American Journal of Cardiology
Volume 77, Issue 5 , Pages 331-336 , 15 February 1996

Comparison of percutaneous transluminal coronary angioplasty outcome and hospital costs for low-volume and high-volume operators

  • Thomas L. Shook, MD

      Affiliations

    • Corresponding Author InformationAddress for reprints: Thomas L. Shook, MD, Medical Director, CCU/AMI, Department of Cardiology, Good Samaritan Hospital, 1225 Wilshire Boulevard, Los Angeles, California 90017-2395.
    • ,
  • Guo-Wen Sun, PhD

      Affiliations

    • Dr. Sun is partially supported by the B.C. McCabe Foundation, Whittier, California, and The Los Angeles Thoracic and Cardiovascular Foundation.
    • ,
  • Steven Burstein, MD
    • ,
  • Andrew C. Eisenhauer, MD
    • ,
  • Ray V. Matthews, MD

Received 25 July 1995 ,Revised 5 October 1995 ,Accepted 6 October 1995.

References 

  1. Jollis JG, Peterson ED, DeLong ER, Mark DB, Collins SR, Muhlbaier LH, et al. The relation between the volume of coronary angioplasty procedures at hospital treating Medicare beneficiaries and short-term mortality. N Engl J Med. 1994;331:1625–1629
  2. Croke RP. Case volume and clinical competence [letter]. Circulation. 1991;83:354–355
  3. Ryan TJ, Bauman WB, Kennedy JW, Kereiakes DJ, King SB, McCallister BD, et al. Guidelines for percutaneous transluminal coronary angioplasty: a report of the ACC/AHA Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Committee on Percutaneous Transluminal Coronary Angioplasty). J Am Coll Cardiol. 1993;22:2033–2054
  4. Ryan TJ, Klocke FJ, Reynolds WA. 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;15:1469–1474
  5. Hamad N, Pichard AD, Lyle HRP, Lindsay J. Results of percutaneous transluminal coronary angioplasty by multiple, relatively low frequency operators: 1986–1987 experience. Am J Cardiol. 1988;61:1229–1231
  6. Finci L, Meier B, Steffenino G, Urban P, Noble J, Gabathuler J, et al. Percutaneous transluminal coronary angioplasty by high-volume and low-volume operators. Clin Cardiol. 1987;10:355–357
  7. Luft HS, Hunt SS, Maerki SC. The volume-outcome relationship: practice makes perfect or selective referral pattern?. Health Serv Res. 1987;22:157–182
  8. Jacob AS, Pichard AD, Ohnmacht SD, Lindsay J. Results of percutaneous transluminal coronary angioplasty by multiple, relatively low frequency operators. Am J Cardiol. 1986;57:713–716
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  10. Anderson HV, Roubin GS, Leimgruber PP, Douglas JS, King SB, Gruentzig AR. Primary angiographic success rates of percutaneous transluminal coronary angioplasty. Am J Cardiol. 1985;56:712–717
  11. Kelsey SF, Mullin SM, Detre KM, Mitchell H, Cowley MJ, Gruentzig AR, et al. Effect of investigator experience on percutaneous transluminal coronary angioplasty. Am J Cardiol. 1984;53:56C–64C
  12. Luft HS. The relation between surgical volume and mortality: an exploration of causal factors and alternative models. Med Care. 1980;18:940–959
  13. Luft HS, Bumper JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volumes and mortality. N Engl J Med. 1979;30:1364–1369
  14. Ritchie JL, Phillips KA, Luft HS. Coronary angioplasty: statewide experience in California. Circulation. 1993;88:2735–2743
  15. Cohen DJ, Breall JA, Ho KKL, Weintraub RM, Kuntz RE, Weinstein MC, et al. Economics of elective coronary revascularization—comparison of costs and charges for conventional angioplasty, directional atherectomy, stenting and bypass surgery. J Am Coll Cardiol. 1993;22:1052–1059
  16. Brand MV, Halem CV, Brink FV, Feyter PD, Serruys P, Suryapranata H, et al. Comparison of costs of percutaneous transluminal coronary angioplasty and coronary bypass surgery for patients with angina pectoris. Eur Heart J. 1990;11:765–771
  17. Jang GC, Block PC, Cowley MJ, Gruentzig AR, Dorros G, Holmes DR, et al. Relative cost of coronary angioplasty and bypass surgery in a one-vessel disease model. Am J Cardiol. 1984;53:52C–55C

☆ The results, analyses, and opinions reported herein are those of the authors and in no way reflect on the opinions or judgments of the hospital, the B.C. McCabe Foundation, or The Los Angeles Thoracic and Cardiovascular Foundation.

PII: S0002-9149(97)89359-9

American Journal of Cardiology
Volume 77, Issue 5 , Pages 331-336 , 15 February 1996

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