Open AccessMajor geographical variations in elective coronary revascularization by stents or surgery in England
Author(s) -
Sheharyar Baig,
Douglas G. Altman,
David P. Taggart
Publication year - 2014
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezu276
Subject(s) - conventional pci , medicine , interquartile range , revascularization , percutaneous coronary intervention , psychological intervention , cardiology , health survey for england , elective surgery , coronary artery disease , emergency medicine , surgery , myocardial infarction , nursing , obesity
Revascularization in stable coronary artery disease (CAD) can be achieved through percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) depending on the anatomical pattern of CAD, comorbidities and patient preference. Recent studies in the USA, Canada and Australia show marked local variation in the PCI/CABG ratio that is unexplained by patient-related factors. This current study assesses the geographical variation in elective coronary revascularization interventions across England and discusses its appropriateness.
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