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Rogers CA, Pike K, Campbell H, et al.; on behalf of the CRISP investigators. Coronary artery bypass grafting in high-RISk patients randomised to off- or on-Pump surgery: a randomised controlled trial (the CRISP trial). Southampton (UK): NIHR Journals Library; 2014 Jul. (Health Technology Assessment, No. 18.44.)
Coronary artery bypass grafting in high-RISk patients randomised to off- or on-Pump surgery: a randomised controlled trial (the CRISP trial).
Show detailsWithdrawals
TABLE 20
Allocation | Time of withdrawal | Time from randomisation to withdrawal (days) | Consent withdrawn by | Reason for withdrawal | Received surgery |
---|---|---|---|---|---|
ONCABG | Pre surgery | 0 | Patient | No reason given | No |
ONCABG | Pre surgery | 21 | Clinician | Surgery no longer required, patient and surgeon agreed medical treatment other than surgery | No |
ONCABG | Pre surgery | 31 | Clinician | Not willing for data to be used | No |
OPCABG | Pre surgery | 1 | Clinician | Decided to treat medically | No |
OPCABG | Pre surgery | 2 | Clinician | Patient no longer being considered for surgery as not symptomatic | No |
OPCABG | Pre surgery | 4 | Patient | Patient withdrew without knowing allocation, wanted to be operated on by the surgeon met in clinic | Yesa |
OPCABG | Pre surgery | 50 | Clinician | Not willing for data to be used | No |
- a
The patient was happy for data collection and follow-up to continue; therefore, this patient remained in the analysis cohort.
The European Quality of Life-5 Dimensions responses
TABLE 21
Domain | Levels | Three-level EQ-5D | Five-level with five descriptors EQ-5D | Five-level with three descriptors EQ-5D | |||
---|---|---|---|---|---|---|---|
Randomised to OPCABG (n = 14) | Randomised to ONCABG (n = 16) | Randomised to OPCABG (n = 18) | Randomised to ONCABG (n = 13) | Randomised to OPCABG (n = 16) | Randomised to ONCABG (n = 19) | ||
Mobility | No problems walking about | 7 | 8 | 10 | 3 | 9 | 10 |
Slight problems walking about | – | – | 5 | 1 | 0 | 1 | |
Some problems walking about | 7 | 8 | 2 | 5 | 7 | 7 | |
A lot of problems walking about | – | – | 0 | 4 | 0 | 0 | |
Confined to bed | 0 | 0 | 1 | 0 | 0 | 1 | |
Self-care | No problems with self-care | 12 | 13 | 17 | 11 | 15 | 16 |
Slight problems washing or dressing | – | – | 0 | 0 | 0 | 1 | |
Some problems washing or dressing | 2 | 3 | 0 | 2 | 1 | 1 | |
A lot of problems washing or dressing | – | – | 1 | 0 | 0 | 0 | |
Unable to wash or dress | 0 | 0 | 0 | 0 | 0 | 1 | |
Usual activitiesa | No problems with usual activities | 5 | 7 | 10 | 6 | 8 | 7 |
Slight problems with usual activities | – | – | 4 | 2 | 1 | 1 | |
Some problems with usual activities | 8 | 7 | 3 | 5 | 5 | 8 | |
A lot of problems with usual activities | – | – | 0 | 0 | 0 | 0 | |
Unable to perform usual activities | 0 | 2 | 1 | 0 | 2 | 3 | |
Pain/discomfortb | No pain or discomfort | 5 | 7 | 5 | 4 | 10 | 10 |
Slight pain or discomfort | – | – | 9 | 4 | 1 | 1 | |
Moderate pain or discomfort | 8 | 7 | 4 | 4 | 3 | 7 | |
A lot of pain or discomfort | – | – | 0 | 0 | 1 | 0 | |
Extreme pain or discomfort | 1 | 2 | 0 | 1 | 0 | 1 | |
Anxiety/depressionc | Not anxious or depressed | 9 | 10 | 11 | 5 | 11 | 13 |
Slightly anxious or depressed | – | – | 6 | 6 | 1 | 0 | |
Moderately anxious or depressed | 3 | 6 | 1 | 1 | 3 | 2 | |
Very anxious or depressed | – | – | 0 | 0 | 0 | 0 | |
Extremely anxious or depressed | 2 | 0 | 0 | 1 | 1 | 3 |
- a
One patient with missing data (three-level: in the OPCABG group).
- b
One patient with missing data (five-level with three descriptors: in the OPCABG group).
- c
One patient with missing data (five-level with three descriptors: in the ONCABG group).
Missing data: two patients did not attempt to complete the EQ-5D (three-level: one in the OPCABG group; five-level with five descriptors: one in the ONCABG group).
