Improved Clinical Outcome after Widespread Use of Coronary-Artery Stenting in Canada

JM Brophy - New England Journal of Medicine, 2000 - Mass Medical Soc
New England Journal of Medicine, 2000Mass Medical Soc
To the Editor: Given the strong relation between the volume of procedures and outcomes in
interventional cardiology, the results reported by Rankin et al.(Dec. 23 issue) 1 may not
completely reflect current population outcomes. 2, 3 The use of a hierarchical model might
have permitted a simultaneous investigation of the role of the individual operators. Also,
even the study's relatively large sample of 9594 procedures may have been inadequate to
identify small, but clinically meaningful, risks or benefits. For example, although the authors …
To the Editor: Given the strong relation between the volume of procedures and outcomes in interventional cardiology, the results reported by Rankin et al. (Dec. 23 issue)1 may not completely reflect current population outcomes.2,3 The use of a hierarchical model might have permitted a simultaneous investigation of the role of the individual operators.
Also, even the study's relatively large sample of 9594 procedures may have been inadequate to identify small, but clinically meaningful, risks or benefits. For example, although the authors are reassured by their finding that there was not a statistically significant increase in the unadjusted rate of . . .
The New England Journal Of Medicine