Does low individual operator coronary interventional procedural volume correlate with worse institutional procedural outcome?

Journal of the American College of Cardiology

Volumn 30, Issue 4, 1997, Pages 870-877

  Klein, Lloyd W ^a   Schaer, Gary L ^a   Calvin, James E ^a   Palvas, Brian ^a   Allen, Jill ^a   Loew, Joshua ^a   Uretz, Eugene ^a   Parrillo, Joseph E ^a  

^a RUSH UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE HEART INFARCTION; ADULT; AGED; ANGINA PECTORIS; ARTICLE; CORONARY ARTERY DILATATION; DRESSLER SYNDROME; FEMALE; HUMAN; INTERVENTIONAL RADIOLOGY; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; TREATMENT INDICATION; TREATMENT OUTCOME; UNSTABLE ANGINA PECTORIS;

EID: 0030846276     PISSN: 07351097     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0735-1097(97)00272-6     Document Type: Article

References (23)

1. Ellis SG, Omoigui N, Bittl JA, et al. Analysis and comparison of operator-specific outcomes in interventional cardiology. Circulation 1996;93:431-9.
2. Kimmel SE, Berlin JA, Laskey WK. The relationship between coronary angioplasty procedure volume and major complications. JAMA 1995;274: 1137-42.
3. Conti CR. Credentialing cardiologists who perform therapeutic cardiac interventions. Clin Cardiol 1995;18:689-90.
4. Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N Engl J Med 1979;301:1364-9.
5. Showstack JA, Rosenfeld KE, Garnick DW, Luft HS, Schaffarzick RW, Fowles T. Association of volume with outcome of coronary artery bypass graft surgery: scheduled vs. non-scheduled operations. JAMA 1987;257: 785-9.
6. Ritchie JL, Phillips KA, Luft HS. Coronary angioplasty: statewide experience in California. Circulation 1993;88:2735-43.
7. Jollis JG, Peterson ED, DeLong ER, et al. The relation between the volume of coronary angioplasty procedures at hospitals treating medicare beneficiaries and short-term mortality. N Engl J Med 1994;331:1625-9.
8. Ryan TJ. The critical question of procedure volume minimums for coronary angioplasty. JAMA 1995;274:1169-70.
9. Kimmel SE, Berlin JA, Strom BL, Laskey WK, for the Registry Committee of the Society for Cardiac Angiography and Interventions. Development and validation of a simplified predictive index for major complications in contemporary percutaneous transluminal coronary angioplasty practice. J Am Coll Cardiol 1995;26:931-8.
10. Roubin GS, Douglas JS Jr, King SB III. Percutaneous coronary angioplasty: influence of operator experience on results. Am J Cardiol 1986;57:873-4.
11. Preliminary tabulations from the angioplasty volume. Bethesda (MD): ACC National Database Library, December 1, 1994.
12. Uretz E, Murray T, Millar R, et al. A comprehensive cardiology test-oriental database management system. Comput Cardiol 1979;9:127-31.
13. Moushmoush B, Kramer B, Hsieh AM, Klein LW. Does the AHA/ACC Task Force grading system predict outcome in multivessel angioplasty? Cathet Cardiovasc Diagn 1992;27:97-105.
14. Ryan TJ, Faxon DP, Gunnar RM, et al. Guidelines for percutaneous transluminal coronary artery: a report of the American College of Cardiology/American Heart Association Task Force on assessment of diagnostic and therapeutic cardiovascular procedures (Subcommittee on Percutaneous Transluminal Coronary Angioplasty). Circulation 1988;78:486-502.
15. Klein LW, Kramer BL, Howard E, Lesch M. Incidence and significance of transient creatine kinase elevations and the diagnosis of non-Q wave myocardial infarction associated with coronary angioplasty. J Am Coll Cardiol 1991;17:621-6.
16. Ryan TJ, Klocke FJ, Reynolds W. Clinical competence in percutaneous transluminal coronary angioplasty: a statement for physicians from the ACP/ACC/AHA Task Force on Clinical Privileges in Cardiology. J Am Coll Cardiol 1990;15:1469-74.
17. Park DD, Laramee LA, Telrstein P, et al. Major complications during percutaneous transluminal coronary artery: an analysis of 5413 cases [abstract]. J Am Coll Cardiol 1988;11 Suppl A:237A.
18. Holmes DR Jr, Holubkov R, Vlietstra RE, et al. Comparison of complications during percutaneous transluminal coronary artery from 1977 to 1981 and from 1985 to 1986: the National Lung and Blood Institute Percutaneous Transluminal Coronary Artery Registry. J Am Coll Cardiol 1988;12:1149-55.
19. Hartzler HO. Percutaneous transluminal coronary angioplasty: view of a single relatively high frequency operator. Am J Cardiol 1986;57:869-72.
20. Wigton RS. Measuring procedural skills [editorial]. Ann Intern Med 1996; 125:1003-4.
21. Jacob AS, Pichard AD, Ohnmacht SD, Lindsay J Jr. Results of PTCA by multiple relatively low frequency operators. Am J Cardiol 1986;57:713-6.
22. Hannan EL, Racz M, Ryan TJ, et al. Coronary angioplasty volume-outcome relationships for hospitals and cardiologists. JAMA 1997;279:892-8.
23. Detre K, Holubkov R, Kelsey S, et al. Percutaneous transluminal coronary angiography in 1985-1986 and 1977-1981: the National Heart, Lung, and Blood Institute Registry. N Engl J Med 1988;318:265-70.