ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
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Coronary revascularization (Examples from the world and Turkey) [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2014; 42(3): 245-252 | DOI: 10.5543/tkda.2014.49765

Coronary revascularization (Examples from the world and Turkey)

Yücel Balbay1, Selim Bener2, Taner Kaygusuz2, Serkan Çay1, Erdoğan İlkay3
1Yuksek Ihtisas Hospital Cardiology Clinic, Ankara
2Ministry Of Health Public Hospitals Authority Cost Analysis Department, Ankara
3Medicana Hospital Cardiology Clinic, Ankara


OBJECTIVES
In this article, our aims were to analyze and assess the data related to coronary revascularization rates, particularly in recent years.

STUDY DESIGN
For this purpose, results of important studies, statistics of the Organisation for Economic Co-operation and Development (OECD) countries and data from Turkey’s Social Security Agency (SSA) were analyzed for the first time. Until recently, there has been no healthy digital database regarding revascularization rates in Turkey. In the years following the establishment of SSA, it became possible to collect and analyze data obtained from the Medulla database of the Agency. Using the data from the Agency for the period 2009-2011, revascularization rates and cost analyses were performed.

RESULTS
Between 2000 and 2010 in European countries as well as in other OECD countries, the percutaneous coronary intervention (PCI) rate was on average 75% of the total revascularization rate and neared 80%. In some countries, the rate has exceeded 85%. In our country, in 2009, 2010 and 2011, the number of coronary angiography procedures and as a result PCI has steadily increased. The rate for PCI was 66.8% in 2009, but it increased to 74% in 2011. At the same time, PCI accounted for 2/3-4/5 of all revascularization procedures. In the cost analysis, however, PCI constituted only 1/5-1/4 of the costs of all revascularization procedures.

CONCLUSION
This report is the first analysis in this area and it gives an initial idea about the current situation of the numerical and financial aspects. This analysis has provided the opportunity to obtain more accurate information about coronary revascularization rates in Turkey and to compare the data to that of other countries.

Keywords: Angioplasty/utilization, drug-eluting stents/utilization; cardiology/statistics & numerical data; coronary artery bypass/utilization; Turkey.

How to cite this article
Yücel Balbay, Selim Bener, Taner Kaygusuz, Serkan Çay, Erdoğan İlkay. Coronary revascularization (Examples from the world and Turkey). Turk Kardiyol Dern Ars. 2014; 42(3): 245-252

Corresponding Author: Yücel Balbay, Türkiye
Manuscript Language: Turkish


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Journal Citation Indicator: 0.18
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