What does this research mean for the field?

Geographical variation in implantable cardioverter defibrillator (ICD) implantation rates in England does not correlate with clinical need, service provision, or socio-economic deprivation, suggesting a lack of systematic service planning. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

September 24, 2009EP EuropaceOpen Access

Inequity of access to implantable cardioverter defibrillator therapy in England: possible causes of geographical variation in implantation rates

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Why the study?

What factors explain the geographical variation in ICD implantation rates in England?

Population

1510 patients who received an implanted defibrillator and who were reported to a national pacemaker and…

Design

Cross-sectional

Authors

JMJM McCombQueen's University CPChris PlummerCardio-Oncology MCMark W. CunninghamNational Cancer Institute

Discussion

Member takes

Implication

Regional ICD implantation variation in England remains unexplained by examined factors; leaves open unidentified drivers of inequitable service planning.

Structured PICO

What factors explain the geographical variation in ICD implantation rates in England?

Population

1510 patients who received an implanted defibrillator and who were reported to a national pacemaker and implantable defibrillator registry in 2002 in England

Intervention

Implantable cardioverter defibrillator (ICD) implantation

Outcome

Correlation of regional ICD implantation rates with factors related to need, service provision, and socio-economic deprivation

There is marked, unexplained regional variation in ICD implantation rates in England, suggesting a lack of systematic planning of ICD services.

Cite This Study

McComb et al. (2009) studied this question.

synapsesocial.com/papers/6a1bc29e666b677c61a8ecd7 https://doi.org/10.1093/europace/eup264

Topics

Cardiac device therapy

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Implication

Regional ICD implantation variation in England remains unexplained by examined factors; leaves open unidentified drivers of inequitable service planning.

Inequity of access to implantable cardioverter defibrillator therapy in England: possible causes of geographical variation in implantation rates

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Inequity of access to implantable cardioverter defibrillator therapy in England: possible causes of geographical variation in implantation rates

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider