Document Detail

In New York State, do more percutaneous coronary interventions mean fewer or more complex referrals to cardiac surgeons?
MedLine Citation:
PMID:  18256555     Owner:  NLM     Status:  MEDLINE    
Surgeons allege that fewer coronary artery bypass graft (CABG) operations are being performed because cardiologists are performing more percutaneous coronary intervention (PCI) procedures for monetary gain. The authors reviewed publicly accessible databases from New York State, California, Canada, and Europe for 1997 and 2003. In New York State, the number of CABGs performed fell by one-third. Patient demographics, however, remained unchanged. In contrast, while the number of PCIs substantially increased, the percentage of 3-vessel PCIs remained unchanged. In California, the rate of CABG production (per million population) fell by one-quarter, but it increased in Canada and Europe. In contrast, the rate of PCI production increased in all locations. The performance of fewer CABG procedures in America cannot be entirely explained by cardiologists' increasingly self-referring patients with coronary artery disease for PCI.
Thomas R McLean
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American heart hospital journal     Volume:  6     ISSN:  1541-9215     ISO Abbreviation:  Am Heart Hosp J     Publication Date:  2008  
Date Detail:
Created Date:  2008-02-07     Completed Date:  2008-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101156064     Medline TA:  Am Heart Hosp J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  30-6     Citation Subset:  IM    
Surgical Service, Eastern Kansas Health Care System, Leavenworth, KS 66048, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / utilization*
New York
Referral and Consultation / utilization*
Surgery Department, Hospital

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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