美国经皮冠状动脉介入治疗利用与适当性

数据集获取（Figshare）

• 源站标题：Percutaneous Coronary Intervention Utilization and Appropriateness across the United States
• DOI：10.1371/journal.pone.0138251
• 发布日期：2015-09-17
• 文件数：6 个
• 文件总体积：1.70 MB
• 源站页面：https://plos.figshare.com/articles/dataset/_Percutaneous_Coronary_Intervention_Utilization_and_Appropriateness_across_the_United_States_/1547878

命令行下载

curl -L -o "S1_Fig.docx" "https://ndownloader.figshare.com/files/2269974"
curl -L -o "S2_Fig.docx" "https://ndownloader.figshare.com/files/2269975"
curl -L -o "S3_Fig.docx" "https://ndownloader.figshare.com/files/2269976"
curl -L -o "S4_Fig.docx" "https://ndownloader.figshare.com/files/2269977"
curl -L -o "S5_Fig.docx" "https://ndownloader.figshare.com/files/2269978"
curl -L -o "S1_Table.docx" "https://ndownloader.figshare.com/files/2269979"

文件清单

• S1_Fig.docx（843.79 KB）
• S2_Fig.docx（163.89 KB）
• S3_Fig.docx（191.01 KB）
• S4_Fig.docx（189.96 KB）
• S5_Fig.docx（259.31 KB）
• S1_Table.docx（54.35 KB）

文件总体积 1.70 MB（源站 API 实测）。

数据说明

Background
Substantial geographic variation exists in percutaneous coronary intervention (PCI) use across the United States. It is unclear the extent to which high PCI utilization can be explained by PCI for inappropriate indications. The objective of this study was to examine the relationship between PCI rates across regional healthcare markets utilizing hospital referral regions (HRRs) and PCI appropriateness.
Methods
The number of PCI procedures in each HRR was obtained from the 2010 100% Medicare limited data set. HRRs were divided into quintiles of PCI utilization with increasing rates of utilization progressing to quintile 5. NCDR CathPCI Registry® data were used to evaluate patient characteristics, appropriate use criteria (AUC), and outcomes across the HRR quintiles defined by PCI utilization with the study population restricted to HRRs where ≥ 80% of the PCIs were performed at institutions participating in the registry. PCI appropriateness was defined using 2012 AUC by the American College of Cardiology (ACC)/American Heart Association (AHA)/The Society for Cardiovascular Angiography and Interventions (SCAI).
Results
Our study cohort comprised of 380,981 patients treated at 178 HRRs. Mean PCI rates per 1,000 increased from 4.6 in Quintile 1 to 10.8 in Quintile 5. The proportion of non-acute PCIs was 27.7% in Quintile 1 increasing to 30.7% in Quintile 5. Significant variation (p Conclusions
Geographic regions with lower PCI rates have a higher proportion of PCIs performed for appropriate indications. Areas that perform more PCIs also appear to perform more elective PCI and many could not be mapped by the AUC.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0138251（source: https://plos.figshare.com/articles/dataset/_Percutaneous_Coronary_Intervention_Utilization_and_Appropriateness_across_the_United_States_/1547878）。