Key result
Implementation of a peer-review committee reduced total initial pacemaker implants from 48 to 22 per year and improved the three-year survival rate from 57% to 86%.
Why the study?
Does a peer-review committee reduce the number of permanent pacemaker implantations?
Observational
No
Does a peer-review committee reduce the number of permanent pacemaker implantations?
Absolute Event Rate: 22% vs 48%
Implementation of a peer-review committee for pacemaker implantations substantially reduced procedural volume, decreased the proportion of patients with persistent symptoms, and was associated with improved 3-year survival.
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Peer review may curb unnecessary pacemaker implants and improve survival; leaves open whether randomized trials confirm benefit.
Atul B. Chokshi (1981) conducted an observational in Permanent pacemaker implantation. Peer-review committee vs. Before peer review (1972-1976) was evaluated on Total initial pacemaker implants per year. Implementation of a peer-review committee reduced total initial pacemaker implants from 48 to 22 per year and improved the three-year survival rate from 57% to 86%.
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