[The use of coronary vessel radiography in Switzerland: a population study].

Titre[The use of coronary vessel radiography in Switzerland: a population study].
Publication TypeJournal Article
Year of Publication1987
AuthorsSantos-Eggimann, B, Paccaud, F, Gutzwiller, F
JournalSchweiz Med Wochenschr
Volume117
Issue20
Pagination747-55
Date Published1987 May 16
ISSN0036-7672
Mots-clésAdult, Aged, Cardiovascular Diseases, Coronary Angiography, Female, Humans, Male, Middle Aged, Population Surveillance, Retrospective Studies, Switzerland
Abstract

All patients having undergone a coronarography during 1984 have been surveyed in Switzerland. This retrospective study has used existing data in the 13 centers practicing this diagnostic procedure. 4921 coronarographies were carried out in 1984, amongst 4359 patients. In terms of population-based rates, the national figures are 77 procedures/100,000 residents, and 68 patients/100,000 residents. Female rates are one fourth of the male rates (27/100,000 versus 112/100,000). For both sexes, the highest utilization rates are for the age groups 60-64. Swiss figures are relatively low when compared with other developed countries. However, patterns of utilization are very different within the country: according to the Canton of residence of the patient, the utilization rates (standardized for age and sex) vary from 8/100,000 to 160/100,000. There is a distinct gradient from south-west to north-east, which closely corresponds to the distribution of centers practicing the procedure. More intriguing is the fact that cardiovascular mortality shows an inverse geographical gradient, with the highest mortality in Cantons having the lowest rate of coronarography. Various reasons for the observed variations are discussed, in relation with differences in supply of diagnostic and therapeutic equipments, but also in relation with various patterns of demand related to differential morbidity rates and/or differential patterns of clinical decision.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/3589631?dopt=Abstract

Alternate JournalSchweiz Med Wochenschr
Citation Key / SERVAL ID3667
PubMed ID3589631

                         

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