Document Detail

The Challenges of Success: Maintaining Access to High Quality PCI in the Face of Declining Procedural Volumes.
MedLine Citation:
PMID:  25189216     Owner:  NLM     Status:  Publisher    
Over the past several decades, major changes in lifestyle, preventive care, and clinical management have contributed to an impressive reduction in coronary artery disease (CAD) prevalence, incident acute myocardial infarction (AMI), and deaths due to coronary heart disease(1-3). As a result, use of cardiovascular services in the United States has decreased dramatically in recent years. For patients with CAD, advances in medical management have allowed more and more patients to avoid elective catheterization procedures, while the results of recent studies (e.g. COURAGE(4), FAME(5), and SYNTAX(6)) have led to more judicious use of PCI in patients with chronic CAD. The combined effect of these trends has been a marked reduction in overall PCI volumes(7), from a peak of nearly 1 million in the US in 2006 to approximately 600,000 in recent years(8). At the same time as overall PCI volumes have been decreasing, the number of PCI centers has been increasing as data have emerged indicating that the absence of on-site cardiac surgery does not adversely impact patient outcomes after either emergent or elective PCI(9, 10). Together, declining PCI volumes and the increasing number of PCI centers has led to a decrease in volume of PCI procedures at both the center and operator level(11).
Suzanne J Baron; Robert W Yeh; David J Cohen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-9-4
Journal Detail:
Title:  Circulation     Volume:  -     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-9-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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