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Volume-outcome relationship for peripheral endovascular interventions: a review of existing literature

Sidakpal S Panaich1, Nilay Patel2, Kanishk Agnihotri2

  • 1a Cardiology Department , Borgess Medical Centre , Kalamazoo , MI , USA.

Expert Review of Pharmacoeconomics & Outcomes Research
|January 7, 2016
PubMed

Insights

Peripheral vascular disease (PVD) management using endovascular techniques is increasing. Higher procedure volumes for hospitals and operators correlate with better outcomes and resource use, suggesting regionalization of care.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Health Services Research

Background:

  • Peripheral vascular disease (PVD) incidence and prevalence are rising.
  • PVD coexisting with coronary artery disease (CAD) predicts increased mortality, reduced quality-of-life, and higher healthcare costs.
  • Endovascular techniques are increasingly used for PVD management.

Purpose of the Study:

  • To review the published literature on the volume-outcome relationship in peripheral endovascular procedures.
  • To examine how hospital and operator volumes impact outcomes and resource utilization.
  • To inform proposals for regionalizing PVD procedures and setting provider thresholds.

Main Methods:

  • Literature review of studies investigating the volume-outcome relationship in peripheral endovascular procedures.
  • Analysis of data on procedure volume, patient outcomes, and resource utilization.
  • Synthesis of findings to assess the impact of volume on PVD care.

Main Results:

  • An inverse relationship between procedure volume and patient outcomes was observed.
  • Higher hospital and operator volumes are associated with improved resource utilization.
  • Evidence suggests that increased volume positively impacts the effectiveness of endovascular treatments for PVD.

Conclusions:

  • Consolidating peripheral endovascular procedures at high-volume centers may improve patient outcomes.
  • Establishing minimum procedure volume thresholds for providers could enhance care quality.
  • The volume-outcome relationship is a critical consideration for optimizing PVD management strategies.

Keywords:
CADOperator VolumeOutcomesPeripheral Vascular diseaseVolume

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