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Aortic valve replacement rates in Australia from 2004 to 2019
Background Several surgical and percutaneous treatments are available for patients with aortic valve disease. Aim To establish whether trends in aortic valve replacements (AVR) in Australia reflect recent evidence. Methods Using the Australian Institute of Health and Welfare data, this study calcula...
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| Published in: | Internal medicine journal 2023-04, Vol.53 (4), p.525-530 |
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| Main Authors: | , , , , |
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| container_end_page | 530 |
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| container_start_page | 525 |
| container_title | Internal medicine journal |
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| creator | Bamford, Paul Said, Christian Al‐Omary, Mohammed S. Bhagwandeen, Rohan Boyle, Andrew |
| description | Background
Several surgical and percutaneous treatments are available for patients with aortic valve disease.
Aim
To establish whether trends in aortic valve replacements (AVR) in Australia reflect recent evidence.
Methods
Using the Australian Institute of Health and Welfare data, this study calculated all AVR and balloon aortic valvuloplasty (BAV) procedures conducted in all Australian hospitals from 2004 to 2019. Linear regression analysis was performed to determine whether age‐adjusted rates had changed over the study period.
Results
There were 80 883 AVR performed. Of these, 66% were men and 64% were aged >70 years. Absolute rates of AVR increased from 3631 to 7277 with a significant 22% age‐adjusted rise seen (1.9% increase per year (+0.26 per 100 000 per year; 95% confidence interval 0.19–0.34); P 80 years (+0.23 per 100 000 per year; P |
| doi_str_mv | 10.1111/imj.15624 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2597811624</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2805653932</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3534-27267ee6fb26eb98283f93afcfc53695776ac07b06a58c5104b42ecfe9d27af53</originalsourceid><addsrcrecordid>eNp1kD1PwzAQQC0EoqUw8AdQJBYY0vozjgeGquKjqIgFZstxz1KqpCl2UtR_j2kKAxK33A1PT6eH0CXBYxJnUtarMREZ5UdoSDgXqVCKH-9vnmKF2QCdhbDCmEim-CkaMC5zjBUZortp49vSJltTbSHxsKmMhRrWbeJNCyEp18m0C603VWkS55s6oRjzpG3iJuocnThTBbg47BF6f7h_mz2li9fH-Wy6SC0TjKdU0kwCZK6gGRQqpzlzihlnnRUsU0LKzFgsC5wZkVtBMC84BetALak0TrARuum9G998dBBaXZfBQlWZNTRd0FQomRMSC0T0-g-6ajq_jt9pmmORCaYYjdRtT1nfhODB6Y0va-N3mmD93VTHpnrfNLJXB2NX1LD8JX8iRmDSA59lBbv_TXr-8twrvwC4-XzG</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2805653932</pqid></control><display><type>article</type><title>Aortic valve replacement rates in Australia from 2004 to 2019</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Bamford, Paul ; Said, Christian ; Al‐Omary, Mohammed S. ; Bhagwandeen, Rohan ; Boyle, Andrew</creator><creatorcontrib>Bamford, Paul ; Said, Christian ; Al‐Omary, Mohammed S. ; Bhagwandeen, Rohan ; Boyle, Andrew</creatorcontrib><description>Background
Several surgical and percutaneous treatments are available for patients with aortic valve disease.
Aim
To establish whether trends in aortic valve replacements (AVR) in Australia reflect recent evidence.
Methods
Using the Australian Institute of Health and Welfare data, this study calculated all AVR and balloon aortic valvuloplasty (BAV) procedures conducted in all Australian hospitals from 2004 to 2019. Linear regression analysis was performed to determine whether age‐adjusted rates had changed over the study period.
Results
There were 80 883 AVR performed. Of these, 66% were men and 64% were aged >70 years. Absolute rates of AVR increased from 3631 to 7277 with a significant 22% age‐adjusted rise seen (1.9% increase per year (+0.26 per 100 000 per year; 95% confidence interval 0.19–0.34); P < 0.001). This trend was more pronounced in men than women and in those aged >80 years (+0.23 per 100 000 per year; P < 0.001). Proportion of mechanical AVR implanted fell from 38.4% to 8.6% (P < 0.001). A total of 2683 transcatheter aortic valve implantation (TAVI) procedures was performed in 2019, representing a 52% annual increase from 2014. BAV increased from 66 procedures in 2004 to 862 in 2019.
