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Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review

Clinical and economic burdens exist within the coronary artery disease (CAD) care pathway despite advances in diagnosis and treatment and the increasing utilization of percutaneous coronary intervention (PCI). However, research presenting a comprehensive assessment of the challenges across this path...

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Autores principales: Kodeboina, Monika, Piayda, Kerstin, Jenniskens, Inge, Vyas, Pearl, Chen, Sara, Pesigan, Ramon Julian, Ferko, Nicole, Patel, Barkha P., Dobrin, Annamaria, Habib, Jayson, Franke, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10177939/
https://www.ncbi.nlm.nih.gov/pubmed/37174152
http://dx.doi.org/10.3390/ijerph20095633
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author Kodeboina, Monika
Piayda, Kerstin
Jenniskens, Inge
Vyas, Pearl
Chen, Sara
Pesigan, Ramon Julian
Ferko, Nicole
Patel, Barkha P.
Dobrin, Annamaria
Habib, Jayson
Franke, Jennifer
author_facet Kodeboina, Monika
Piayda, Kerstin
Jenniskens, Inge
Vyas, Pearl
Chen, Sara
Pesigan, Ramon Julian
Ferko, Nicole
Patel, Barkha P.
Dobrin, Annamaria
Habib, Jayson
Franke, Jennifer
author_sort Kodeboina, Monika
collection PubMed
description Clinical and economic burdens exist within the coronary artery disease (CAD) care pathway despite advances in diagnosis and treatment and the increasing utilization of percutaneous coronary intervention (PCI). However, research presenting a comprehensive assessment of the challenges across this pathway is scarce. This contemporary review identifies relevant studies related to inefficiencies in the diagnosis, treatment, and management of CAD, including clinician, patient, and economic burdens. Studies demonstrating the benefits of integration and automation within the catheterization laboratory and across the CAD care pathway were also included. Most studies were published in the last 5–10 years and focused on North America and Europe. The review demonstrated multiple potentially avoidable inefficiencies, with a focus on access, appropriate use, conduct, and follow-up related to PCI. Inefficiencies included misdiagnosis, delays in emergency care, suboptimal testing, longer procedure times, risk of recurrent cardiac events, incomplete treatment, and challenges accessing and adhering to post-acute care. Across the CAD pathway, this review revealed that high clinician burnout, complex technologies, radiation, and contrast media exposure, amongst others, negatively impact workflow and patient care. Potential solutions include greater integration and interoperability between technologies and systems, improved standardization, and increased automation to reduce burdens in CAD and improve patient outcomes.
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spelling pubmed-101779392023-05-13 Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review Kodeboina, Monika Piayda, Kerstin Jenniskens, Inge Vyas, Pearl Chen, Sara Pesigan, Ramon Julian Ferko, Nicole Patel, Barkha P. Dobrin, Annamaria Habib, Jayson Franke, Jennifer Int J Environ Res Public Health Review Clinical and economic burdens exist within the coronary artery disease (CAD) care pathway despite advances in diagnosis and treatment and the increasing utilization of percutaneous coronary intervention (PCI). However, research presenting a comprehensive assessment of the challenges across this pathway is scarce. This contemporary review identifies relevant studies related to inefficiencies in the diagnosis, treatment, and management of CAD, including clinician, patient, and economic burdens. Studies demonstrating the benefits of integration and automation within the catheterization laboratory and across the CAD care pathway were also included. Most studies were published in the last 5–10 years and focused on North America and Europe. The review demonstrated multiple potentially avoidable inefficiencies, with a focus on access, appropriate use, conduct, and follow-up related to PCI. Inefficiencies included misdiagnosis, delays in emergency care, suboptimal testing, longer procedure times, risk of recurrent cardiac events, incomplete treatment, and challenges accessing and adhering to post-acute care. Across the CAD pathway, this review revealed that high clinician burnout, complex technologies, radiation, and contrast media exposure, amongst others, negatively impact workflow and patient care. Potential solutions include greater integration and interoperability between technologies and systems, improved standardization, and increased automation to reduce burdens in CAD and improve patient outcomes. MDPI 2023-04-25 /pmc/articles/PMC10177939/ /pubmed/37174152 http://dx.doi.org/10.3390/ijerph20095633 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Kodeboina, Monika
Piayda, Kerstin
Jenniskens, Inge
Vyas, Pearl
Chen, Sara
Pesigan, Ramon Julian
Ferko, Nicole
Patel, Barkha P.
Dobrin, Annamaria
Habib, Jayson
Franke, Jennifer
Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review
title Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review
title_full Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review
title_fullStr Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review
title_full_unstemmed Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review
title_short Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review
title_sort challenges and burdens in the coronary artery disease care pathway for patients undergoing percutaneous coronary intervention: a contemporary narrative review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10177939/
https://www.ncbi.nlm.nih.gov/pubmed/37174152
http://dx.doi.org/10.3390/ijerph20095633
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