TAVR operator volumes, trends, and geographic variations amongst Medicare beneficiaries in the United States.
Timothy F SimpsonBabikir KheiriScott ChadderdonHoward K SongGurion LantzJoaquin E CigarroaFiras E ZahrHarsh GolwalaPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2022)
In this nationally representative study of operators performing transfemoral TAVRs among Medicare patients, we found the mean annual volume of TAVR in 2018 to be 23.6 and has increased since 2014. There was considerable variability in operator density and procedural volumes, with a significant proportion of operators performing 10 or fewer TAVRs per year. Ambiguity remains in regard to the optimal balance of procedural requirements to sustain high efficacy outcomes and ensure critical access to TAVR therapies.
Keyphrases
- transcatheter aortic valve replacement
- aortic stenosis
- aortic valve
- ejection fraction
- end stage renal disease
- transcatheter aortic valve implantation
- aortic valve replacement
- newly diagnosed
- chronic kidney disease
- prognostic factors
- peritoneal dialysis
- heart failure
- patient reported outcomes
- metabolic syndrome
- type diabetes
- affordable care act