Conclusion
Rates of AVR have increased significantly over the past 16 years, particularly in the elderly. Despite international guideline recommendations, fewer mechanical AVR are being used in younger cohorts. The uptake in TAVI rates might reflect evidence that suggests it is a safe alternative, at least in the medium term. BAV has also seen a resurgence during this time period.</description><identifier>ISSN: 1444-0903</identifier><identifier>EISSN: 1445-5994</identifier><identifier>DOI: 10.1111/imj.15624</identifier><identifier>PMID: 34780091</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Aged ; Aortic valve ; Aortic Valve - surgery ; aortic valve replacements ; Aortic Valve Stenosis - surgery ; Australia - epidemiology ; balloon aortic valvuloplasty ; Balloon treatment ; Female ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation - methods ; Humans ; Male ; Risk Factors ; TAVI ; Transcatheter Aortic Valve Replacement ; Treatment Outcome</subject><ispartof>Internal medicine journal, 2023-04, Vol.53 (4), p.525-530</ispartof><rights>2021 Royal Australasian College of Physicians.</rights><rights>2023 Royal Australasian College of Physicians</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-27267ee6fb26eb98283f93afcfc53695776ac07b06a58c5104b42ecfe9d27af53</citedby><cites>FETCH-LOGICAL-c3534-27267ee6fb26eb98283f93afcfc53695776ac07b06a58c5104b42ecfe9d27af53</cites><orcidid>0000-0001-5533-3919</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34780091$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bamford, Paul</creatorcontrib><creatorcontrib>Said, Christian</creatorcontrib><creatorcontrib>Al‐Omary, Mohammed S.</creatorcontrib><creatorcontrib>Bhagwandeen, Rohan</creatorcontrib><creatorcontrib>Boyle, Andrew</creatorcontrib><title>Aortic valve replacement rates in Australia from 2004 to 2019</title><title>Internal medicine journal</title><addtitle>Intern Med J</addtitle><description>Background
Several surgical and percutaneous treatments are available for patients with aortic valve disease.
Aim
To establish whether trends in aortic valve replacements (AVR) in Australia reflect recent evidence.
Methods
Using the Australian Institute of Health and Welfare data, this study calculated all AVR and balloon aortic valvuloplasty (BAV) procedures conducted in all Australian hospitals from 2004 to 2019. Linear regression analysis was performed to determine whether age‐adjusted rates had changed over the study period.
Results
There were 80 883 AVR performed. Of these, 66% were men and 64% were aged >70 years. Absolute rates of AVR increased from 3631 to 7277 with a significant 22% age‐adjusted rise seen (1.9% increase per year (+0.26 per 100 000 per year; 95% confidence interval 0.19–0.34); P < 0.001). This trend was more pronounced in men than women and in those aged >80 years (+0.23 per 100 000 per year; P < 0.001). Proportion of mechanical AVR implanted fell from 38.4% to 8.6% (P < 0.001). A total of 2683 transcatheter aortic valve implantation (TAVI) procedures was performed in 2019, representing a 52% annual increase from 2014. BAV increased from 66 procedures in 2004 to 862 in 2019.
Conclusion
Rates of AVR have increased significantly over the past 16 years, particularly in the elderly. Despite international guideline recommendations, fewer mechanical AVR are being used in younger cohorts. The uptake in TAVI rates might reflect evidence that suggests it is a safe alternative, at least in the medium term. BAV has also seen a resurgence during this time period.</description><subject>Aged</subject><subject>Aortic valve</subject><subject>Aortic Valve - surgery</subject><subject>aortic valve replacements</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Australia - epidemiology</subject><subject>balloon aortic valvuloplasty</subject><subject>Balloon treatment</subject><subject>Female</subject><subject>Heart Valve Prosthesis</subject><subject>Heart Valve Prosthesis Implantation - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Risk Factors</subject><subject>TAVI</subject><subject>Transcatheter Aortic Valve Replacement</subject><subject>Treatment Outcome</subject><issn>1444-0903</issn><issn>1445-5994</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp1kD1PwzAQQC0EoqUw8AdQJBYY0vozjgeGquKjqIgFZstxz1KqpCl2UtR_j2kKAxK33A1PT6eH0CXBYxJnUtarMREZ5UdoSDgXqVCKH-9vnmKF2QCdhbDCmEim-CkaMC5zjBUZortp49vSJltTbSHxsKmMhRrWbeJNCyEp18m0C603VWkS55s6oRjzpG3iJuocnThTBbg47BF6f7h_mz2li9fH-Wy6SC0TjKdU0kwCZK6gGRQqpzlzihlnnRUsU0LKzFgsC5wZkVtBMC84BetALak0TrARuum9G998dBBaXZfBQlWZNTRd0FQomRMSC0T0-g-6ajq_jt9pmmORCaYYjdRtT1nfhODB6Y0va-N3mmD93VTHpnrfNLJXB2NX1LD8JX8iRmDSA59lBbv_TXr-8twrvwC4-XzG</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Bamford, Paul</creator><creator>Said, Christian</creator><creator>Al‐Omary, Mohammed S.