Why we need a national registry in interventional cardiology

Scott, Ian A. (2008) Why we need a national registry in interventional cardiology. Medical Journal of Australia, 189 4: 223-227.


Author Scott, Ian A.
Title Why we need a national registry in interventional cardiology
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
1326-5377
Publication date 2008-08-18
Sub-type Article (original research)
Volume 189
Issue 4
Start page 223
End page 227
Total pages 5
Place of publication Strawberry Hills, NSW, Australia
Publisher Australasian Medical Publishing Company
Language eng
Subject 1117 Public Health and Health Services
1103 Clinical Sciences
1102 Cardiovascular Medicine and Haematology
Formatted abstract •  Percutaneous coronary intervention (PCI) is increasingly used in the management of acute coronary syndromes and refractory angina, and technical advances such as drug-eluting stents (DES) and potent antithrombotic therapies (such as clopidogrel and glycoprotein IIb/IIIa inhibitors) have been heralded as improving long-term outcomes.

•  Offsetting these advances has been: considerable concern about the safety of DES in regard to late stent thrombosis and antithrombotic drug-induced bleeding; the rising use of PCI and DES in clinical situations where evidence of efficacy is lacking; preferential use of PCI in low-risk populations; and limited cost-effectiveness data comparing PCI with other treatments.

•  There are few contemporary data in Australia on the efficacy, safety and costs of PCI — as used in everyday clinical practice — that matches clinical outcomes with baseline patient characteristics, indications for intervention, coronary anatomy, procedural technique, co-interventions and site of care.

  A national registry that prospectively collects standardised data on processes and outcomes of PCI is warranted. This would ensure safe and appropriate evidence-based use of limited resources in an era of expanding use of PCI in clinical circumstances not tested in randomised trials.
Keyword Percutaneous coronary intervention
Drug-eluting stents
Acute coronary syndromes
Clinical practice
National registry
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Thu, 07 Jan 2010, 12:35:11 EST by Elissa Saffery on behalf of Faculty Of Health Sciences