The relationship between procedural volume and patient outcomes for percutaneous coronary interventions: a systematic review and meta-analysis.
Kieran Anthony WalshThomas PlunkettKirsty K O'BrienConor TeljeurSusan M SmithPatricia HarringtonMáirín RyanPublished in: HRB open research (2021)
A volume-outcome relationship may exist in certain situations, although this relationship appears to be attenuating with time, and there is 'very low' certainty of evidence. While volume might be important, it should not be the only standard used to define an acceptable PCI service and a broader evaluation of quality metrics should be considered that encompass patient experience and clinical outcomes. Systematic review registration: PROSPERO, CRD42019125288.
Keyphrases
- systematic review
- coronary artery disease
- healthcare
- meta analyses
- coronary artery
- physical activity
- acute coronary syndrome
- acute myocardial infarction
- percutaneous coronary intervention
- atrial fibrillation
- heart failure
- randomized controlled trial
- antiplatelet therapy
- st segment elevation myocardial infarction
- transcatheter aortic valve replacement
- ejection fraction