Evidence map›Paper›PMID 31783805›Full record

ArticleBMC cardiovascular disorders2019

Factors associated with the rates of coronary artery bypass graft and percutaneous coronary intervention.

Agnus M Kim, Jong Heon Park, Seongcheol Cho, Sungchan Kang, Tae Ho Yoon, Yoon Kim

Abstract readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. International variation in modality and outcomes of left main revascularisation: does it really matter?EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Agnus M KimDepartment of Health Policy and Management, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Jong Heon ParkBig Data Steering Department, National Health Insurance Service, Wonju, Republic of Korea.
Seongcheol ChoDepartment of Internal Medicine, Seoul Red Cross Hospital, Seoul, Republic of Korea.
Sungchan KangGraduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
Tae Ho YoonDepartment of Preventive & Occupational Medicine, School of Medicine, Pusan National University, Pusan, Republic of Korea.
Yoon KimDepartment of Health Policy and Management, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea. yoonkim@snu.ac.kr.ORCID 0000-0002-0679-6594

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKorea has seen a rapid increase in the use of percutaneous coronary intervention (PCI) with the ratio of PCI to coronary artery bypass graft (CABG) the highest in the world. This study was performed to examine the factors associated with the rates of CABG and PCI.

methodsThe data were acquired from the National Health Insurance database in Korea in 2013. We calculated the age-sex standardized rates of CABG and PCI. We examined the factors associated with the CABG and PCI rates by performing a regression analysis.

resultsThe rate of CABG showed a negative association with the deprivation index score, and other factors, such as the number of providers or hospital beds, did not show any significant association with the CABG rate. The rate of PCI had a strong negative association with the number of cardiothoracic surgeons and a strong positive association with the number of hospital beds.

conclusionsThe positive association between the PCI rate and the number of hospital beds suggests that the use of PCI may be driven by the supply of beds, and the inverse association between the PCI rate and the number of cardiothoracic surgeons indicates the overuse of PCI due to lack of the providers of CABG. Policy measures should be taken to optimize the use of revascularization procedures, the choice of which should primarily be based on the patient's need.

Indexed as

CardiologistsClinical Decision-MakingCoronary Artery BypassCoronary Artery DiseaseCross-Sectional StudiesDatabases, FactualHealthcare DisparitiesHospital Bed CapacityHumansPercutaneous Coronary InterventionPractice Patterns, Physicians'Republic of KoreaSurgeonsTime FactorsBedsCoronary artery bypass graftGeographic variationPercutaneous coronary interventionRevascularization

Identifiers

PMID31783805
PMCPMC6884838

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Registered trials

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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.