19. Is Anybody Listening?

Is anybody listening? The answer is clearly NO!. In 1995, the Bypass Angioplasty Revascularization Investigation (BARI) found that patients with diabetes had a survival benefit when treated with CABG versus balloon angioplasty. This finding prompted a National Heart Lung and Blood Institute (NHLBI) "Clinical Alert." Despite the Clinical Alert and the results from a large, randomized, clinical trial had no measurable impact on this practice variability. Physicians kept on doing what they were doing before.

Is Anybody Listening? No!

	In 1995, the Bypass Angioplasty Revascularization Investigation (BARI) found that patients with diabetes had a survival benefit when treated with CABG versus balloon angioplasty
	This prompted a National Heart Lung and Blood Institute (NHLBI) "Clinical Alert."
	The results from a large, randomized, clinical trial and subsequent Clinical Alert had no measurable impact on this practice variability.