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Stanford computer model shows bypass surgery more cost-effective than stents

etter and that new technology has to be better," said Yock. "There has been so much industry hype for stenting but very little industry promotion of surgery, so patients get an imbalanced perspective from the media about therapeutic options available to them. I don't think people realize they can have 15 years of symptom-free life with bypass surgery."

One of the biggest problems with stents is that the blockage often reappears, a process called restenosis, requiring a repeat procedure. A new generation of stents includes drugs to combat the re-narrowing of the blood vessel. While the current study did not address drug-coated stents directly, Yock said their model shows that even eliminating the costs and detrimental effects of restenosis does not make stenting a better choice than bypass surgery for patients with blockages in more than one artery. "My hope is that physicians will say, 'Stents aren't the only good thing for my patient. There are other options that may result in better outcomes'," said Yock.

Stanford collaborators were Derek Boothroyd, PhD, staff statistician; Douglas Owens, MD, at the VA Palo Alto Health Care System and associate professor of medicine at the Center for Primary Care and Outcomes Research; and Alan Garber MD, PhD, also with the VA and professor of medicine at the Center for Primary Care and Outcomes Research.


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Contact: Mitzi Baker
mitzibaker@stanford.edu
650-725-2106
Stanford University Medical Center
2-Oct-2003


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