ArticleHealth services research2014
Trends in PCI volume after negative results from the COURAGE trial.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 33 citations in OpenAlex.
- Community-Level Procedure Volume and Patient Health Profiles Following PCI-Capable Facility Openings.JAMA network open · 2026Article
- Is more better? A multilevel analysis of percutaneous coronary intervention hospital openings and closures on patient volumes.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- Selection Criteria in the Era of Perfect Competition for Drug-Eluting Stents in Association With Operator Volumes: An Operator-Volume Analysis of the Selection DES Study.Cardiology research · 2024Article
- Ischemia Trial: Does the Cardiology Community Need to Pivot or Continue Current Practices?Current cardiology reports · 2022Review
- Physician variation in the de-adoption of ineffective statin and fibrate therapy.Health services research · 2021Article
- Coronary artery disease in dialysis patients: evidence synthesis, controversies and proposed management strategies.Journal of nephrology · 2021Review
- Patient and provider-level factors associated with changes in utilization of treatments in response to evidence on ineffectiveness or harm.International journal of health economics and management · 2020Article
- Physician age and the abandonment of episiotomy.Health services research · 2019Article
- Outcomes of PCI in Relation to Procedural Characteristics and Operator Volumes in the United States.Journal of the American College of Cardiology · 2017Article
- Regional and hospital variations in the extent of decline in the proportion of percutaneous coronary interventions performed for nonacute indications - a nationwide population-based study.BMC cardiovascular disorders · 2017Article
- Statewide Hospital Discharge Data: Collection, Use, Limitations, and Improvements.Health services research · 2015Article
- Trends in percutaneous coronary intervention and angiography in Ireland, 2004-2011: Implications for Ireland and Europe.International journal of cardiology. Heart & vessels · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe trends in the use of percutaneous coronary intervention (PCI) following the COURAGE trial, which found that medical therapy is as effective as PCI for patients with stable angina. DATA SOURCES: We used the National Hospital Discharge Survey; inpatient and outpatient discharge data from Florida, Maryland, and New Jersey; and the English Hospital Episode Statistics database. STUDY
designWe report trends in PCI volume by diagnosis (stable angina vs. unstable angina or AMI) before and after publication of the COURAGE trial. PRINCIPAL
findingsThe number of PCIs in patients without a diagnosis of AMI or unstable angina in Florida, Maryland, and New Jersey declined from 48,000 in 2006 to 40,000 in 2008 (-17 percent). There was no change in the number of PCIs in patients with a diagnosis of AMI. We observed similar patterns in U.S. community hospitals. PCI volume did not decline in England.
conclusionsPCI volume declined after publication of the COURAGE trial. The experience of the COURAGE trial suggests that comparative effectiveness research can lead to cost-saving changes in medical practice patterns. However, there are many patients with stable coronary disease who continue to receive PCI post-COURAGE.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.