Evidence map›Paper›PMID 41321958›Full record

ArticleGlobal heart2025

Income-Based Inequalities in Five-Year Survival after Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention among Formally Employed Adults in Colombia: A Nationwide Cohort Study.

Andrés Felipe Patiño-Benavidez, Darío Echeverri, Carlos Eduardo Obando López, Nicolás Uribe Valencia, Giancarlo Buitrago

Abstract readMulticenter Study
In one paragraph

Article in Global heart, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Andrés Felipe Patiño-BenavidezFundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia.ORCID 0000-0002-0501-3287
Darío EcheverriFundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia.ORCID 0000-0001-8384-2681
Carlos Eduardo Obando LópezFundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia.ORCID 0000-0002-2718-4140
Nicolás Uribe ValenciaInstituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.ORCID 0009-0006-5966-0937
Giancarlo BuitragoFundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia.ORCID 0000-0002-7466-8244

Funding

National Institute for Health and Care Research (NIHR) NIHR150067
6 · The paper itself

Abstract

Background: Myocardial revascularization by coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) lowers mortality, yet long-term outcomes may vary by socioeconomic status despite broadly similar access to care. Objective: To examine the association between income-measured in legal monthly minimum wages (MMW)-and five-year survival after revascularization in formally employed Colombians (2012-2018). Methods: This was a retrospective cohort study using linked national administrative datasets. Income was grouped into quartiles at cohort entry. The primary outcome was five-year mortality. Analyses were stratified by procedure (CABG, PCI). Multivariable Cox models were used to estimate adjusted hazard ratios (aHRs), controlling for age, sex, region, Charlson Comorbidity Index, recent acute myocardial infarction, valve surgery within 30 days, and pre-procedural cardiac rehabilitation (30 days). Socioeconomic gradients were summarized using the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII; absolute difference per 100,000 patients). Results: Among 8,128 patients (mean age = 55.0 ± 9.3 years; 11.3% women), 2,131 underwent CABG and 5,997 underwent PCI. After CABG, five-year mortality was 13.2% in Q1 vs 7.8% in Q4 (p < 0.01); aHRs (vs Q1) were 0.60 (95% CI = 0.40-0.90) for Q2, 0.56 (0.38-0.84) for Q3, and 0.58 (0.38-0.88) for Q4 (all p ≤ 0.01). After PCI, mortality declined from 11.7% (Q1) to 6.5% (Q4) (p < 0.01); only Q4 remained significant after adjustment (aHR = 0.64; 95% CI = 0.49-0.82; p < 0.01). Inequality indices confirmed the gradient: for CABG, SII = 4.14 per 100,000 (95% CI = 3.30-4.98; p < 0.01) and RII = 1.97 (1.17-3.31; p = 0.01); for PCI, SII = 3.13 per 100,000 (2.74-3.52; p < 0.01) and RII = 1.81 (1.32-2.48; p < 0.01). Conclusions: Lower income is associated with worse five-year survival after myocardial revascularization, with larger absolute and relative inequalities after CABG than after PCI.

Indexed as

Coronary Artery BypassCoronary Artery DiseaseEmploymentIncomePercutaneous Coronary InterventionAgedColombiaFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesSocioeconomic FactorsSurvival RateTime FactorsAdministrative health dataColombiaCoronary artery bypass graftingLong-term survivalPercutaneous coronary interventionSocioeconomic inequality

Identifiers

PMID41321958
PMCPMC12662161

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.