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| Publications [#197870] of Daniel B. Mark
Papers Published
- MA Hlatky, D Boothroyd, S Horine, C Winston, MM Brooks, W Rogers, B Pitt, G Reeder, T Ryan, H Smith, P Whitlow, R Wiens, DB Mark, Employment after coronary angioplasty or coronary bypass surgery in patients employed at the time of revascularization.,
Annals of internal medicine, vol. 129 no. 7
(October, 1998),
pp. 543-7, ISSN 0003-4819
(last updated on 2011/11/29)
Abstract:
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. METHODS: Multicenter, randomized clinical trial. METHODS: Seven tertiary care hospitals. METHODS: 409 employed patients with multivessel coronary artery disease. METHODS: Coronary bypass surgery or balloon angioplasty. METHODS: 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.
Keywords:
Age Factors • Aged • Angioplasty, Balloon* • Coronary Artery Bypass* • Educational Status • Employment* • Female • Follow-Up Studies • Humans • Insurance, Health • Male • Middle Aged
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