nach oben

Current Cardiology Reports

Erschienen in:

01.07.2014 | Interventional Cardiology (S Rao, Section Editor)

Public Reporting of PCI Outcomes: For Better or for Worse

verfasst von: Brian J. Potter, Robert W. Yeh, Duane S. Pinto

Erschienen in: Current Cardiology Reports | Ausgabe 7/2014

Einloggen, um Zugang zu erhalten

Abstract

Public reporting of PCI outcomes has had a polarizing effect on the cardiology community. The potential benefits of public reporting are many, but a host of unintended consequences have likely mitigated the anticipated positive impact of current reporting systems. In this review, we discuss what the goals of public disclosure are, the limitations of current reporting systems and the resultant unintended consequences. We also offer a perspective on future directions with a view to ensuring the benefits of public reporting while minimizing the risk of unintended consequences.

Topol EJ, Califf RM. Scorecard cardiovascular medicine. Its impact and future directions. Ann Intern Med. 1994;120(1):65–70.PubMedCrossRef

Califf RM, Jollis JG, Peterson ED. Operator-specific outcomes. A call to professional responsibility. Circulation. 1996;93(3):403–6.PubMedCrossRef

Califf RM, Peterson ED. Public reporting of quality measures what are we trying to accomplish? J Am Coll Cardiol. 2009;53(10):831–3.PubMedCrossRef

Pinto DS, Pride YB. Paved with good intentions and marred by half-truths. J Am Coll Cardiol. 2013;62(5):416–7.PubMedCrossRef

Moscucci M. Public reporting of PCI outcomes and quality of care: one step forward and new questions raised. JAMA: J A Med Assoc. 2012;308(14):1478–9.CrossRef

Zinman D. Heart surgeons rated. State reveals patient-mortality records. Newsday. 1991;18:1991.

7.•

Joynt KE, Blumenthal DM, Orav EJ, Resnic FS, Jha AK. Association of public reporting for percutaneous coronary intervention with utilization and outcomes among Medicare beneficiaries with acute myocardial infarction. JAMA. 2012;308(14):1460–8. Among Medicare beneficiaries with acute MI, the use of PCI was lower for patients treated in three states with public reporting of PCI outcomes compared with patients treated in seven regional control states without public reporting, suggesting the possibility of risk aversion among practitioners in jurisdictions with public reporting.PubMedCentralPubMedCrossRef

Peberdy MA, Donnino MW, Callaway CW, Dimaio JM, Geocadin RG, Ghaemmaghami CA, et al. Impact of percutaneous coronary intervention performance reporting on cardiac resuscitation centers: a scientific statement from the American Heart Association. Circulation. 2013;128(7):762–73.PubMedCrossRef

Hafner JM, Williams SC, Koss RG, Tschurtz BA, Schmaltz SP, Loeb JM. The perceived impact of public reporting hospital performance data: interviews with hospital staff. Int J Qual Health Care :J Int Soc Qual Health Care / ISQua. 2011;23(6):697–704.CrossRef

10.

Bardach NS, Cabana MD. The unintended consequences of quality improvement. Curr Opin Pediatr. 2009;21(6):777–82.PubMedCrossRef

11.

Sherman KL, Gordon EJ, Mahvi DM, Chung J, Bentrem DJ, Holl JL, et al. Surgeons' perceptions of public reporting of hospital and individual surgeon quality. Med Care. 2013;51(12):1069–75.PubMedCrossRef

12.

Baber U, Mehran R. The fine balance of quality and quantity: the time has come to define quality of PCI! Catheter Cardiovasc Interv. 2011;78(4):503–4.PubMedCrossRef

13.

Shahian DM, Silverstein T, Lovett AF, Wolf RE, Normand SL. Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards. Circulation. 2007;115(12):1518–27.PubMedCrossRef

14.

Barringhaus KG, Zelevinsky K, Lovett A, Normand SL, Ho KK. Impact of independent data adjudication on hospital-specific estimates of risk-adjusted mortality following percutaneous coronary interventions in massachusetts. Circ Cardiovasc Qual Outcome. 2011;4(1):92–8.CrossRef

15.

Aggarwal B, Ellis SG, Lincoff AM, Kapadia SR, Cacchione J, Raymond RE, et al. Cause of death within 30 days of percutaneous coronary intervention in an era of mandatory outcome reporting. J Am Coll Cardiol. 2013;62(5):409–15.PubMedCrossRef

16.

