Comparative Trends in Percutaneous Coronary Intervention in Japan and the United States, 2013 to 2017
Comparative Trends in Percutaneous Coronary Intervention in Japan and the United States, 2013 to 2017
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DOI：
10.1016/j.jacc.2020.07.037
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发表时间：
2020-09-15
影响因子：
24
通讯作者：
Nakamura, Masato
中科院分区：
文献类型：
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作者：
Inohara, Taku;Kohsaka, Shun;Nakamura, Masato
背景在经皮冠状动脉介入治疗中采用大规模随机对照试验的结果在国际上可能有所不同，但很少有研究描述经皮冠状动脉介入治疗实践模式的潜在差异。目的利用具有代表性的国家登记，我们比较了美国和日本在程序量、患者特征、术前测试、程序特征和质量指标方面的时间趋势。方法美国国家心血管数据注册中心用于描述美国的护理，J-PCI用于评估日本的实践模式(参与医院的数量：美国1,752家，日本1,108家)。结果美国的介入治疗数量从2013年的550,872人增加到2017年的637,650人，增幅为15.8%，主要是因为非选择性PCI的增加(p代表趋势
BACKGROUND Adoption of the results of large-scale randomized controlled trials in percutaneous coronary intervention (PCI) may differ internationally, yet few studies have described the potential variations in PCI practice patterns.OBJECTIVES Using representative national registries, we compared temporal trends in procedural volume, patient characteristics, pre-procedural testing, procedural characteristics, and quality metrics in the United States and Japan.METHODS The National Cardiovascular Data Registry CathPCI was used to describe care in the United States, and the J-PCI was used to assess practice patterns in Japan (numbers of participating hospitals: 1,752 in the United States and 1,108 in Japan). Both registries were summarized between 2013 and 2017.RESULTS PCI volume increased by 15.8% in the United States from 550,872 in 2013 to 637,650 in 2017, primarily because of an increase in nonelective PCIs (p for trend