{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T07:57:47Z","timestamp":1779263867380,"version":"3.51.4"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"31","license":[{"start":{"date-parts":[[2019,4,10]],"date-time":"2019-04-10T00:00:00Z","timestamp":1554854400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>The public reporting of healthcare outcomes has a number of potential benefits; however, unintended consequences may limit its effectiveness as a quality improvement process. We aimed to assess whether the introduction of individual operator specific outcome reporting after percutaneous coronary intervention (PCI) in the UK was associated with a change in patient risk factor profiles, procedural management, or 30-day mortality outcomes in a large cohort of consecutive patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>This was an observational cohort study of 123\u00a0780 consecutive PCI procedures from the Pan-London (UK) PCI registry, from January 2005 to December 2015. Outcomes were compared pre- (2005\u201311) and post- (2011\u201315) public reporting including the use of an interrupted time series analysis. Patients treated after public reporting was introduced were older and had more complex medical problems. Despite this, reported in-hospital major adverse cardiovascular and cerebrovascular events rates were significantly lower after the introduction of public reporting (2.3 vs. 2.7%, P\u2009&amp;lt;\u20090.0001). Interrupted time series analysis demonstrated evidence of a reduction in 30-day mortality rates after the introduction of public reporting, which was over and above the existing trend in mortality before the introduction of public outcome reporting (35% decrease relative risk 0.64, 95% confidence interval 0.55\u20130.77; P\u2009&amp;lt;\u20090.0001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The introduction of public reporting has been associated with an improvement in outcomes after PCI in this data set, without evidence of risk-averse behaviour. However, the lower reported complication rates might suggest a change in operator behaviour and decision-making confirming the need for continued surveillance of the impact of public reporting on outcomes and operator behaviour.<\/jats:p>\n                  <jats:p\/>\n               <\/jats:sec>","DOI":"10.1093\/eurheartj\/ehz152","type":"journal-article","created":{"date-parts":[[2019,3,3]],"date-time":"2019-03-03T20:06:46Z","timestamp":1551643606000},"page":"2620-2629","source":"Crossref","is-referenced-by-count":11,"title":["The association between the public reporting of individual operator outcomes with patient profiles, procedural management, and mortality after percutaneous coronary intervention: an observational study from the Pan-London PCI (BCIS) Registry using an interrupted time series analysis"],"prefix":"10.1093","volume":"40","author":[{"given":"Daniel A","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, West Smithfield, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishnaraj S","family":"Rathod","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, West Smithfield, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudheer","family":"Koganti","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, West Smithfield, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pitt","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. George\u2019s Healthcare NHS Foundation Trust, St. George\u2019s Hospital, Blackshaw Road, Tooting, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Firoozi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. George\u2019s Healthcare NHS Foundation Trust, St. George\u2019s Hospital, Blackshaw Road, Tooting, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Bogle","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. George\u2019s Healthcare NHS Foundation Trust, St. George\u2019s Hospital, Blackshaw Road, Tooting, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay K","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, West Smithfield, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip A","family":"MacCarthy","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kings College Hospital, King\u2019s College Hospital NHS Foundation Trust, Denmark Hill, 10 Cutcombe Road, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miles C","family":"Dalby","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Royal Brompton & Harefield NHS Foundation Trust, Harefield Hospital, Hill End Road, Middlesex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iqbal S","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Imperial College Healthcare NHS Foundation Trust, Hammersmith Hospital, Du Cane Road, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, West Smithfield, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranil","family":"DeSilva","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Royal Brompton & Harefield NHS Foundation Trust, Harefield Hospital, Hill End Road, Middlesex, 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