The impact of social and institutional characteristics on the appropriateness of invasive cardiologic procedures

Medizinische Klinik
Michaela BrauseBernhard Badura

Abstract

Germany has the highest per capita rate of invasive cardiologic procedures in Europe. An aim of the SULEIKA study was to present a clearer picture of this important area of health care. Clinical data along with social characteristics of patients were acquired by means of questionnaires. An additional survey was established to collect data about the treating institution. Clinical information was used to define the appropriateness of coronary angiographies and percutaneous coronary interventions. A possible impact of social or institutional characteristics on the appropriateness was examined. 549 of 709 diagnostic coronary angiographies (77.4%) were rated "appropriate", 54 (7.6%) as "equivocal", and 106 (15%) as "inappropriate". 245 of 317 coronary interventions (77.3%) were rated "appropriate", 40 (12.6%) as "equivocal", and 32 (10.1%) as "inappropriate". Social and institutional impact were found for invasive diagnostics but not for PCI. Social characteristics of patients and institutional characteristics have only a marginal impact on the indication of invasive cardiologic procedures. A trend toward "overdiagnostics" within the group of younger patients has been noticed, even in the case of missing hard medical evidence. A ser...Continue Reading

Citations

Sep 7, 2011·International Journal of Public Health·Thomas AltenhönerMarcus Kutschmann
Nov 19, 2009·European Radiology·Kristin Bakke LysdahlAnsgar Espeland

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