Inter-observer variation of Syntax score among cardiac surgeons, clinical and interventional cardiologists
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 compar...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-05-01
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| Series: | Therapeutic Advances in Cardiovascular Disease |
| Online Access: | https://doi.org/10.1177/1753944720924254 |
| _version_ | 1818148804956782592 |
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| author | Gustavo Neves de Araujo Tiago Luiz Luz Leiria Mariana Vargas Furtado Bruno da Silva Matte Guilherme Pinheiro Machado Ana Maria Krepsky Luiz Carlos Corsetti Bergoli Sandro Cadaval Goncalves Marco Vugman Wainstein Carisi Anne Polanczyk |
| author_facet | Gustavo Neves de Araujo Tiago Luiz Luz Leiria Mariana Vargas Furtado Bruno da Silva Matte Guilherme Pinheiro Machado Ana Maria Krepsky Luiz Carlos Corsetti Bergoli Sandro Cadaval Goncalves Marco Vugman Wainstein Carisi Anne Polanczyk |
| author_sort | Gustavo Neves de Araujo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-11T12:56:58Z |
| format | Article |
| id | doaj.art-421ea19af8a047aca6e3cf35c92dfb42 |
| institution | Directory Open Access Journal |
| issn | 1753-9455 |
| language | English |
| last_indexed | 2024-12-11T12:56:58Z |
| publishDate | 2020-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Cardiovascular Disease |
| spelling | doaj.art-421ea19af8a047aca6e3cf35c92dfb422022-12-22T01:06:34ZengSAGE PublishingTherapeutic Advances in Cardiovascular Disease1753-94552020-05-011410.1177/1753944720924254Inter-observer variation of Syntax score among cardiac surgeons, clinical and interventional cardiologistsGustavo Neves de AraujoTiago Luiz Luz LeiriaMariana Vargas FurtadoBruno da Silva MatteGuilherme Pinheiro MachadoAna Maria KrepskyLuiz Carlos Corsetti BergoliSandro Cadaval GoncalvesMarco Vugman WainsteinCarisi Anne PolanczykBackground: 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.https://doi.org/10.1177/1753944720924254 |
| spellingShingle | Gustavo Neves de Araujo Tiago Luiz Luz Leiria Mariana Vargas Furtado Bruno da Silva Matte Guilherme Pinheiro Machado Ana Maria Krepsky Luiz Carlos Corsetti Bergoli Sandro Cadaval Goncalves Marco Vugman Wainstein Carisi Anne Polanczyk Inter-observer variation of Syntax score among cardiac surgeons, clinical and interventional cardiologists Therapeutic Advances in Cardiovascular Disease |
| title | Inter-observer variation of Syntax score among cardiac surgeons, clinical and interventional cardiologists |
| title_full | Inter-observer variation of Syntax score among cardiac surgeons, clinical and interventional cardiologists |
| title_fullStr | Inter-observer variation of Syntax score among cardiac surgeons, clinical and interventional cardiologists |
| title_full_unstemmed | Inter-observer variation of Syntax score among cardiac surgeons, clinical and interventional cardiologists |
| title_short | Inter-observer variation of Syntax score among cardiac surgeons, clinical and interventional cardiologists |
| title_sort | inter observer variation of syntax score among cardiac surgeons clinical and interventional cardiologists |
| url | https://doi.org/10.1177/1753944720924254 |
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