How Do Rates of Cardiac Interventions Compare in New York and Ontario?

A tale of two databases

In this retrospective study, researchers used registry data to compare rates of invasive cardiac procedures in two similarly populated areas with different healthcare reimbursement systems: New York State (NY) and Ontario, Canada. Per capita, NY has about twice as many interventional cardiologists, cardiac surgeons, and hospitals with cardiac invasive facilities as Ontario.

During 2004–2006, the age- and sex-adjusted rate of coronary revascularization was 1.7 times higher in NY than in Ontario, a difference due almost entirely to a higher rate of percutaneous coronary intervention (PCI). The difference was greater in patients without myocardial infarction (MI) than in those with MI. In patients with acute MI, the PCI rate in Ontario increase…

Reviewing Author

Howard C. Herrmann, MD

Disclosures

Consultant/Advisory BoardAffluent Medical; Artedrone; Caranx; Johnson & Johnson; Medtronic; Prolifagen; Wells Fargo

EquityMicrointerventional Devices, Inc.

RoyaltiesUniversity of Pennsylvania

Grant/Research SupportAbbott Vascular; Edwards Lifesciences; Johnson & Johnson; Medtronic

Editorial BoardsCatheterization and Cardiovascular Interventions; Journal of the American College of Cardiology; Circulation: Cardiovascular Interventions; JACC Cardiovascular Interventions; JACC Case Reports; JSCAI