{
  "abstract": "Objective: Ethnic disparities after cardiac surgery are well reported. Israeli Arabs have lower life expectancy and greater frequency of cardiovascular risk factors. We sought to compare long-term outcomes following coronary artery bypass grafting (CABG) between Arab and Jewish patients in Israel. Methods: Retrospective study of adult patients with multivessel disease undergoing isolated CABG in three centers between January 1st, 2009, and December 31st, 2023. The primary outcome was a composite of major adverse cardiac and cerebrovascular events (MACCE). The cumulative incidence of MACCE was plotted using KM curves. The hazard ratio (HR) for Arabs vs. Jewish were calculated using multivariate Cox models. Results: Our cohort included 6,330 patients, 1,819 (28.74%) and 4,511 (71.26%) patients were Arabs and Jewish, respectively. Median follow-up time was 78.32 months. Arab patients had higher rate of the primary outcome at median follow-up (46.26% vs 40.90%, HR 1.184, 95%CI: 1.09–1.286, P < 0.001) and there was no difference in mortality between the two groups (26.44% vs 26.45%, HR 1.004, 95%CI: 0.901–1.118, P = 0.82). After multivariable adjustment, the risk of MACCE was similar between the groups (adjusted HR 1.073, 95%CI: 0.965–1.193, P = 0.19). Conclusions: After multivariable adjustment for baseline and socioeconomic factors, ethnicity was not independently associated with worse long-term clinical outcomes in patients undergoing CABG in Israel, while unadjusted disparities remained evident.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiothoracic surgery, Rabin Medical Center, Petach Tikve, Haifa, Israel",
    "Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel",
    "Department of Cardiothoracic surgery, Carmel Medical Center, Israel",
    "Division of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut, United States of America",
    "Department of Cardiology, Rabin Medical Center, Petach Tikve, Israel",
    "Department of Cardiothoracic Surgery, Soroka Medical Center, Beer Sheba, Israel",
    "Department of Biostatistics, Carmel Medical Center, Haifa, Israel"
  ],
  "article_type": "Research Article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Dror B. Leviner"
    },
    {
      "affs": [
        1
      ],
      "name": "Tom Ronai"
    },
    {
      "affs": [
        2
      ],
      "name": "Dana Abraham"
    },
    {
      "affs": [
        3
      ],
      "name": "Ely Erez"
    },
    {
      "affs": [
        4
      ],
      "name": "Guy Witberg"
    },
    {
      "affs": [
        5
      ],
      "name": "Yaron Yishai"
    },
    {
      "affs": [
        6
      ],
      "name": "Joul Haddad"
    },
    {
      "name": "Erez Sharoni"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9k6wawqbpafgm.bib",
  "cited_by": 0,
  "doi": "10.1371/journal.pone.0356423",
  "fulltext_url": null,
  "id": "9k6wawqbpafgm",
  "issns": [
    "1932-6203"
  ],
  "landing_url": "https://doi.org/10.1371/journal.pone.0356423",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Cardiac and Coronary Surgery Techniques"
    ],
    [
      "plos",
      "/Biology and life sciences/Population biology/Population metrics/Death rates"
    ],
    [
      "plos",
      "/Medicine and health sciences/Cardiology/Cardiovascular medicine/Cardiovascular diseases/Coronary heart disease"
    ],
    [
      "plos",
      "/Medicine and health sciences/Cardiology/Myocardial infarction"
    ],
    [
      "plos",
      "/Medicine and health sciences/Epidemiology"
    ],
    [
      "plos",
      "/Medicine and health sciences/Epidemiology/Medical risk factors"
    ],
    [
      "plos",
      "/Medicine and health sciences/Health care/Socioeconomic aspects of health"
    ],
    [
      "plos",
      "/Medicine and health sciences/Medical conditions/Cardiovascular diseases/Coronary heart disease"
    ],
    [
      "plos",
      "/Medicine and health sciences/Public and occupational health/Socioeconomic aspects of health"
    ],
    [
      "plos",
      "/Medicine and health sciences/Surgical and invasive medical procedures/Cardiovascular procedures/Coronary artery bypass grafting"
    ],
    [
      "plos",
      "/Medicine and health sciences/Vascular medicine/Coronary heart disease"
    ],
    [
      "plos",
      "/People and places/Population groupings/Ethnicities/Arabic people"
    ]
  ],
  "openalex": "W7225397435",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-06",
  "publisher": "Public Library of Science",
  "ris": "https://research.draconitic.com/paper/9k6wawqbpafgm.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:20:24Z",
      "native_id": "10.1371/journal.pone.0356423",
      "source": "plos",
      "url": "https://doi.org/10.1371/journal.pone.0356423"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "plos:cardiovascular diseases",
      "subfield": "cardiovascular"
    },
    {
      "field": "medicine",
      "origin": "plos:epidemiology",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Ethnic disparities in outcomes of coronary artery bypass grafting in Israel",
  "title_text": "Ethnic disparities in outcomes of coronary artery bypass grafting in Israel",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:20:48Z",
  "url": "https://research.draconitic.com/paper/9k6wawqbpafgm",
  "venue": "PLOS One",
  "versions": []
}