ArticleHeart (British Cardiac Society)2002
Population need for coronary revascularisation: are national targets for England credible?
Article in Heart (British Cardiac Society), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Angina (chronic stable).BMJ clinical evidence · 2008Pooled it
- Myocardial perfusion scintigraphy: the evidence.European journal of nuclear medicine and molecular imaging · 2004Guideline
- Prevalence, Mortality, and Indicators of Health Care Supply-Association Analysis of Cardiovascular Diseases in Germany.Frontiers in cardiovascular medicine · 2018Article
- Population impact of regulatory activity restricting prescribing of COX-2 inhibitors: ecological study.British journal of clinical pharmacology · 2009Article
- The relationship between physician supply, cardiovascular health service use and cardiac disease burden in Ontario: supply-need mismatch.The Canadian journal of cardiology · 2008Article
- Prognosis of stable angina pectoris: why we need larger population studies with higher endpoint resolution.Heart (British Cardiac Society) · 2007Review
- Determining optimal population rates of cardiac catheterization: a phantom alternative?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005Article
- Inequalities in coronary revascularisation during the 1990s: evidence from the British regional heart study.Heart (British Cardiac Society) · 2005Article
- Prognosis of angina with and without a diagnosis: 11 year follow up in the Whitehall II prospective cohort study.BMJ (Clinical research ed.) · 2003Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the need for coronary revascularisation, by using an incidence of indications approach, among 45-84 year olds with stable angina, unstable angina, and acute myocardial infarction.
designModelling exercise. Six key steps along the pathway of care from initial diagnosis in primary or secondary care to revascularisation were defined and the frequency of indications estimated using routine data from hospital admissions and data from studies in the general population, and primary and secondary care. SETTING AND PATIENTS: Mid-1998 population of England.
interventionCoronary revascularisation.
main outcome measureAbility to benefit (need), defined by randomised trials, expert panel ratings from the ACRE (appropriateness of coronary revascularisation) study, or by informal consensus.
resultsThe need for coronary revascularisation was estimated to be 92 000 procedures, equivalent to a rate of 1861 per million population. Overall, the model of need exceeded current provision by 3.3:1, although among people aged 75 years and over the ratio was 7.7:1. A plausible upper estimate of need--obtained by assuming that 90% of patients with stable angina were referred from primary care and that angiography would be performed in 65% of patients with acute myocardial infarction and 75% of patients with unstable angina--was 2626 per million population.
conclusionsThe national target of 1500 revascularisation procedures per million population is credibly related to population need, although upper estimates of need are considerably higher. Better understanding is required of the benefits of referring patients with specific indications from primary care. The greatest relative increase in provision is required for those aged 75 and older, among whom trial evidence of benefit is scant.
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