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
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
