Editor's Correspondence |

Jehovah's Witnesses May Not Have Identical Outcomes With Nontransfused Non-Witnesses After Cardiac Surgery—Reply

Gregory Pattakos, MD, MS; Colleen G. Koch, MD, MS, MBA; Eugene H. Blackstone, MD
JAMA Intern Med. 2013;173(3):248-249. doi:10.1001/jamainternmed.2013.2139.
Text Size: A A A
Published online


In reply

We thank Dr Angouras for his insightful commentary on our recent publication on severe blood conservation.1 He states that:

Indeed, our original analysis included a comparison of Witness patients propensity-score matched to 322 non-Witness patients who were not transfused. The journal requested that we remove this part of the analysis from the printed article, but some of the material is included in the supplementary online-only content (see eAppendices 1 and 2 and eFigures 1-3 in our original investigation1). Reoperation for bleeding was less (0.3% vs 3.7%; P = .003) in non-Witness nontransfused patients compared with Witness patients (Table). Intensive care unit and postoperative lengths of stay were also slightly shorter and less variable (P = .02). However, other complications and hospital mortality were similar (Table), as were predischarge hematocrit values (Witness vs non-Witness nontransfused patients, 31% [4.6%] vs 31% [4.6%] [P = .70]). Survival of Witness patients was 86%, 69%, 51%, and 34% at 5, 10, 15, and 20 years after surgery, respectively, vs 86%, 69%, 52%, and 38% among matched non-Witness nontransfused patients, respectively (P > . 40).

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





February 11, 2013
Dimitrios C. Angouras, MD
JAMA Intern Med. 2013;173(3):248-249. doi:10.1001/jamainternmed.2013.1626.
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles