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Ethnic disparities in outcomes of coronary artery bypass grafting in Israel

Author

Listed:
  • Dror B Leviner
  • Tom Ronai
  • Dana Abraham
  • Ely Erez
  • Guy Witberg
  • Yaron Yishai
  • Joul Haddad
  • Erez Sharoni

Abstract

Objective: Ethnic disparities after cardiac surgery are well reported. Israeli Arabs have lower life expectancy and greater frequency of cardiovascular risk factors. We sought to compare long-term outcomes following coronary artery bypass grafting (CABG) between Arab and Jewish patients in Israel. Methods: Retrospective study of adult patients with multivessel disease undergoing isolated CABG in three centers between January 1st, 2009, and December 31st, 2023. The primary outcome was a composite of major adverse cardiac and cerebrovascular events (MACCE). The cumulative incidence of MACCE was plotted using KM curves. The hazard ratio (HR) for Arabs vs. Jewish were calculated using multivariate Cox models. Results: Our cohort included 6,330 patients, 1,819 (28.74%) and 4,511 (71.26%) patients were Arabs and Jewish, respectively. Median follow-up time was 78.32 months. Arab patients had higher rate of the primary outcome at median follow-up (46.26% vs 40.90%, HR 1.184, 95%CI: 1.09–1.286, P

Suggested Citation

  • Dror B Leviner & Tom Ronai & Dana Abraham & Ely Erez & Guy Witberg & Yaron Yishai & Joul Haddad & Erez Sharoni, 2026. "Ethnic disparities in outcomes of coronary artery bypass grafting in Israel," PLOS ONE, Public Library of Science, vol. 21(11), pages 1-10, November.
  • Handle: RePEc:plo:pone00:0356423
    DOI: 10.1371/journal.pone.0356423
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