procedures such as other catheter ablations or left atrial appendage occluder implantation.
Outcome standards in atrial fibrillation catheter ablationWith the publication of centre-anonymized Helios complication rates, we would like to bring the transparency discussion back into the spotlight and to stimulate a debate on volume and outcome minimum standards necessary for safe patient care in AF catheter ablation, to begin with and other electrophysiological procedures, to follow. On one hand, it is worthy of discussion whether elective procedures such as AF catheter ablation should be performed by a nationwide network of providers instead of chosen centres of excellence. On the other hand, it is important to know that there are small centres with high quality of care and low-complication rates and high-volume centres with above-average complication rates. Especially, the high variance in complication rates across the various centres has thus been a major point of discussion.Remarkably, a quality management programme based on prespecified claims data tracers would therefore be a systematic analysis under the same prerequisites-transparency within one's reach.We are convinced that the presented quality management programme might develop as a standard of quality in the future beyond the Helios group.
Jeanette Erdmann PhDA genetics professor with a gene point mutation causing a peripheral myopathy who found the diagnosis via an internet search engine then sequenced her own exome to find and identify the cause at aged 45
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