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Coronary arteriography rates in Switzerland--how do they vary?

B Santos-Eggimann1, F Paccaud, F Gutzwiller

  • 1Institut Universitaire de Médicine Sociale et Préventive, Lausanne, Switzerland.

Social Science & Medicine (1982)
|January 1, 1989
PubMed

Insights

Coronary arteriography rates in Switzerland show significant disparities between men and women, and across regions. This invasive procedure for coronary heart disease patients highlights variations in healthcare access and utilization.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Coronary heart disease is a major cause of mortality in developed nations.
  • Debate exists regarding the benefits and risks of coronary surgery and angioplasty.
  • Coronary arteriography is a key invasive diagnostic procedure for coronary heart disease.

Purpose of the Study:

  • To analyze the utilization patterns of coronary arteriography in Switzerland during 1984.
  • To identify demographic and regional variations in the performance of this invasive cardiac procedure.

Main Methods:

  • Data collection on all patients undergoing coronary arteriography in Switzerland in 1984.
  • Calculation of procedure and patient rates per 100,000 residents.
  • Analysis of rates by sex, age group, canton, region, and healthcare center.

Main Results:

  • A total of 4921 coronary arteriographies were performed on 4359 patients.
  • Overall rates were 77 procedures and 68 patients per 100,000 residents.
  • Men underwent procedures 4.2 times more often than women, with peak utilization in the 40-64 age group.
  • Significant cantonal, regional, and center-specific variations in utilization were observed.

Conclusions:

  • Coronary arteriography utilization in Switzerland in 1984 exhibited notable demographic and geographic inequalities.
  • Findings provide a baseline for understanding invasive cardiology service distribution and potential impacts of expanding surgical and angioplasty interventions.

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