiology
Survival
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Summary:The present meta-analysis of propensity score-matching studies aimed to compare the long-term survival outcomes and adverse events associated with coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in patients with chronic kidney disease (CKD). Electronic databases were searched for studies comparing CABG and PCI in patients with CKD. The search period extended to 13 February 2021. The primary outcome was all-cause mortality, and the secondary endpoints included myocardial infarction, revascularization, and stroke. Odds ratios (ORs) and hazard ratios (HRs) with 95% confidence intervals (CIs) were used to express the pooled effect. Study quality was assessed using the Newcastle-Ottawa scale. The analyses were performed using RevMan 5.3. Thirteen studies involving 18,005 patients were included in the meta-analysis. Long-term mortality risk was significantly lower in the CABG group than in the PCI group (HR: 0.76, 95% CI: 0.70-0.83, p 
ISSN:0886-022X
1525-6049
DOI:10.1080/0886022X.2021.1903928