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Quality criteria proposed by the BWGCPE Proportion high curative (CH-p): proportion of procedures performed with a curative goal and excellent rhythmologic.

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Presentation on theme: "Quality criteria proposed by the BWGCPE Proportion high curative (CH-p): proportion of procedures performed with a curative goal and excellent rhythmologic."— Presentation transcript:

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2 Quality criteria proposed by the BWGCPE Proportion high curative (CH-p): proportion of procedures performed with a curative goal and excellent rhythmologic prognose (Atrial flutter type 1 - Atrial tachycardia - AV node reentrant - Accessory pathways - Idiopathic VT). Succes high curative (CH-s): proportion of success considering procedures done with a high curative goal (see above). Proportion « low » curative (CL-p): proportion of procedures performed with a curative goal and low rhythmologic prognose (atrial fibrillation, ventricular tachycardia, intramyocardial, etc). Il faut absolument préciser les arythmies à partager entre CH et CL. DONE Succes « low » curative (CL-p): : proportion of success considering procedures done with a « low » curative goal (see above). Proportion His (His): proportion of procedures performed with a palliative goal without cure of the arrhythmia (His bundle ablation). Complication rate (Co): proportion of major complications.

3 Method The data are taken from the Rfdatabase program delivered to all the interventional rythmology centers in Belgium since 1996. 4355 RF procedures were volontarily recorded between february 1996 and march 2004. Number of participating centers : 24 Number of non participating centers : 13

4 Principles of quality evaluation of ablation practice in Belgium The purpose of quality evaluation is to reveal aberrant practices in terms of : –Indications (to promote curative procedures) –Succes (to promote permanent cure) –Complications It would offer each center a comparison between the indications and performance of their own practice and that of the national practice. This may guide each center to « auto-correction » of sub- optimal practices.

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6 Annual Cases submitted (all centers)

7 Annual Cases submitted Center x

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9 cf tableau précédent mais en %

10 Annual Evolution Ablation Indications (Center x)

11 cf tableau précédent mais en %

12 Global all criteria : center x compared with all centers statistics

13 Global all criteria : all centers compared with all centers statistics

14 CH-p over the years : center x compared with all centers statistics

15 CH-s over the years : center x compared with all centers statistics

16 CL-p over the years : center x compared with all centers statistics

17 CL-s over the years : center x compared with all centers statistics

18 His over the years : center x compared with all centers statistics

19 Co over the years : center x compared with all centers statistics

20 Details Center x

21 Details All Centers (1)

22 Details All Centers (2)

23 Aberrant activity : % centers with quality criteria > (Mean + SD) En chantier : MAJ avec nouveaux critères et présentation + lisible


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