ArticleCirculation. Cardiovascular quality and outcomes2011
Trends in coronary revascularization in the United States from 2001 to 2009: recent declines in percutaneous coronary intervention volumes.
Article in Circulation. Cardiovascular quality and outcomes, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 3 of them syntheses that pooled it.
What it found
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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.
The trial behind it
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
74 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Effects of Inspiratory Muscle Training (IMT) on Patients Undergoing Coronary Artery Bypass Graft (CABG) Surgery: A Systematic Review and Meta-Analysis.Reviews in cardiovascular medicine · 2023Pooled it
- Pooled it
- Systematic review and cost-benefit analysis of radial artery access for coronary angiography and intervention.Circulation. Cardiovascular quality and outcomes · 2012Pooled it
- Large-scale experience with an anchorless vascular closure device in a real-life clinical setting.Clinical research in cardiology : official journal of the German Cardiac Society · 2015Trial
- Using stress testing to guide primary prevention of coronary heart disease among intermediate-risk patients: a cost-effectiveness analysis.Circulation · 2012Trial
- Sex differences in acute chest pain care in a multisite U.S. emergency department cohort.The American journal of emergency medicine · 2026Observational
- Age Differences in Acute Chest Pain Care in a Multisite US Cohort.Clinical cardiology · 2026Observational
- Declining use of percutaneous coronary intervention across population groups, 2011-2022.Health affairs scholar · 2026Article
- Observational
- Rationale and Design of Dual Antiplatelet Therapy in Patients with Coronary Multi-Vessel Disease (DAPT-MVD): A Multicenter, Randomized, Controlled Trial.Clinical cardiology · 2024Article
- The High-Sensitivity HEART Pathway Safely Reduces Hospitalizations Regardless of Sex or Race in a Multisite Prospective US Cohort.Clinical cardiology · 2024Article
- Safety and Effectiveness of the High-Sensitivity Cardiac Troponin HEART Pathway in Patients With Possible Acute Coronary Syndrome.Circulation. Cardiovascular quality and outcomes · 2024Article
- Center Volumes Correlate with Likelihood of Stent Implantation in German Coronary Angiography.Journal of interventional cardiology · 2023Article
- Observational
- Impact of the COVID-19 pandemic on gender disparities in acute coronary syndrome patterns.International journal of cardiology. Heart & vasculature · 2022Article
- Age differences in the safety and effectiveness of the HEART Pathway accelerated diagnostic protocol for acute chest pain.Journal of the American Geriatrics Society · 2022Article
- Major adverse cardiac event rates in moderate-risk patients: Does prior coronary disease matter?Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- Variations in Coronary Revascularization Practices and Their Effect on Long-Term Outcomes.Journal of the American Heart Association · 2022Article
- Multiple percutaneous coronary interventions worsen outcomes for subsequent surgical correction of chronic ischemic mitral regurgitation.JTCVS open · 2021Article
- Spending on Cardiovascular Disease and Cardiovascular Risk Factors in the United States: 1996 to 2016.Circulation · 2021Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThere is speculation that the volume of percutaneous coronary interventions (PCIs) has been decreasing over the past several years. Published studies of PCI volume have evaluated regional or hospital trends, but few have captured national data. This study describes the use of coronary angiography and revascularization methods in Medicare patients from 2001 to 2009. METHODS AND
resultsThis retrospective study used data from the Centers for Medicare & Medicaid Services from 2001 to 2009. The annual number of coronary angiograms, PCI, intravascular ultrasound, fractional flow reserve, and coronary artery bypass graft (CABG) surgery procedures were determined from billing data and adjusted for the number of Medicare recipients. From 2001 to 2009, the average year-to-year increase for PCI was 1.3% per 1000 beneficiaries, whereas the mean annual decrease for CABG surgery was 5%. However, the increase in PCI volume occurred primarily from 2001 to 2004, as there was a mean annual rate of decline of 2.5% from 2004 to 2009; similar trends were seen with diagnostic angiography. The use of intravascular ultrasound and fractional flow reserve steadily increased over time.
conclusionsThis study confirms recent speculation that PCI volume has begun to decrease. Although rates of CABG have waned for several decades, all forms of coronary revascularization have been declining since 2004.
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Registered trials
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