Publish in this journal
Journal Information
Vol. 68. Issue 10.
Pages 912 (October 2015)
Share
Share
Download PDF
More article options
Vol. 68. Issue 10.
Pages 912 (October 2015)
Letter to the Editor
DOI: 10.1016/j.rec.2015.06.005
Full text access
Factors Contributing to the Low Rate of Surgical Coronary Revascularization in Spain. Are We Following the Recommendations? Response
Factores que contribuyen a la reducida indicación de la cirugía de revascularización coronaria en España. ¿Seguimos las recomendaciones? Respuesta
Visits
...
Eduardo Vázquez Ruiz de Castroviejo
Corresponding author
vazquez89@arrakis.es

Corresponding author:
, Juan A. Herrador Fuentes, Juan Carlos Fernández Guerrero
Unidad de Gestión Clínica de Cardiología, Complejo Hospitalario de Jaén, Jaén, Spain
Related content
Rev Esp Cardiol. 2015;68:91010.1016/j.rec.2015.05.012
Javier Gualis Cardona, Armando Pérez de Prado, Mario Castaño Ruiz, Felipe Fernández-Vázquez
Rev Esp Cardiol. 2015;68:91110.1016/j.rec.2015.05.013
-->Iñigo Lozano, Jose M. Vegas, Juan Rondan, Eduardo Segovia
This item has received
...
Visits
(Daily data update)
Article information
Full Text
Bibliography
Download PDF
Statistics
Full Text
To the Editor,

We appreciate the comments and interest from Gualis Cardona et al and Lozano et al regarding our study.1 Their comments support our impression that the results from our study can be extrapolated to most Spanish centers. They explained their opinions on the causes that have led to the infrequent use of coronary revascularization surgery in Spain. We would add to these causes the progressive increase in experience and confidence of the interventional cardiologists when it comes to treating lesions of the common trunk or multivessel disease, the advances in technology that have led to a low rate of restenosis and thrombosis, and patient preferences, particularly for patients of advanced age.

There is also a lack of published data on surgical results from hospitals in our environment and a low rate of procedures by some cardiac surgeons, owing to a low rate of referral. We think this could contribute to the perception some cardiologists have that the results of surgery in centers where practice is based on guideline recommendations are not comparable to results obtained nationwide.

However, our intention was not to perform an exhaustive analysis of the factors that have led to the situation we described, but to stress the need for their analysis.

During recent years it has been common to see studies and registers published in our environment that analyze rates of compliance with guidelines for such prevalent and relevant conditions as atrial fibrillation,2 acute coronary syndrome,3 hypertension,4 or hyperlididemia.5 However, we are not aware of any studies that have analyzed compliance with clinical guideline recommendations on coronary revascularization.

The lack of economic interest in promoting initiatives or support for this type of study should not be an impediment; the scientific societies and administrative bodies can and must encourage the conduction of such studies.

Finally, we would like to acknowledge the comments from Gualis Cardona et al. regarding our study opening the door to an essential debate in our country. Should this happen, we will consider the main objective of our study1 achieved.

References
[1]
Vázquez Ruiz de Castroviejo E, Herrador Fuentes JÁ, Guzmán Herrera M, Aragón Extremera V, Alania Torres EM, Fernández Guerrero JC. Utilización de la cirugía de revascularización coronaria en nuestro medio. ¿Seguimos las recomendaciones de las guías? Rev Esp Cardiol. 2015;68:635–6.
[2]
V. Barrios, A. Calderón, C. Escobar, M. de la Figuera.
Pacientes con fibrilación auricular asistidos en consultas de atención primaria. Estudio Val-FAAP.
Rev Esp Cardiol., 65 (2012), pp. 47-53
[3]
J.A. Barrabés, A. Bardají, J. Jiménez-Candil, F. del Nogal Sáez, V. Bodí, N. Basterra, et al.
Pronóstico y manejo del síndrome coronario agudo en España en 2012: estudio DIOCLES.
Rev Esp Cardiol., 68 (2015), pp. 98-106
[4]
A. Cordero, V. Bertomeu-Martínez, P. Mazón, L. Fácila, V. Bertomeu-González, J. Cosín, et al.
Factores asociados a la falta de control de la hipertensión arterial en pacientes con y sin enfermedad cardiovascular.
Rev Esp Cardiol., 64 (2011), pp. 587-593
[5]
P. Mazón-Ramos, A. Cordero, J.R. González-Juanatey, V. Bertomeu Martínez, E. Delgado, G. Vitale, et al.
Control de factores de riesgo cardiovascular en pacientes diabéticos revascularizados: un subanálisis del estudio ICP-Bypass.
Rev Esp Cardiol., 68 (2015), pp. 115-120
Copyright © 2015. Sociedad Española de Cardiología
Idiomas
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.