Availability of interventional-radiological revascularization procedures in Germany – an analysis of the DeGIR Registry Data 2018/19

Andreas H. Mahnken; Jonathan Nadjiri; Balthasar Schachtner; Arno Bücker; Lothar J. Heuser; Dominik Morhard; Peter Landwehr; Ralf-Thorsten Hoffmann; Ansgar Berlis; Marcus Katoh; Peter Reimer; Michael Ingrisch; Philipp Paprottka

doi:10.1055/a-1535-2774

RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, Table of Contents

Rofo 2022; 194(02): 160-168
DOI: 10.1055/a-1535-2774

Interventional Radiology

Availability of interventional-radiological revascularization procedures in Germany – an analysis of the DeGIR Registry Data 2018/19

Article in several languages: English | deutsch

Andreas H. Mahnken

¹Diagnostic & Interventional Radiology, Philipps-University Marburg, Germany

,

Jonathan Nadjiri

²Department of Interventional Radiology, Klinikum rechts der Isar of the Technical University of Munich, Germany

,

Balthasar Schachtner

³Department of Radiology, Ludwig-Maximilians-Universität München, Munich, Germany

,

Arno Bücker

⁴Clinic of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany

,

Lothar J. Heuser

⁵Diagnostic and Interventional Radiology, Ruhr-Universität Bochum, Germany

,

Dominik Morhard

⁶Radiology and Neuroradiology, Leopoldina-Krankenhaus der Stadt Schweinfurt GmbH, Schweinfurt, Germany

,

Peter Landwehr

⁷Department for Diagnostic and Interventional Radiology, Diakoniekrankenhaus Henriettenstiftung, Hannover, Germany

,

Ralf-Thorsten Hoffmann

⁸Inst. u. Pk. f. Radiologische Diagnostik, Medizinische Fakultät Carl Gustav Carus an der TU Dresden, Germany

,

Ansgar Berlis

⁹Diagnostische und Interventionelle Neuroradiologie, Neurozentrum, Augsburg, Germany

,

Marcus Katoh

¹⁰Diagnostische und Interventionelle Radiologie, Helios-Klinikum Krefeld, Germany

,

Peter Reimer

¹¹Zentralinstitut für bildgebende Diagnostik, Städtisches Klinikum Karlsruhe, Germany

,

Michael Ingrisch

¹²Josef Lissner Laboratory for Biomedical Imaging, Institute for Clinical Radiology, Ludwig Maximilians University Hospital Munich, Germany, Munich, Germany

,

Philipp Paprottka

¹³Sektion für Interventionelle Radiologie, Klinikum rechts der Isar der Technischen Universität München, Germany

› Author Affiliations

Abstract

Purpose Peripheral artery disease (PAD) is a common condition with high socio-economic relevance. Therefore, qualified nationwide provision of interventional treatments of PAD is important for maintaining a high quality medical service in Germany.

Materials and Methods All data on revascularization procedures from the quality management system of the German interventional radiological society (DeGIR) for the years 2018 and 2019 were retrospectively analysed. Number and distribution of DeGIR certified endovascular specialists and treatment centres was mapped. Documented procedures were broken down to the level of administrative districts. Absolute number of revascularization procedures and normalized number per one million inhabitants were computed.

Results In 2019 there were 57 732 revascularization procedures from 228 participating centres performed by DeGIR certified interventional radiologists. A median of 62 recanalization procedures were documented per centre. 36 centres were considered to be high volume centres, with more than 500 procedures each. On a regional level in the years 2018 and 2019 combined a median (range) of 2324 (323–12 518) revascularization procedures per administrative district were performed by DeGIR certified interventional radiologist.

Conclusion There is a comprehensive nationwide high quality interventional-radiology service for the provision of revascularization procedures available in Germany.

Key points:

In Germany there is a nationwide comprehensive infratsructure for the interventional-radiological treatment of PAD
The volume of interventional-radiological treatments for PAD is growing
There is a sufficient number of training and treatment centres for the delivery of interventional radiology procedures

Citation Format

Mahnken AH, Nadjiri J, Schachtner B et al. Availability of interventional-radiological revascularization procedures in Germany – an analysis of the DeGIR Registry Data 2018/19. Fortschr Röntgenstr 2022; 194: 160 – 168

Key Words

DeGIR registry data - module A - nationwide availability - interventional radiology - peripheral artery disease - revascularization

