{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T12:18:50Z","timestamp":1769429930341,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,3,16]],"date-time":"2017-03-16T00:00:00Z","timestamp":1489622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"AHA\/Spina Outcomes Research Center","award":["0875149 N"],"award-info":[{"award-number":["0875149 N"]}]},{"DOI":"10.13039\/100000050","name":"the National Heart Lung and Blood Institute","doi-asserted-by":"crossref","award":["R01-HL096624"],"award-info":[{"award-number":["R01-HL096624"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000050","name":"NHLBI","doi-asserted-by":"crossref","award":["T32HL110837"],"award-info":[{"award-number":["T32HL110837"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Boston Scientific and honoraria or speaking fees from Abiomed and Medtronic"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2017,8]]},"abstract":"Drug\u2010eluting stents (DES<\/jats:styled-content>) reduce risk of in\u2010stent restenosis after percutaneous coronary intervention (PCI<\/jats:styled-content>) but require dual antiplatelet therapy (DAPT<\/jats:styled-content>) for a longer term than bare\u2010metal stents (BMS<\/jats:styled-content>). Few studies have examined clinical predictors of DES<\/jats:styled-content> vs BMS<\/jats:styled-content>, and variability in provider selection between DES<\/jats:styled-content> and BMS<\/jats:styled-content> in clinical practice has not been well described. These insights can inform our understanding of current practice and may identify opportunities to improve decision\u2010making stent selection decinsion\u2010making. In a multicenter registry, 3295 consecutive patients underwent PCI<\/jats:styled-content> by 158 interventional cardiologists across 10 US<\/jats:styled-content> sites. Eighty percent of patients with treated with DES. Using hierarchical regression, diabetes mellitus, multivessel disease, health insurance, and white race were independently associated with greater DES<\/jats:styled-content> use, whereas increasing age, history of hypertension, anticipated surgery, use of warfarin, lower hemoglobin, prior history of bleeding, and treatment of right coronary and left circumflex artery lesions as compared with PCI<\/jats:styled-content> of left anterior descending artery were associated with lower likelihood of receiving DES<\/jats:styled-content>. Adjusted rates of DES<\/jats:styled-content> use across providers varied from 52.3% to 94.6%, and adjusted median odds ratio for DES<\/jats:styled-content> selection was 1.69. DES<\/jats:styled-content> selection appeared to reflect physicians\u2019 attempts to balance benefits of DES<\/jats:styled-content> against risks of prolonged DAPT<\/jats:styled-content>. Nevertheless, marked residual variability in DES<\/jats:styled-content> selection across providers persisted after adjusting for predictors of restenosis, bleeding, and other factors. Further studies are needed to better understand drivers of this variability and identify the impact of patient and provider preferences on stent selection at the time of PCI<\/jats:styled-content>.<\/jats:p>","DOI":"10.1002\/clc.22693","type":"journal-article","created":{"date-parts":[[2017,3,16]],"date-time":"2017-03-16T17:48:35Z","timestamp":1489686515000},"page":"521-527","source":"Crossref","is-referenced-by-count":10,"title":["Predictors and variability of drug\u2010eluting vs bare\u2010metal stent selection in contemporary percutaneous coronary intervention: Insights from the PRISM<\/scp> study"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6261-9595","authenticated-orcid":false,"given":"Ali","family":"Shafiq","sequence":"first","affiliation":[{"name":"Department of Cardiology Aurora Health Care Milwaukee 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