Document Detail


Population rates of invasive cardiac procedures in British Columbia, 1995 to 2001.
MedLine Citation:
PMID:  15197424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study examined the rates of coronary angiography (CA), percutaneous coronary intervention (PCI) and coronary artery bypass graft surgery (CABG) in British Columbia (BC) between 1995 and 2001. METHODS: Data sources were as follows: CABG--BC Cardiac Registries; CA and PCI--BC Medical Services Plan; acute coronary syndromes (ACS)--Hospital Separation database; population data--BC Statistics. All rates were age and sex standardized per 100,000 BC resident adults over 20 years of age. RESULTS: The rate of diagnostic CA increased from 352 per 100,000 in 1995 to 400 per 100,000 in 2001 (P<0.01). The rate of PCI increased from 101 per 100,000 in 1995 to 154 per 100,000 in 2001 (P<0.01). Single stage 'ad hoc' PCI increased from 38% in 1995 to 68% in 2001. The rate of CABG remained stable at between 70 and 79 per 100,000. There was a downward trend in the annual hospitalized incidence of ACS (477 to 430 per 100,000, P=0.04). The incidence of ACS and the rates of CA, PCI and CABG were higher for men in all age groups. PCI was more common than CABG in all groups. CONCLUSIONS: The incidence of ACS in BC is falling. The rates of diagnostic CA and PCI are increasing. The latter finding may reflect an appropriate evidence-based response to data supporting greater application of CA following ACS after publication of several studies supporting a routine invasive approach. The PCI rate is rising compared with the CABG rate, likely reflecting changes in patient selection and improved PCI technology, as well as a limited ability of the system to provide surgical procedures.
Authors:
Gordon E Pate; Karin H Humphries; Mona Izadnegahdar; Min Gao; Michael Kiely; Ronald G Carere
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  20     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-06-15     Completed Date:  2004-08-06     Revised Date:  2008-04-09    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  712-6     Citation Subset:  IM    
Affiliation:
Interventional Cardiology Research, St Paul's Hospital, Vancouver, British Columbia, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Angioplasty, Transluminal, Percutaneous Coronary* / trends
British Columbia / epidemiology
Coronary Angiography* / trends
Coronary Artery Bypass* / trends
Coronary Artery Disease / epidemiology,  radiography,  therapy
Female
Heart Catheterization / trends
Humans
Incidence
Male
Middle Aged
Sex Factors
Treatment Outcome

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


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