دورية أكاديمية
أعرض في EDS

Stability After Initial Decline in Coronary Revascularization Rates in the United States.

التفاصيل البيبلوغرافية
العنوان: Stability After Initial Decline in Coronary Revascularization Rates in the United States.
المؤلفون: Raza S; Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio., Deo SV; Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio., Kalra A; Harrington Heart & Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio., Zia A; Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio., Altarabsheh SE; Queen Alia Heart Institute, Amman, Jordan., Deo VS; Case Western Reserve University School of Medicine, Cleveland, Ohio., Mustafa RR; Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio., Younes A; Harrington Heart & Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio., Rao SV; Duke Clinical Research Institute, Durham, North Carolina., Markowitz AH; Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio., Park SJ; Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio., Costa MA; Harrington Heart & Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio., Simon DI; Harrington Heart & Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio., Bhatt DL; Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, Massachusetts., Sabik JF 3rd; Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio. Electronic address: joseph.sabik@uhhospitals.org.
المصدر: The Annals of thoracic surgery [Ann Thorac Surg] 2019 Nov; Vol. 108 (5), pp. 1404-1408. Date of Electronic Publication: 2019 Apr 27.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Elsevier
Original Publication: Boston.
مواضيع طبية MeSH: Coronary Artery Bypass/*statistics & numerical data , Percutaneous Coronary Intervention/*statistics & numerical data , Procedures and Techniques Utilization/*statistics & numerical data, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; United States
مستخلص: Background: It remains uncertain how advances in revascularization techniques, availability of new evidence, and updated guidelines have influenced the annual rates of coronary revascularization in the United States.
Methods: We used the Nationwide Inpatient Sample data from 2005 to 2014 with appropriate weighting to determine national procedural volumes. To present accurately overall percutaneous coronary intervention (PCI) rates, PCI with same-day discharge numbers per year were estimated from the available literature and added to annual PCI procedures performed.
Results: Annual PCI rate declined from 353 per 100,000 adults in 2005 to 277 per 100,000 adults in 2009 (P < .001) but remained stable thereafter (P = .50). Annual coronary artery bypass grafting (CABG) rate declined steadily, at a shallower slope than PCI, from 120 per 100,000 in 2005 to 93 per 100,000 in 2009 (P = .02) but remained stable thereafter (P = .60). Similar trends were seen in men and women. Both PCI and CABG rates were lower in women than men over the study period (PCI, 482 to 324/100,000 in men vs 232 to 153/100,000 in women; CABG, 172 to 118/100,000 in men vs 64 to 38/100,000 in women). Annual PCI rates were higher than CABG rates in patients of all age groups including in younger patients (age < 50) and octogenarians. The proportion of coronary revascularization procedures performed per insurance type remained relatively similar across the study period.
Conclusions: Annual rates of coronary revascularization have changed significantly over time, potentially because of advances in revascularization techniques, availability of new evidence, and updated guidelines. Rates of PCI declined more steeply than CABG before plateauing but remained higher than rates of CABG across the study period.
(Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
التعليقات: Comment in: Ann Thorac Surg. 2019 Nov;108(5):1408-1409. (PMID: 31653292)
تواريخ الأحداث: Date Created: 20190501 Date Completed: 20200319 Latest Revision: 20200319
رمز التحديث: 20231215
DOI: 10.1016/j.athoracsur.2019.03.080
PMID: 31039350
قاعدة البيانات: MEDLINE
الوصف
تدمد:1552-6259
DOI:10.1016/j.athoracsur.2019.03.080