Vol. 53 | No. 1 | January-June 2025Back

Open Access

Outcomes of Patients Who Underwent Standard Risk Coronary Artery Bypass Graft (CABG) Surgery Under the Philippine Health Insurance Corporation Z Benefit Package in a Single Private Center in the Philippines

Maria Roussell Nennette Tuñacao-Sandalo, Christie Ann Villareal-Inso, Haidee Yadao
May 2025 DOI 10.69944/pjc.3f6f4defc2

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Maria Roussell Nennette Tuñacao-Sandalo, MD | Christie Ann Villareal-Inso, MD | Haidee Yadao, MD
Perpetual Succour Hospital, Cebu City, Philippines


Correspondence:
Dr. Maria Roussell Nennette Tuñacao-Sandalo
E-mail: mahroune@yahoo.com.ph


DISCLOSURE: None

References
  1. Brown JC, Gerhardt TE, Kwon E. Risk factors for coronary artery disease. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025. PMID: 32119297.
  2. Kabagani L. Heart disease remain the top cause of death in the Philippines in 2021. Philippine News Agency; 2022.
  3. Brown MA, Klusewitz S, Elefteriades J, Prescher L. The current state of coronary revascularization: Percutaneous coronary intervention versus coronary artery bypass graft surgery. Int J Angiol [Internet]. 2021;30(03):228–42. Available from: http://dx.doi.org/10.1055/s-0041-1735591. PMID: 34776823; PMCID: PMC8580607.
  4. Z Benefit Package Rates for Coronary Artery Bypass Graft Surgery, Surgery for Tetralogy of Fallot, Surgery for Ventricular Septal Defect and Cervical Cancer. In: Philhealth Circular No 0002, s-2013. Pasig City: Philippine Health Insurance, Inc.; 2013.
  5. Flather M, Rhee J-W, Boothroyd DB, Boersma E, Brooks MM, Carrié D, et al. The effect of age on outcomes of coronary artery bypass surgery compared with balloon angioplasty or bare-metal stent implantation among patients with multivessel coronary disease. A collaborative analysis of individual patient data from 10 randomized trials. J Am Coll Cardiol [Internet]. 2012;60(21):2150–7. Available from: http://dx.doi.org/10.1016/j.jacc.2012.08.982
  6. Hochberg MS, Parsonnet V, Gielchinsky I, Hussain SM. Coronary artery bypass grafting in patients with ejection fractions below forty percent. Early and late results in 466 patients. J Thorac Cardiovasc Surg. 1983;86(4):519–27.
  7. Noyez L. Is quality of life post cardiac surgery overestimated? Health Qual Life Outcomes [Internet]. 2014;12(1):62. Available from: http://dx.doi.org/10.1186/1477-7525-12-62 
  8. Shan L, Saxena A, McMahon R, Newcomb A. Coronary artery bypass graft surgery in the elderly: a review of postoperative quality of life: A review of postoperative quality of life. Circulation [Internet]. 2013;128(21):2333–43. Available from: http://dx.doi.org/10.1161/CIRCULATIONAHA.112.000729 
  9. Teoli D, Bhardwaj A. Quality of life [Updated 2023 Mar 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK536962/ 
  10. Dayco LD, Garcia EB Jr, Ventura MCH. How to Manage Diabetes and Hypertension [Internet]. Unilab Philippines. 2020 [cited 2025]. Available from: https://www.unilab.com.ph/health-tips/how-to-manage-diabetes-and-hypertension
  11. Tobacco use in the Philippines. Congressional Policy and Budget Research Department House of Representatives. 2023.
  12. Soltani MH, Rasti M, Namayandeh SM, Sarebanhassanabadi M. Short and long-term outcomes of patients with coronary artery bypass surgery. ARYA Atheroscler [Internet]. 2021;17(5):1–6. Available from: http://dx.doi.org/10.22122/arya.v17i0.2010 . PMID: 35686238; PMCID: PMC9137217.
  13. Surgical package deal [Internet]. Philippine Heart Center. Available from: https://www.phc.gov.ph/services/treatment.php 
  14. Zoleta V. Understanding social classes in the Philippines: Which class do you belong to? [Internet]. Philippine Institute of Development Studies. 2022 [cited 2025]. Available from: https://pids.gov.ph/details/news/in-the-news/understanding-social-classes-in-the-philippines-which-class-do-you-belong-to
  15. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med [Internet]. 1998;28(3):551–8. Available from: http://dx.doi.org/10.1017/s0033291798006667.
  16. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM, Bischoff JM, et al. 2021 ACC/AHA/SCAI guideline for coronary artery revascularization: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation [Internet]. 2022;145(3). Available from: http://dx.doi.org/10.1161/cir.0000000000001038 
  17. Al-Nozha MM, Ismail HM, Al Nozha OM. Coronary artery disease and diabetes mellitus. J Taibah Univ Med Sci [Internet]. 2016;11(4):330–8. Available from: http://dx.doi.org/10.1016/j.jtumed.2016.03.005 .
  18. Tackling G, Borhade MB. Hypertensive heart disease. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539800/.
  19. Sy RG, Morales DD, Dans AL, Paz-Pacheco E, Punzalan FER, Abelardo NS, et al. Prevalence of atherosclerosis-related risk factors and diseases in the Philippines. J Epidemiol [Internet]. 2012;22(5):440–7. Available from: http://dx.doi.org/10.2188/jea.je20110095 
  20. Fihn SD, Blankenship JC, Alexander KP, Bittl JA, Byrne JG, Fletcher BJ, et al. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and the American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol [Internet]. 2014;64(18):1929–49. Available from: http://dx.doi.org/10.1016/j.jacc.2014.07.017.
  21. Emerging Risk Factors Collaboration, Sarwar N, Gao P, Seshasai SRK, Gobin R, Kaptoge S, et al. Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Lancet [Internet]. 2010;375(9733):2215–22. Available from: http://dx.doi.org/10.1016/S0140-6736(10)60484-9
  22. Critchley J, Capewell S. Smoking cessation for the secondary prevention of coronary heart disease. Cochrane Database Syst Rev [Internet]. 2003;(4):CD003041. Available from: http://dx.doi.org/10.1002/14651858.CD003041.
  23. Malakar AK, Choudhury D, Halder B, Paul P, Uddin A, Chakraborty S. A review on coronary artery disease, its risk factors, and therapeutics: MALAKAR et al. J Cell Physiol [Internet]. 2019;234(10):16812–23. Available from: http://dx.doi.org/10.1002/jcp.28350 
Tables and Figures

Appendix

Courtesy of www.philhealth.gov.ph.













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