Thomas JW, Hofer TP. Accuracy of risk-adjusted mortality rate as a measure of hospital quality of care. Med Care. 1999;37(1):83–92.PubMedCrossRef

17.

Hayakawa K, Tasaki O, Hamasaki T, Sakai T, Shiozaki T, Nakagawa Y, et al. Prognostic indicators and outcome prediction model for patients with return of spontaneous circulation from cardiopulmonary arrest: the Utstein Osaka Project. Resuscitation. 2011;82(7):874–80.PubMedCrossRef

18.

Kontos MC, Wang Y, Chaudhry SI, Vetrovec GW, Curtis J, Messenger J, et al. Lower Hospital Volume Is Associated With Higher In-Hospital Mortality in Patients Undergoing Primary Percutaneous Coronary Intervention for ST-Segment-Elevation Myocardial Infarction: A Report From the NCDR. Circ Cardiovasc Qual Outcome. 2013;6(6):659–67.CrossRef

19.

Valle JA, Smith DE, Booher AM, Menees DS, Gurm HS. Cause and circumstance of in-hospital mortality among patients undergoing contemporary percutaneous coronary intervention: a root-cause analysis. Circ Cardiovasc Qual Outcome. 2012;5(2):229–35.CrossRef

20.

Hochman JS, Sleeper LA, Webb JG, Sanborn TA, White HD, Talley JD, et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock. N Engl J Med. 1999;341(9):625–34.PubMedCrossRef

21.

Holmes Jr DR, Berger PB, Hochman JS, Granger CB, Thompson TD, Califf RM, et al. Cardiogenic shock in patients with acute ischemic syndromes with and without ST-segment elevation. Circulation. 1999;100(20):2067–73.PubMedCrossRef

22.

Resnic FS, Welt FG. The public health hazards of risk avoidance associated with public reporting of risk-adjusted outcomes in coronary intervention. J Am Coll Cardiol. 2009;53(10):825–30.PubMedCentralPubMedCrossRef

23.•

Resnic FS, Normand SL, Piemonte TC, Shubrooks SJ, Zelevinsky K, Lovett A, et al. Improvement in mortality risk prediction after percutaneous coronary intervention through the addition of a "compassionate use" variable to the National Cardiovascular Data Registry CathPCI dataset: a study from the Massachusetts Angioplasty Registry. J Am Coll Cardiol. 2011;57(8):904–11. This study investigated the impact of adding novel elements to models predicting in-hospital mortality after PCI. Resultant improvements in model performance may lead to greater confidence in reporting of risk-adjusted PCI outcomes.PubMedCentralPubMedCrossRef

24.

Hawkins BM, Fitzgerald-McKeon LM, Yeh RW. High-risk percutaneous coronary intervention in the era of public reporting: clinical and ethical considerations in the care of an elderly patient with critical left main disease and shock. Circulation. 2014;129(2):258–65.PubMedCrossRef

25.

Shahian DM, Normand SL. Comparison of "risk-adjusted" hospital outcomes. Circulation. 2008;117(15):1955–63. doi:10.1161/CIRCULATIONAHA.107.747873.PubMedCrossRef

26.

Sammut EC, Graham A, Jones DA, Rathod K, May S, Jain A, et al. Acute stent thrombosis resulting in ST elevation myocardial infarction (STEMI) is associated with worse clinical outcomes than STEMI due to native coronary thrombosis. Heart. 2011;97 Suppl 1:A13–A4.CrossRef

27.

Subherwal S, Bhatt DL, Li S, Wang TY, Thomas L, Alexander KP, et al. Polyvascular Disease and Long-Term Cardiovascular Outcomes in Older Patients With Non–ST-Segment–Elevation Myocardial Infarction. Circ: Cardiovasc Qual Outcome. 2012;5(4):541–9.

28.

Singh M, Lennon RJ, Darbar D, Gersh BJ, Holmes DR, Rihal CS. Effect of Peripheral Arterial Disease in Patients Undergoing Percutaneous Coronary Intervention With Intracoronary Stents. Mayo Clin Proc Mayo Clin. 2004;79(9):1113–8.CrossRef

29.

Chan PS, Spertus JA, Krumholz HM, et al. A validated prediction tool for initial survivors of in-hospital cardiac arrest. Arch Intern Med. 2012;172(12):947–53.PubMedCentralPubMedCrossRef

30.

Sasson C, Rogers MAM, Dahl J, Kellermann AL. Predictors of Survival From Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis. Circ: Cardiovasc Qual Outcome. 2010;3(1):63–81.

31.

