Relationship Between Operator Volume and Adverse Outcome in Contemporary Percutaneous Coronary Intervention Practice - An Analysis of a Quality-Controlled Multicenter Percutaneous Coronary Intervention Clinical Database

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Authors:

Mauro Moscucci, MD

Authors:

David Share, MD, MPH

Authors:

Dean Smith, PHD

Authors:

Michael J. O’Donnell, MD

Authors:

Arthur Riba, MD

Authors:

Richard McNamara, MD

Authors:

Thomas Lalonde, MD

Authors:

Anthony C. Defranco, MD

Authors:

Kirit Patel, MD

Authors:

Eva Kline Rogers, RN, MS

Authors:

Chris D’Haem, DO

Authors:

Milind Karve, MD

Authors:

Kim A. Eagle, MD

Hosting Publication:

Journal of the American College of Cardiology

Volume:

Vol. 46, No. 4, 2005

Prior studies have shown a relationship between physician volume and outcomes of percutaneous coronary intervention (PCI), with better outcomes reported for high volume operators when compared with low volume operators. These data have lead to the wide acceptance of volume standards as a quality indicator for PCI. Many of these studies, however, were performed through analysis of claims data or of data collected in a time period preceding the widespread use of coronary stents and glycoprotein IIb/IIIa receptor blockers in clinical practice. Thus, whether the relationship between operator volume and outcomes still exists in the era of contemporary PCI is not as well established. The objective of our study was to evaluate the volume-outcome relationship with contemporary PCI with a large, quality-controlled regional clinical database. A secondary objective was to determine whether the American College of Cardiology (ACC) volume guidelines of a minimum of 75 procedures/year still apply to contemporary PCI practice.

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