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  1. Cardiac

Left-Digit Bias and CABG

  • February 20, 2020

Submitted by: Mark FergusonGold Contributor

Source: The New England Journal of Medicine
Source URL: https://www.nejm.org/doi/full/10.1056/NEJMc1911289

Keywords:

Author(s): Olenski AR, Zimerman A, Coussens S, Jena AB

This study of Medicare beneficiaries evaluated how often CABG was performed related to narrow intervals around a patient’s birthday. Those who were seen just prior to their 80th birthday (thus 79 years old, representing left-digit bias) were abouth 30% more likely to undergo CABG than those who were seen just after their birthday (thus 80 years old). Similar findings were not evident for other ages in the same range (e.g. 77, 78, 79, 81, 82, 83). For comparison, mortality after MI was unrelated to the interval surrounding an individual’s 80th birthday. The findings support the presence of left-digit bias in clinical decision-making.

1 Comment

  1. Aristotle Protopapas says:
    February 20, 2020 at 10:24 am

    An extra day in life adds a risk percentage in EuroSCORE: ”…Notes about euroSCORE II: [1] Age – in completed years…” http://www.euroscore.org/calc.html.

    We seem to perceive age as complete years, perhaps we should round the age years up to the nearest full figure……

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