Utilisation de la coronarographie en Suisse: une étude de population. [The use of coronary vessel radiography in Switzerland: a population study].

Détails

ID Serval
serval:BIB_033CBA2B49A7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Utilisation de la coronarographie en Suisse: une étude de population. [The use of coronary vessel radiography in Switzerland: a population study].
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Eggimann B., Paccaud F., Gutzwiller F.
ISSN
0036-7672 (Print)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
1987
Volume
117
Numéro
20
Pages
747-755
Langue
français
Résumé
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.
Mots-clé
Adult, Aged, Cardiovascular Diseases/mortality, Coronary Angiography, Female, Humans, Male, Middle Aged, Population Surveillance, Retrospective Studies, Switzerland
Pubmed
Web of science
Création de la notice
08/08/2011 14:13
Dernière modification de la notice
20/08/2019 12:25
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