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January 8, 1988

A Second-Opinion Program for Coronary Artery Bypass Graft Surgery

Author Affiliations

Kansas City, Mo

Kansas City, Mo

JAMA. 1988;259(2):214-215. doi:10.1001/jama.1988.03720020016012

To the Editor.  —I was very disappointed to read the recent article entitled "Results of a Second-Opinion Program for Coronary Artery Bypass Graft Surgery"1 in the Sept 25, 1987, issue of JAMA. I believe that this article adds nothing to our knowledge about coronary artery surgery and is potentially harmful to both patients and physicians by forming conclusions and making sweeping generalizations based on woefully inadequate data.This report details the outcomes for 88 patients who were largely self-referred to the Brigham and Women's Hospital in Boston for second surgical opinions regarding the need for coronary artery bypass surgery. Continued medical treatment was recommended in 74 (84%) cases and surgical treatment was recommended in 14. Of the 74 patients for whom medical therapy was recommended, 60 patients followed this advice and 14 had surgical treatment. The duration of clinical follow-up on these patients was an average of 28 months.