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Old 12-06-08, 06:11 PM   #1
DnvrFox
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Ablation Success Survey

For those interested. Significant patient-reported differences in success rates for atrial fibrillation treatment between hospitals.


http://www.afibbers.org/afib85ny.pdf

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Old 12-06-08, 07:42 PM   #2
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One of the tables in the report:

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Old 12-06-08, 08:47 PM   #3
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I've heard the Cleveland Clinic is the leader in this type ailment and ablation surgery. I guess I might be getting one at some point in the future. Right now I take Flecainide and Atenelol, and lots and lots of Magnesium. This has reduced my episodes from twice a week for 24 hours each to, about once every two weeks for 4 to 6 hours. I can live with this now but, these things generally don't get better as time moves on.
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Old 12-06-08, 08:51 PM   #4
Kurt Erlenbach
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I think comparative reports regarding medical facilities are misleading. The sicker patients go to the better hospitals, generally, and will have poorer results overall despite receiving superior care. The factor that I think is the most important is the number of procedures. A place that does a lot of procedures generally will be better at it. The fact that a particular hospital has poorer results does not necessarily mean it is a poorer hospital.
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Old 12-06-08, 08:58 PM   #5
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Quote:
Originally Posted by Kerlenbach View Post
I think comparative reports regarding medical facilities are misleading. The sicker patients go to the better hospitals, generally, and will have poorer results overall despite receiving superior care. The factor that I think is the most important is the number of procedures. A place that does a lot of procedures generally will be better at it. The fact that a particular hospital has poorer results does not necessarily mean it is a poorer hospital.
Ablation procedures are very much an art and not a science. It is not a standard procedure, and it is a developing field. There are, and have been, great variations, mostly dependent upon the practitioner as opposed to the particular facility, and the particular procedure the practitioner uses - there are at least ten major variations.

As the best practitioners tend to concentrate in certain hospitals, these hospitals tend to have better results.


Also, some hospitals do not have some of the very latest imaging devices, etc. Again, a very developing field.

Just a few years back success rate was about 50% lower on the average. It sill is below about 75%, again on the average. Certain physicians have much higher averages, however.
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