TABLE 22
Domain | Levels | Three-level EQ-5D | Five-level (5 descriptors) EQ-5D | Five-level (3 descriptors) EQ-5D | |||
---|---|---|---|---|---|---|---|
Randomised to OPCABG (n = 14) | Randomised to ONCABG (n = 15) | Randomised to OPCABG (n = 17) | Randomised to ONCABG (n = 12) | Randomised to OPCABG (n = 15) | Randomised to ONCABG (n = 18) | ||
Mobility | No problems walking about | 8 | 6 | 12 | 7 | 11 | 13 |
Slight problems walking about | – | – | 3 | 2 | 0 | 1 | |
Some problems walking about | 6 | 9 | 2 | 1 | 4 | 4 | |
A lot of problems walking about | – | – | 0 | 1 | 0 | 0 | |
Confined to bed | 0 | 0 | 0 | 1 | 0 | 0 | |
Self-care | No problems with self-care | 14 | 13 | 15 | 11 | 14 | 17 |
Slight problems washing or dressing | – | – | 2 | 0 | 0 | 1 | |
Some problems washing or dressing | 0 | 2 | 0 | 1 | 1 | 0 | |
A lot of problems washing or dressing | – | – | 0 | 0 | 0 | 0 | |
Unable to wash or dress | 0 | 0 | 0 | 0 | 0 | 0 | |
Usual activities | No problems with usual activities | 9 | 6 | 13 | 4 | 4 | 7 |
Slight problems with usual activities | – | – | 2 | 5 | 3 | 3 | |
Some problems with usual activities | 5 | 8 | 1 | 3 | 8 | 8 | |
A lot of problems with usual activities | – | – | 1 | 0 | 0 | 0 | |
Unable to perform usual activities | 0 | 1 | 0 | 0 | 0 | 0 | |
Pain/discomfort | No pain or discomfort | 7 | 9 | 12 | 4 | 7 | 10 |
Slight pain or discomfort | – | – | 4 | 8 | 3 | 2 | |
Moderate pain or discomfort | 7 | 5 | 1 | 0 | 5 | 6 | |
A lot of pain or discomfort | – | – | 0 | 0 | 0 | 0 | |
Extreme pain or discomfort | 0 | 1 | 0 | 0 | 0 | 0 | |
Anxiety/depressiona | Not anxious or depressed | 12 | 12 | 13 | 9 | 13 | 12 |
Slightly anxious or depressed | – | – | 3 | 1 | 0 | 1 | |
Moderately anxious or depressed | 2 | 3 | 1 | 1 | 2 | 2 | |
Very anxious or depressed | – | – | 0 | 0 | 0 | 1 | |
Extremely anxious or depressed | 0 | 0 | 0 | 1 | 0 | 0 |
- a
Two patients with missing data (five-level with three descriptors: in the ONCABG group).
Missing data: seven patients did not attempt to complete the EQ-5D (three-level: one in the OPCABG group and one in the ONCABG group; five-level with five descriptors: one in the OPCABG group and two in the ONCABG group; five-level with three descriptors: one in the OPCABG group and one in the ONCABG group).
TABLE 23
Questionnaire | Preoperative | 4–8 weeks postoperative | MD (95% CI) | ||
---|---|---|---|---|---|
Randomised to OPCABG | Randomised to ONCABG | Randomised to OPCABG | Randomised to ONCABG | ||
Three-level EQ-5D | |||||
n | 13 | 16 | 14 | 15 | |
Mean (SD) | 68 (15) | 62 (17) | 76 (16) | 66 (16) | 10 (–2 to 22) |
Five-level (five descriptor) EQ-5D | |||||
n | 18 | 13 | 17 | 12 | |
Mean (SD) | 69 (17) | 71 (15) | 77 (16) | 74 (12) | 3 (–7 to 14) |
Five-level (three descriptor) EQ-5D | |||||
n | 16 | 19 | 15 | 18 | |
Mean (SD) | 69 (16) | 66 (18) | 76 (10) | 73 (16) | 3 (–6 to 13) |
TABLE 24
Quality-of-life measure | Randomised to OPCABG (n = 5) | Randomised to ONCABG (n = 2) |
---|---|---|
Rose and CCS angina class | ||
Rose angina | ||
No angina | 4 | 0 |
Grade I | 1 | 1 |
Grade II | 0 | 1 |
CCS class | ||
Asymptomatic | 5 | 1 |
Grade I | 0 | 0 |
Grade II | 0 | 1 |
Grade III | 0 | 0 |
Grade IV | 0 | 0 |
EQ-5D categorical responses | ||
Mobility | ||
No problems walking about | 3 | 1 |
Slight problems walking about | 0 | 0 |
Some problems walking about | 1 | 1 |
A lot of problems walking about | 1 | 0 |
Confined to bed | 0 | 0 |
Self-care | ||
No problems with self-care | 4 | 2 |
Slight problems washing or dressing | 0 | 0 |
Some problems washing or dressing | 1 | 0 |
A lot of problems washing or dressing | 0 | 0 |
Unable to wash or dress | 0 | 0 |
Usual activities | ||
No problems with usual activities | 3 | 1 |
Slight problems with usual activities | 0 | 0 |
Some problems with usual activities | 2 | 1 |
A lot of problems with usual activities | 0 | 0 |
Unable to perform usual activities | 0 | 0 |
Pain/discomfort | ||
No pain or discomfort | 2 | 1 |
Slight pain or discomfort | 0 | 0 |
Moderate pain or discomfort | 2 | 1 |
A lot of pain or discomfort | 0 | 0 |
Extreme pain or discomfort | 1 | 0 |
Anxiety/depression | ||
Not anxious or depressed | 4 | 2 |
Slightly anxious or depressed | 0 | 0 |
Moderately anxious or depressed | 1 | 0 |
Very anxious or depressed | 0 | 0 |
Extremely anxious or depressed | 0 | 0 |
Continuous data:
EQ-5D single summary index data were collected for five patients, responses were: OPCABG group –0.02, 0.8, 1 and 1; ONCABG group 0.69.
EQ-5D visual analogue scale data were collected for six patients, responses were: OPCABG group 35, 74, 75 and 75; ONCABG group 70 and 70.
CROQ core total scores were calculated for seven patients, responses were: OPCABG group 42.4, 52.6, 54.7, 55.2 and 55.9; ONCABG group: 34.5 and 54.1.
- Additional data tables - Coronary artery bypass grafting in high-RISk patients r...Additional data tables - Coronary artery bypass grafting in high-RISk patients randomised to off- or on-Pump surgery: a randomised controlled trial (the CRISP trial)
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