2018
Therapeutic pathways for new onset angina pectoris patients in Germany – Mapping of treatment landscape in a German statutory health insurance claims data analysis
Invasive coronary angiographies (ICA) often confirm neither a suspected coronary heart disease nor the necessity of revascularization in patients with newly diagnosed stable angina pectoris (AP). The representative anonymous sample was based on data of four million SHI patients in Germany (2011–2016). The study examined patients with AP who underwent ICA within twelve weeks of initial diagnosis and did not undergo revascularization within eight weeks. Patients with and without ICA were compared using a propensity score matching.
For 90% of patients with previous ICA, no subsequent revascularization was indicated; however, patients without ICA showed a significantly higher mortality rate. Comparable clinical results of both groups showed that an ICA often has no benefit but causes higher healthcare costs, which suggests that a systematic use of non-invasive procedures can be an alternative. The project was presented during a poster presentation at the TCT Congress 2018 in San Diego. A publication is planned.