Document Detail


The lottery of mitral valve repair surgery.
MedLine Citation:
PMID:  20855441     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Valve repair, where feasible, rather than valve replacement is the guideline recommended treatment for severe mitral regurgitation. To characterise 'real-world' clinical practice data were reviewed on 12,255 mitral valve operations performed in the UK between 2004 and 2008, as reported in the 2009 UK Adult Cardiac Surgical Database Report. The data demonstrate a large variation in the use of mitral valve repair; while the national repair rate was 51%, this varied from 20% to 90% among different hospitals. Outcomes were worse in patients who had valve replacement as opposed to repair, including a higher risk of operative mortality and stroke, in all subgroups examined. Some patients were, by virtue of the hospitals they attend, therefore, less likely to survive and more likely to have complications, because of a low use of valve repair in those centres. Concentration of mitral valve surgery in designated regional reference centres should allow more equitable access to mitral valve repair.
Authors:
Anelechi C Anyanwu; Benjamin Bridgewater; David H Adams
Publication Detail:
Type:  Journal Article     Date:  2010-09-20
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  96     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-22     Completed Date:  2011-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  England    
Other Details:
Languages:  eng     Pagination:  1964-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, NY 10029, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiac Care Facilities / statistics & numerical data
Cardiac Surgical Procedures / mortality,  statistics & numerical data*
Great Britain / epidemiology
Health Services Accessibility / standards,  statistics & numerical data
Heart Valve Prosthesis Implantation / statistics & numerical data
Humans
Mitral Valve Insufficiency / mortality,  surgery*
Residence Characteristics

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


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