Determinants and patterns of utilization of primary percutaneous coronary intervention across 12 European countries: 2003–2008

Trends in hospital treatments, including revascularisation, following acute myocardial infarction, 2003–2010: a multilevel and relative survival analysis for the National Institute for Cardiovascular Outcomes Research (NICOR)

“…We found that over the study period, as PPCI was implemented, the mini-GRACE 6-month risk score for patients with STEMI who received primary PCI increased and for those who did not receive reperfusion therapy it decreased. This suggests that the diffusion of PPCI in England and Wales18 19 may have enabled more patients with STEMI to be treated. Even so, the increase in the proportion of comorbid patients who received PPCI was modest.…”

Contemporary roles of registries in clinical cardiology: Insights from Western and Eastern European countries

“…Whilst there are several reports of between country comparisons of acute myocardial infarction care and outcomes, typically these have either compared high performing countries with each other, [19][20][21] eastern countries with each other, [14,16] or used aggregated data [11,22,23] to compare many countries. There are limited contemporary comparisons of care for acute myocardial infarction between eastern and western European countries which have used patient-level data derived from a range of clinical registries [10].…”

A Window on Geographic Variation in Health Care: Insights from EuroHOPE

“…This is one of the fields of medicine for which international consensus formation and defining of standards of care is highly advanced, based on large international clinical trials (Steg et al, 2012;Hamm et al, 2011). These variations appear to be associated with healthcare supply (physicians, nurses and beds) (Laut et al, 2013) but not with reimbursement type (Medicare Advantage versus Medicare Fee-for-Service) (Matlock et al, 2013). In the case of AMI, there is now strong evidence that percutaneous coronary intervention (PCI) for ST elevation myocardial infarction results in better outcomes than medical treatment when performed within 2 hours after presentation.…”

“…Thus, even though consensus exists on an important aspect of treatment, this does not apply to treatment as a whole and in all contexts. In the literature, variation in coronary angiography and PCI rates between countries was found indeed (Widimsky et al, 2010;Laut et al, 2013;Ko et al, 2010;Matlock et al, 2013;Chung et al, 2014). These variations appear to be associated with healthcare supply (physicians, nurses and beds) (Laut et al, 2013) but not with reimbursement type (Medicare Advantage versus Medicare Fee-for-Service) (Matlock et al, 2013).…”