Full Text

References

References
1 Statistisches Bundesamt (Destatis). Diagnosedaten der Krankenhäuser ab 2000 (Fälle/Sterbefälle, Fälle je 100000 Einwohner). Gliederungsmerkmale: Jahre, Wohnsitz, Alter, Geschlecht, Verweildauer, ICD-4-Steller, Art der Standardisierung. https://www.gbe-bund.de/gbe/pkg_isgbe5.prc_menu_olap?p_uid=gasts&p_aid=31256798&p_sprache=D&p_help=3&p_indnr=703&p_indsp=&p_ityp=H&p_fid= Zugriff: 28.03.2021
2 Diehm C, Schuster A, Allenberg JR. et al. High prevalence of peripheral arterial disease and co-morbidity in 6880 primary care patients: cross-sectional study. Atherosclerosis 2004; 172: 95-105
3 Sigvant B, Wiberg-Hedman K, Bergqvist D. et al. A population-based study of peripheral arterial disease prevalence with special focus on critical limb ischemia and sex differences. J Vasc Surg 2007; 45: 1185-1191
4 Moutinho M, Simões I, Rodrigues S. et al. Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study. Acta Med Port 2019; 32: 348-354
5 Norgren L, Hiatt WR, Dormandy JA. et al. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg 2007; 33 (Suppl. 01) S1-S75
6 Becker F, Robert-Ebadi H, Ricco JB. et al. Chapter I: Definitions, epidemiology, clinical presentation and prognosis. Eur J Vasc Endovasc Surg 2011; 42 (Suppl. 02) S4-S12
7 Conte MS, Pomposelli FB, Clair DG. Society for Vascular Surgery Lower Extremity Guidelines Writing Group. et al. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: management of asymptomatic disease and claudication. J Vasc Surg 2015; 61 (Suppl. 03) 2S-41S
8 Malyar N, Fürstenberg T, Wellmann J. et al. Recent trends in morbidity and in-hospital outcomes of in-patients with peripheral arterial disease: a nationwide population-based analysis. Eur Heart J 2013; 34: 2706-2714
9 Landwehr P, Reimer P, Bücker A. et al. DeGIR-/DGNR training programme in interventional radiology and neuroradiology. Vasa 2017; 46: 494-495
10 Mahnken AH, Bücker A, Hohl C. et al. White Paper: Curriculum in Interventional Radiology. Fortschr Röntgenstr 2017; 189: 309-311
11 Berlis A, Morhard D, Weber W. Flächendeckende Versorgung des akuten Schlaganfalls im Jahr 2016 und 2017 durch Neuro-Radiologen mittels mechanischer Thrombektomie in Deutschland anhand des DeGIR/DGNR-Registers. Fortschr Röntgenstr 2019; 191: 613-617
12 Nadjiri J, Schachtner B, Bücker A. et al. Flächendeckende Versorgung mit radiologisch durchgeführten gefäßverschließenden Maßnahmen zur interventionellen Behandlung von Blutungen in Deutschland in den Jahren 2016 und 2017 – Eine Analyse der DeGIR-Registerdaten. Fortschr Röntgenstr 2020; 192: 952-960
13 R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing. Vienna, Austria: 2020 https://www.R-project.org/
14 Gesundheitsberichterstattung des Bundes. Operationen und Prozeduren der vollstationären Patientinnen und Patienten in Krankenhäusern (Wohnort/Behandlungsort). Gliederungsmerkmale: Jahre, Region, Alter, Geschlecht. https://www.gbe-bund.de/gbe/pkg_olap_tables.prc_set_hierlevel?p_uid=gast&p_aid=3616918&p_sprache=D&p_help=2&p_indnr=662&p_ansnr=29398852&p_version=4&p_dim=D.390&p_dw=43173&p_direction=drill Zugriff: 28.03.2021
15 Tsetis D, Uberoi R, Fanelli F. et al. The Provision of Interventional Radiology Services in Europe: CIRSE Recommendations. Cardiovasc Intervent Radiol 2016; 39: 500-506
16 Belli AM, Reekers JA, Lee M. The importance of curriculum-based training and assessment in interventional radiology. Cardiovasc Intervent Radiol 2014; 37: 8-10
17 Statistisches Bundesamt (Destatis). Gesundheit – Fallpauschalenbezogene Krankenhausstatistik (DRG-Statistik) Operationen und Prozeduren der vollstationären Patientinnen und Patienten in Krankenhäusern (4-Steller) – 2019. Wiesbaden: Statistisches Bundesamt; 2020: 26