Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and Trends
Background. 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, te...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Journal of Interventional Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2023/6617035 |
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| author | Kris Kumar Timothy F. Simpson Harsh Golwala Adnan K. Chhatriwalla Scott M. Chadderdon Robert L. Smith Howard K. Song Ryan R. Reeves Paul Sorajja Firas E. Zahr |
| author_facet | Kris Kumar Timothy F. Simpson Harsh Golwala Adnan K. Chhatriwalla Scott M. Chadderdon Robert L. Smith Howard K. Song Ryan R. Reeves Paul Sorajja Firas E. Zahr |
| author_sort | Kris Kumar |
| collection | DOAJ |
| description | Background. 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. 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. 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 (Ptrend < 0.001). The incidence of MTEER by state varied by nearly 900% (range 5.5 to 54.9 per 100,000 person-years). In 2019, the mean annual MTEER operator annual volume was 9.1 MTEER procedures and had grown from 6.2 per year in 2015. Conclusions. 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. |
| format | Article |
| id | doaj-art-a99bf970dcea44e5989e92c29725ae00 |
| institution | Kabale University |
| issn | 1540-8183 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Interventional Cardiology |
| spelling | doaj-art-a99bf970dcea44e5989e92c29725ae002025-02-03T06:42:50ZengWileyJournal of Interventional Cardiology1540-81832023-01-01202310.1155/2023/6617035Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and TrendsKris Kumar0Timothy F. Simpson1Harsh Golwala2Adnan K. Chhatriwalla3Scott M. Chadderdon4Robert L. Smith5Howard K. Song6Ryan R. Reeves7Paul Sorajja8Firas E. Zahr9Knight Cardiovascular InstituteKnight Cardiovascular InstituteKnight Cardiovascular InstituteSaint Luke’s Mid America Heart InstituteKnight Cardiovascular InstituteThe Heart Hospital, Baylor Scott and WhiteKnight Cardiovascular InstituteSulpizio Cardiovascular CenterMinneapolis Heart InstituteKnight Cardiovascular InstituteBackground. 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. 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. 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 (Ptrend < 0.001). The incidence of MTEER by state varied by nearly 900% (range 5.5 to 54.9 per 100,000 person-years). In 2019, the mean annual MTEER operator annual volume was 9.1 MTEER procedures and had grown from 6.2 per year in 2015. Conclusions. 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.http://dx.doi.org/10.1155/2023/6617035 |
| spellingShingle | Kris Kumar Timothy F. Simpson Harsh Golwala Adnan K. Chhatriwalla Scott M. Chadderdon Robert L. Smith Howard K. Song Ryan R. Reeves Paul Sorajja Firas E. Zahr Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and Trends Journal of Interventional Cardiology |
| title | Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and Trends |
| title_full | Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and Trends |
| title_fullStr | Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and Trends |
| title_full_unstemmed | Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and Trends |
| title_short | Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and Trends |
| title_sort | mitral valve transcatheter edge to edge repair volumes and trends |
| url | http://dx.doi.org/10.1155/2023/6617035 |
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