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April 15, 2001European Heart JournalOpen Access

The consequences of under-use of coronary revascularization. Results of a cohort study in Northern Italy

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Why the study?

Does coronary revascularization (CABG or PTCA) reduce mortality in patients who are candidates for the procedure?

Population

1258 patients who were candidates for a revascularization procedure after an index angiogram, enrolled…

Comparison

Coronary revascularization (CABG or PTCA) vs No coronary revascularization performed despite…

Design

Cohort

Follow-up

minimum 9 months

Authors

GFGiovanni Filardo

Discussion

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Overview

Revascularization was associated with lower mortality; leaves open whether this reflects causal benefit or confounding by indication.

Structured PICO

Does coronary revascularization (CABG or PTCA) reduce mortality in patients who are candidates for the procedure?

P
Population
1258 patients who were candidates for a revascularization procedure (CABG or PTCA) after an index angiogram, enrolled across 16 hospitals in Northern Italy.
I
Intervention
Coronary revascularization (CABG or PTCA)
C
Comparator
No coronary revascularization performed despite being candidates
O
Outcome
Total unadjusted and adjusted mortality at a minimum follow-up of 9 monthshard clinical

Failure to perform indicated coronary revascularization procedures is associated with significantly increased mortality, highlighting under-use as a major quality of care issue.

Limitations

  • Not specifically designed to identify determinants of under-use

Cite This Study

Giovanni Filardo (2001) studied this question.

synapsesocial.com/papers/6a71624435aa2c282ce2ae68https://doi.org/10.1053/euhj.2000.2282
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Validity of criteria used for detecting underuse of coronary revascularization1995 · 30 citations
  2. 2Variations in the Use of Medical and Surgical Services by the Medicare Population1986 · 659 citations
  3. 3A Method for the Detailed Assessment of the Appropriateness of Medical Technologies1986 · 771 citations
  4. 4The Quality of Care and the Quality of Measuring It1993 · 207 citations
  5. 5Measuring the Necessity of Medical Procedures1994 · 144 citations