The Practice Pattern of Percutaneous Coronary Intervention in Korea: Based on Year 2014 Cohort of Korean Percutaneous Coronary Intervention (K-PCI) Registry.
- Author:
Hyeon Cheol GWON
1
;
Dong Woon JEON
;
Hyun Jae KANG
;
Jae Sik JANG
;
Duk Woo PARK
;
Dong Ho SHIN
;
Keon Woong MOON
;
Jung Sun KIM
;
Juhan KIM
;
Jang Whan BAE
;
Seung Ho HUR
;
Byung Ok KIM
;
Donghoon CHOI
;
Kyoo Rok HAN
;
Hyo Soo KIM
Author Information
- Publication Type:Original Article
- Keywords: Percutaneous coronary intervention; Appropriateness criteria; Clinical practice
- MeSH: Area Under Curve; Classification; Cohort Studies*; Consensus; Coronary Artery Bypass; Delivery of Health Care; Humans; Korea*; Percutaneous Coronary Intervention*; Transplants
- From:Korean Circulation Journal 2017;47(3):320-327
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND AND OBJECTIVES: Appropriate use criteria (AUC) was developed to improve the quality of percutaneous coronary intervention (PCI). However, these criteria should consider the current practice pattern in the country where they are being applied. MATERIALS AND METHODS: The algorithm for the Korean PCI practice pattern (KP3) was developed by modifying the United States-derived AUC in expert consensus meetings. KP3 class A was defined as any strategy with evidence from randomized trials that was more conservative for PCI than medical therapy or coronary artery bypass graft (CABG). Class C was defined as any strategy with less evidence from randomized trials and more aggressive for PCI than medical therapy or CABG. Class B was defined as a strategy that was partly class A and partly class C. We applied the KP3 classification system to the Korean PCI registry. RESULTS: The KP3 class A was noted in 67.7% of patients, class B in 28.8%, and class C in 3.5%. The median proportion of class C cases per center was 2.0%. The distribution of KP3 classes varied significantly depending on clinical and angiographic characteristics. The proportion of KP3 class C cases per center was not significantly dependent on PCI volume, but rather on the percentage of ACS cases in each center. CONCLUSION: We report the current PCI practice pattern by applying the new KP3 classification in a nationwide PCI registry. The results should be interpreted carefully with due regard for the complex relationships between the determining variables and the healthcare system in Korea.
