Post on 27-May-2015
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Adventures in Cardiology: What SDM Means to Patients
Shannon Brownlee, MSActing Director, New America Foundation
Health Policy ProgramInstructor, The Dartmouth Institute for Health
Policy and Clinical Practice
brownlee@newamerica.net
Happy Cardiology News
REDDING, CALIFORNIA
Senate Finance Committee: “Midei may have implanted 585 stents which were medically unnecessary”
H. Vernon Anderson et al Circulation 2005;112;2786-2791
Relationship Between Procedure Indications and Outcomes of Percutaneous Coronary Interventions by American College of Cardiology/American Heart Association Task Force Guidelines
Cardiologists’ Use of PCI for Stable Coronary Artery Disease
“Yes, medical therapy is as effective as PCI, but when I see a lesion, the bottom line is that the oculostenotic reflex always wins out.”
“[The patient] is not going to get out of the cath lab without a stent.”
Grace A. Lin, et al ARCH INTERN MED/VOL 167 (NO. 15), AUG 13/27, 2007
Well Bob, it looks like a paper cut, but just to be sure, let’s do lots of catheterizations.
•Only 31% had activity limiting chest pain •Cardiologists’ perception of the patient’s angina was often greater than the patient’s
MB Rothberg Ann Intern Med. 2010 Sep 7;153(5):307-1
“Guidelines must be living documents; they must continue to evolve to meet the needs of interventional cardiologists faced with increasingly complex patients . . .”Circulation 2005;112;2754-2755
H. Vernon Anderson et al Circulation 2005;112;2786-2791
Relationship Between Procedure Indications and Outcomes of Percutaneous Coronary Interventions by American College of Cardiology/American Heart Association Task Force Guidelines
MARILDA
HEALTH CARE
Busting Budgets
$8,600 – 14,300
$7,800 – 8,600
$7,200 – 7,800
$6,600 – 7,200
$5,280 – 6,600
Not populated
THANK YOU!!
Source: Dartmouth Atlas