</creator><creator>Bhagwandeen, Rohan</creator><creator>Boyle, Andrew</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5533-3919</orcidid></search><sort><creationdate>202304</creationdate><title>Aortic valve replacement rates in Australia from 2004 to 2019</title><author>Bamford, Paul ; Said, Christian ; Al‐Omary, Mohammed S. ; Bhagwandeen, Rohan ; Boyle, Andrew</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-27267ee6fb26eb98283f93afcfc53695776ac07b06a58c5104b42ecfe9d27af53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Aortic valve</topic><topic>Aortic Valve - surgery</topic><topic>aortic valve replacements</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Australia - epidemiology</topic><topic>balloon aortic valvuloplasty</topic><topic>Balloon treatment</topic><topic>Female</topic><topic>Heart Valve Prosthesis</topic><topic>Heart Valve Prosthesis Implantation - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Risk Factors</topic><topic>TAVI</topic><topic>Transcatheter Aortic Valve Replacement</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bamford, Paul</creatorcontrib><creatorcontrib>Said, Christian</creatorcontrib><creatorcontrib>Al‐Omary, Mohammed S.</creatorcontrib><creatorcontrib>Bhagwandeen, Rohan</creatorcontrib><creatorcontrib>Boyle, Andrew</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Internal medicine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bamford, Paul</au><au>Said, Christian</au><au>Al‐Omary, Mohammed S.</au><au>Bhagwandeen, Rohan</au><au>Boyle, Andrew</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic valve replacement rates in Australia from 2004 to 2019</atitle><jtitle>Internal medicine journal</jtitle><addtitle>Intern Med J</addtitle><date>2023-04</date><risdate>2023</risdate><volume>53</volume><issue>4</issue><spage>525</spage><epage>530</epage><pages>525-530</pages><issn>1444-0903</issn><eissn>1445-5994</eissn><abstract>Background
Several surgical and percutaneous treatments are available for patients with aortic valve disease.
Aim
To establish whether trends in aortic valve replacements (AVR) in Australia reflect recent evidence.
Methods
Using the Australian Institute of Health and Welfare data, this study calculated all AVR and balloon aortic valvuloplasty (BAV) procedures conducted in all Australian hospitals from 2004 to 2019. Linear regression analysis was performed to determine whether age‐adjusted rates had changed over the study period.
Results
There were 80 883 AVR performed. Of these, 66% were men and 64% were aged >70 years. Absolute rates of AVR increased from 3631 to 7277 with a significant 22% age‐adjusted rise seen (1.9% increase per year (+0.26 per 100 000 per year; 95% confidence interval 0.19–0.34); P < 0.001). This trend was more pronounced in men than women and in those aged >80 years (+0.23 per 100 000 per year; P < 0.001). Proportion of mechanical AVR implanted fell from 38.4% to 8.6% (P < 0.001). A total of 2683 transcatheter aortic valve implantation (TAVI) procedures was performed in 2019, representing a 52% annual increase from 2014. BAV increased from 66 procedures in 2004 to 862 in 2019.
Conclusion
Rates of AVR have increased significantly over the past 16 years, particularly in the elderly. Despite international guideline recommendations, fewer mechanical AVR are being used in younger cohorts. The uptake in TAVI rates might reflect evidence that suggests it is a safe alternative, at least in the medium term. BAV has also seen a resurgence during this time period.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>34780091</pmid><doi>10.1111/imj.15624</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-5533-3919</orcidid></addata></record> |
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| ispartof | Internal medicine journal, 2023-04, Vol.53 (4), p.525-530 |
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| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Aged Aortic valve Aortic Valve - surgery aortic valve replacements Aortic Valve Stenosis - surgery Australia - epidemiology balloon aortic valvuloplasty Balloon treatment Female Heart Valve Prosthesis Heart Valve Prosthesis Implantation - methods Humans Male Risk Factors TAVI Transcatheter Aortic Valve Replacement Treatment Outcome |
| title | Aortic valve replacement rates in Australia from 2004 to 2019 |
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