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Five-year clinical outcomes of diabetic patients in the Randomized On/Off Bypass Follow-up (ROOBY-FS) trial—is the evidence enough to change the practice?

  • Pradeep NarayanEmail author
Critical Appraisal of Trials
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The 5-year outcome of diabetic patients undergoing coronary revascularization in the Randomized On/Off Bypass (ROOBY) trial has recently been published [1]. The main finding of the study is that compared to off-pump coronary artery bypass (OPCAB) the 5-year survival is 6.1% higher in diabetics undergoing on-pump coronary artery bypass grafting (CABG). Thus, there is a strong trend toward improved survival with on-pump CABG in diabetics.

The findings of this study have particular relevance in the Indian context where the predominant strategy for coronary artery revascularization is OPCAB [2] and diabetics constitute almost half of the patients presenting for CABG [2].

So, based on the report of this trial, is it time to re-evaluate the strategy of coronary revascularization in India? To answer this question, one has to examine not only the results published, but also revisit the trial itself in greater detail.

The ROOBY trial was a controlled, single-blind, randomized trial conducted...

Notes

Compliance with ethical standards

Conflict of interest

The author declares that he has no conflict of interest.

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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2019

Authors and Affiliations

  1. 1.Department of Cardiac SurgeryNH Rabindranath Tagore International Institute of Cardiac Sciences (RTIICS)KolkataIndia

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