A brave new world? Measuring trends in percutaneous coronary intervention for stable angina after COURAGE.

نویسنده

  • Edward J McNulty
چکیده

More than 4 years have elapsed since the publication of the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial,1 which led to rampant speculation regarding its potential impact on clinical practice. As memories of the heated rhetoric that punctuated that debate fade, we are now in a position to look back with calmer heads and use observational data to see whether COURAGE was indeed associated with changes in the use of percutaneous coronary intervention (PCI). Given the importance of the issue ( 600 000 patients underwent PCI in 2007),2 assessing the impact of COURAGE is an important test of the ability of these observational data resources to measure not only the presence of evidence-associated changes in practice, but also the pace and magnitude of those changes.

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عنوان ژورنال:
  • Circulation. Cardiovascular quality and outcomes

دوره 4 3  شماره 

صفحات  -

تاریخ انتشار 2011