Key result
ICD implantation rates in the UK increased from 1998 to 2002 but fell far short of the European average and national targets, with significant regional variation.
Observational
Yes
ICD implantation rates in the UK from 1998 to 2002 were low compared to European averages and showed significant regional disparities, highlighting barriers to evidence-based treatment.
UK ICD implantation lags targets with regional inequities; leaves open barriers to equitable device access and need for targeted implementation research.
OBJECTIVE: To determine the rate of implantable cardioverter-defibrillator (ICD) implantation across the UK during the period 1998 to 2002. DESIGN: Observational self reporting with cross checking. SETTING: All ICD implanting centres coordinated by the National Pacemaker and ICD Database. PATIENTS: Every patient receiving an ICD in the UK from 1998 to 2002. MAIN OUTCOME MEASURES: Date of implantation and postcode of each ICD recipient during the study period. RESULTS: ICD implantation increased in the UK in the five year period studied but fell far short of the European average and national targets. Implantation rates varied greatly by region. CONCLUSIONS: The low rate of ICD implantation in the UK and the disparity between regions require further study to determine the barriers to this evidence based treatment.
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A D Cunningham (2005) conducted an observational in Patients receiving an implantable cardioverter-defibrillator. Implantable cardioverter-defibrillator (ICD) implantation was evaluated on Date of implantation and postcode of each ICD recipient. ICD implantation rates in the UK increased from 1998 to 2002 but fell far short of the European average and national targets, with significant regional variation.
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