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Veterans Administration Coronary Cooperative Study: Title and subTitle BreakCooperating vs Noncooperating Hospitals FREE

Joseph S. Carey, MD
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JAMA. 1979;241(26):2791-2792. doi:10.1001/jama.1979.03290520015016
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THE DEBATE on the merits of coronary artery bypass continues on in editorial pages, most recently in JAMA1 and in the American Journal of Cardiology.2 The debate was initiated by Eugene Braunwald, MD, in September 1977, when he suggested that "coronary arteriography is not always resisted vigorously" by practicing physicians caring for patients with angina pectoris. Braunwald3 also said that a more insidious problem is that an industry has been built around the coronary artery bypass procedure. Dr Braunwald's comment was based on a preliminary report of a Veterans Administration Cooperative Study, which suggested that in male veterans with chronic stable angina, coronary artery bypass surgery did not prolong survival. This report has now been disputed by its own participants4 and by several nonparticipating hospitals.5-7 Wadsworth VA (Los Angeles) and San Francisco VA hospitals, both of which dropped out of the cooperative study in 1972,

REFERENCES

Hultgren HN, Takaro T, Detre KM, et al:  Aortocoronary-arterybypass assessment after 13 years . JAMA 240:1353-1354, 1978;.
Hurst JW, King SB III, Logue RB, et al:  Value of coronary bypass surgery: I. Controversies in cardiology . Am J Cardiol 42:308-329, 1978;.
Braunwald E:  Coronary-artery surgery at the crossroads . N Engl J Med 297:661-663, 1977;.
Pifarre R, Loeb H, Sullivan H, et al:  Improved survival after surgical therapy for chronic angina pectoris: One hospital's experience in a randomized trial , abstracted. Circulation 58( (suppl 2) ):96, 1978;.
Carey JS, Cukingnan RA, Groner GJ, et al:  Probability of survival after coronary bypass surgery in Veterans Administration and community hospitals . J Thorac Cardiovasc Surg 77:39-47, 1979;.
Ullyot DJ, Wisneski J, Sullivan RW, et al:  The impact of coronary artery bypass on late myocardial infarction . J Thorac Cardiovasc Surg 73:165-175, 1977;.
Mathur VS, Guinn GA:  Sustained benefit from aorto-coronary bypass surgery demonstrated for five years: A prospective randomized study , abstracted. Circulation 56( (suppl 3) ):190, 1977;.
Carey JS, Cukingnan RA, Groner G:  VA coronary cooperative study: View from a non-cooperating hospital , abstracted. Circulation 58( (suppl 2) ):85, 1978;.
Bruschke AVG, Proudfit WL, Sones FM Jr:  Progress study of 590 consecutive nonsurgical cases of coronary disease followed five to nine years: I. Arteriographic correlations . Circulation 47:1147-1153, 1973;.

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Hultgren HN, Takaro T, Detre KM, et al:  Aortocoronary-arterybypass assessment after 13 years . JAMA 240:1353-1354, 1978;.
Hurst JW, King SB III, Logue RB, et al:  Value of coronary bypass surgery: I. Controversies in cardiology . Am J Cardiol 42:308-329, 1978;.
Braunwald E:  Coronary-artery surgery at the crossroads . N Engl J Med 297:661-663, 1977;.
Pifarre R, Loeb H, Sullivan H, et al:  Improved survival after surgical therapy for chronic angina pectoris: One hospital's experience in a randomized trial , abstracted. Circulation 58( (suppl 2) ):96, 1978;.
Carey JS, Cukingnan RA, Groner GJ, et al:  Probability of survival after coronary bypass surgery in Veterans Administration and community hospitals . J Thorac Cardiovasc Surg 77:39-47, 1979;.
Ullyot DJ, Wisneski J, Sullivan RW, et al:  The impact of coronary artery bypass on late myocardial infarction . J Thorac Cardiovasc Surg 73:165-175, 1977;.
Mathur VS, Guinn GA:  Sustained benefit from aorto-coronary bypass surgery demonstrated for five years: A prospective randomized study , abstracted. Circulation 56( (suppl 3) ):190, 1977;.
Carey JS, Cukingnan RA, Groner G:  VA coronary cooperative study: View from a non-cooperating hospital , abstracted. Circulation 58( (suppl 2) ):85, 1978;.
Bruschke AVG, Proudfit WL, Sones FM Jr:  Progress study of 590 consecutive nonsurgical cases of coronary disease followed five to nine years: I. Arteriographic correlations . Circulation 47:1147-1153, 1973;.
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