{"id":8118,"date":"2011-05-03T16:02:41","date_gmt":"2011-05-03T20:02:41","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=8118"},"modified":"2011-07-19T17:44:26","modified_gmt":"2011-07-19T21:44:26","slug":"cabg-takes-the-brunt-of-decline-in-revascularization-procedures","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/05\/03\/cabg-takes-the-brunt-of-decline-in-revascularization-procedures\/","title":{"rendered":"CABG Takes the Brunt of Decline in Revascularization Procedures"},"content":{"rendered":"<p>In recent years, the overall revascularization rate in the U.S. has  declined only slightly, but CABG rates have taken the brunt of the  change, while PCI rates have remained relatively stable, according to <a href=\"http:\/\/jama.ama-assn.org\/content\/305\/17\/1769.full\">a new study by Andrew Epstein and colleagues published in <em>JAMA<\/em>.<\/a><\/p>\n<p>The researchers found that from  2001-2002 to 2007-2008:<\/p>\n<ul>\n<li>The annual rate of revascularization decreased significantly, but by only 15% (p&lt;0.001).<\/li>\n<li>The CABG rate decreased significantly, by nearly 40%, from 1742 surgeries per  million adults per year\u00a0 to 1081 (p&lt;0.001).<\/li>\n<li>PCI rates did not change  significantly (from 3827 procedures per million adults per year  to 3667 procedures, p=0.74).<\/li>\n<li>The number of hospitals that provide  CABG increased, resulting in a 28% decrease in the median CABG caseload  per hospital.<\/li>\n<\/ul>\n<p>The results, write the authors, &#8220;suggest the  possibility that several thousand patients who underwent PCI in 2008  would have undergone CABG surgery had patterns of care not changed  markedly between 2001 and 2008. Our data imply a sizeable shift in  cardiovascular clinical practice patterns away from surgical treatment  toward percutaneous, catheter-based interventions.&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In recent years, the overall revascularization rate in the U.S. has declined only slightly, but CABG rates have taken the brunt of the change, while PCI rates have remained relatively stable, according to a new study by Andrew Epstein and colleagues published in JAMA. The researchers found that from 2001-2002 to 2007-2008: The annual rate [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,9],"tags":[231,301,827],"class_list":["post-8118","post","type-post","status-publish","format-standard","hentry","category-cardiac-surgery","category-interventional-cardiology","tag-cabg","tag-pci","tag-revascularization"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/8118","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=8118"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/8118\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=8118"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=8118"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=8118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}