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Fred H. Edwards
Victor A. Ferraris
David M. Shahian
Eric Peterson
Anthony P. Furnary
Constance K. Haan
Charles R. Bridges
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Ann Thorac Surg 2005;79:2189-2194
© 2005 The Society of Thoracic Surgeons

Report from the workforce on evidence-based medicine

Gender-Specific Practice Guidelines for Coronary Artery Bypass Surgery: Perioperative Management*

Fred H. Edwards, MDa,*, Victor A. Ferraris, MD, PhDb, David M. Shahian, MDc, Eric Peterson, MDd, Anthony P. Furnary, MDe, Constance K. Haan, MDa, Charles R. Bridges, MD, ScDf

a Division of Cardiothoracic Surgery, University of Florida, Jacksonville, Florida
b Division of Cardiovascular & Thoracic Surgery, University of Kentucky Chandler Medical Center, Lexington, Kentucky
c Department of Surgery, Caritas St. Elizabeth’s Medical Center, Boston, Massachussetts
d Duke Clinical Research Institute, Durham, North Carolina
e Starr-Wood Cardiac Group of Portland, PC, Portland, Oregon
f University of Pennsylvania Health System, Philadelphia, Pennsylvania

* Address reprint requests to Dr Edwards, Cardiothoracic Surgery, University of Florida, Shands Jacksonville, Jacksonville, FL 32209 (E-mail: fred.edwards{at}jax.ufl.edu).

Gender differences in coronary bypass surgery have been the focus of numerous publications in recent years. Unfortunately these publications have contradictions that leave surgeons with conflicting recommendations for care. To help resolve these inconsistencies, The Society of Thoracic Surgeons (STS) Workforce on Evidence-Based Surgery has carried out an objective review of published information in this field. The STS Workforce recognizes that there are important gender issues associated with referral bias, the impact of body size, psychosocial factors, and postoperative support, but the intent of this guideline is to focus specifically on perioperative management. As with all practice guidelines, our goal is to gather the most important information, analyze the information in a logical and unbiased fashion, and make recommendations based solely on the available evidence.




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