Campbell AR, Satran D, Larson DM, Chavez IJ, Unger BT, Chacko BP, et al. ST-elevation myocardial infarction: which patients do quality assurance programs include? Circ Cardiovasc Qual Outcome. 2009;2(6):648–55.CrossRef

32.

Moscucci M, Eagle KA, Share D, Smith D, De Franco AC, O'Donnell M, et al. Public reporting and case selection for percutaneous coronary interventions: an analysis from two large multicenter percutaneous coronary intervention databases. J Am Coll Cardiol. 2005;45(11):1759–65.PubMedCrossRef

33.

Apolito RA, Greenberg MA, Menegus MA, Lowe AM, Sleeper LA, Goldberger MH, et al. Impact of the New York State Cardiac Surgery and Percutaneous Coronary Intervention Reporting System on the management of patients with acute myocardial infarction complicated by cardiogenic shock. Am Heart J. 2008;155(2):267–73.PubMedCrossRef

34.•

McCabe JM, Joynt KE, Welt FG, Resnic FS. Impact of public reporting and outlier status identification on percutaneous coronary intervention case selection in Massachusetts. J Am Coll Cardiol Intv. 2013;6(6):625–30. This study sought to evaluate the impact of public reporting of hospitals as negative outliers on PCI case-mix selection. The results suggest that risk-aversive behaviors among PCI operators at outlier institutions may be an unintended consequence of public reporting in Massachusetts.CrossRef

35.

Narins CR, Dozier AM, Ling FS, Zareba W. The influence of public reporting of outcome data on medical decision making by physicians. Arch Intern Med. 2005;165(1):83–7.PubMedCrossRef

36.

Hannan EL, Cozzens K, King 3rd SB, Walford G, Shah NR. The New York State cardiac registries: history, contributions, limitations, and lessons for future efforts to assess and publicly report healthcare outcomes. J Am Coll Cardiol. 2012;59(25):2309–16.PubMedCrossRef

37.

Poses RM, Smith WR, McClish DK, Huber EC, Clemo FL, Schmitt BP, et al. Physicians' survival predictions for patients with acute congestive heart failure. Arch Intern Med. 1997;157(9):1001–7.PubMedCrossRef

38.

Frey P, Connors A, Resnic FS. Quality measurement and improvement in the cardiac catheterization laboratory. Circulation. 2012;125(4):615–9.PubMedCrossRef

39.

Zoghbi WA, Gillis AM, Marshall JJ. Public reporting of cardiovascular care: an opportunity to shape the future. J Am Coll Cardiol. 2013;61(5):590–3.PubMedCrossRef

40.

Dehmer GJ, Drozda JP, Brindis RG, et al. Public Reporting of Clinical Quality Data: An Update for Cardiovascular Specialists. J Am Coll Cardiol. 2014;63(13):1239–45.PubMedCrossRef

Titel: Public Reporting of PCI Outcomes: For Better or for Worse
verfasst von: Brian J. Potter
Robert W. Yeh
Duane S. Pinto
Publikationsdatum: 01.07.2014
Verlag: Springer US
Erschienen in: Current Cardiology Reports / Ausgabe 7/2014
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-014-0500-9

Neu im Fachgebiet Kardiologie

16.04.2024 | Chronische Herzinsuffizienz | Nachrichten

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Public Reporting of PCI Outcomes: For Better or for Worse

Abstract

Neu im Fachgebiet Kardiologie

Sind Betablocker auch für ältere herzschwache Personen nützlich?

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Selbstexpandierende TAVI-Klappen bei kleinem Aortenanulus im Vorteil

Verbesserung der HDL-Funktion als Lipidtherapie floppt in Mega-Studie

Update Kardiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2014

Functional Genomics of the 9p21.3 Locus for Atherosclerosis: Clarity or Confusion?

Heart Failure with Preserved Ejection Fraction: Current Understandings and Challenges

Emerging Therapeutic Approaches to Treat Dyslipidemia

Risk Stratification and Treatment of Brugada Syndrome

Social Media: Opportunities for Quality Improvement and Lessons for Providers—A Networked Model for Patient-Centered Care Through Digital Engagement

Strategies to Prevent Radial Artery Occlusion After Transradial PCI

Neu im Fachgebiet Kardiologie

Sind Betablocker auch für ältere herzschwache Personen nützlich?

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Selbstexpandierende TAVI-Klappen bei kleinem Aortenanulus im Vorteil

Verbesserung der HDL-Funktion als Lipidtherapie floppt in Mega-Studie

Update Kardiologie