Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and Trends.
Journal
Journal of interventional cardiology
ISSN: 1540-8183
Titre abrégé: J Interv Cardiol
Pays: United States
ID NLM: 8907826
Informations de publication
Date de publication:
2023
2023
Historique:
received:
23
01
2023
revised:
10
08
2023
accepted:
06
11
2023
medline:
27
12
2023
pubmed:
27
12
2023
entrez:
27
12
2023
Statut:
epublish
Résumé
Despite an association between operator volumes and procedural success, there remains an incomplete understanding of the contemporary utilization and procedural volumes for mitral valve transcatheter edge-to-edge repair (MTEER). We aimed to identify annual operator procedural volumes, temporal trends, and geographic variability for MTEER among Medicare patients in the United States (US). We queried the National Medicare Provider Utilization and Payment Database for a CPT code (33418) specific for MitraClip device from 2015 through 2019. We analyzed annual operator procedural volumes and incidence and identified longitudinal and geographic trends in MTEER utilization. From 2015 through 2019, a total of 27,034 MTEER procedures were performed among Medicare patients in the US. The nationwide incidence increased from 6.2 per 100,000 patients in 2015 to 23.8 per 100,000 patients in 2019, a 283% increase over the study period ( In this nationwide study of Medicare beneficiaries in the United States, we identified a significant and sustained increase in the utilization of MTEER devices and operators and growth in annual procedural volumes from 2015 through 2019 with considerable variability in utilization by state. Further studies are needed to understand the clinical impact of variability in utilization and the optimal procedural volumes to ensure high efficacy outcomes and maintain critical access to MTEER therapies.
Sections du résumé
Background
UNASSIGNED
Despite an association between operator volumes and procedural success, there remains an incomplete understanding of the contemporary utilization and procedural volumes for mitral valve transcatheter edge-to-edge repair (MTEER). We aimed to identify annual operator procedural volumes, temporal trends, and geographic variability for MTEER among Medicare patients in the United States (US).
Methods
UNASSIGNED
We queried the National Medicare Provider Utilization and Payment Database for a CPT code (33418) specific for MitraClip device from 2015 through 2019. We analyzed annual operator procedural volumes and incidence and identified longitudinal and geographic trends in MTEER utilization.
Results
UNASSIGNED
From 2015 through 2019, a total of 27,034 MTEER procedures were performed among Medicare patients in the US. The nationwide incidence increased from 6.2 per 100,000 patients in 2015 to 23.8 per 100,000 patients in 2019, a 283% increase over the study period (
Conclusions
UNASSIGNED
In this nationwide study of Medicare beneficiaries in the United States, we identified a significant and sustained increase in the utilization of MTEER devices and operators and growth in annual procedural volumes from 2015 through 2019 with considerable variability in utilization by state. Further studies are needed to understand the clinical impact of variability in utilization and the optimal procedural volumes to ensure high efficacy outcomes and maintain critical access to MTEER therapies.
Identifiants
pubmed: 38149109
doi: 10.1155/2023/6617035
pmc: PMC10751158
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6617035Informations de copyright
Copyright © 2023 Kris Kumar et al.
Déclaration de conflit d'intérêts
Zahr reports research grants from Edwards Lifesciences, Medtronic, and Siemens. Sorajja reports service as a consultant for Abbot Vascular, Edwards Lifesciences, Medtronic, Boston Scientific, TriFlo, and VDyne. Reeves reports service as consultant for Edwards Lifesciences and research grants from Edwards Lifesciences, Avicenna, and Ventrix. Song reports service as a consultant for Medtronic and Edwards Lifesciences. Smith reports service as a consultant for Edwards Lifesciences and CryoLife and research grant from Abbott Vascular and Edwards Lifesciences. Chadderdon reports service as an educational consultant for Medtronic and Edwards Lifesciences. Chhatriwalla reports service as a consultant for Abbott Vascular, Edwards Lifesciences, and Medtronic and research grant from Boston Scientific. Golwala reports service as an advisory consultant for Medtronic and Boston Scientific. All other authors declare that they have no conflicts of interest.