A survey of German centres performing invasive electrophysiology: structure, procedures, and training positions
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A survey of German centres performing invasive electrophysiology: structure, procedures, and training positions. / Neuberger, Hans-Ruprecht; Tilz, Roland Richard; Bonnemeier, Hendrik; Deneke, Thomas; Estner, Heidi L; Kriatselis, Charalampos; Kuniss, Malte; Luik, Armin; Sommer, Philipp; Steven, Daniel; von Bary, Christian; Voss, Frederik; Eckardt, Lars.
in: EUROPACE, Jahrgang 15, Nr. 12, 12.2013, S. 1741-1746.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - A survey of German centres performing invasive electrophysiology: structure, procedures, and training positions
AU - Neuberger, Hans-Ruprecht
AU - Tilz, Roland Richard
AU - Bonnemeier, Hendrik
AU - Deneke, Thomas
AU - Estner, Heidi L
AU - Kriatselis, Charalampos
AU - Kuniss, Malte
AU - Luik, Armin
AU - Sommer, Philipp
AU - Steven, Daniel
AU - von Bary, Christian
AU - Voss, Frederik
AU - Eckardt, Lars
PY - 2013/12
Y1 - 2013/12
N2 - AIMS: To provide a nationwide survey (and reference for the future) on cardiac electrophysiologists, types and numbers of invasive electrophysiological procedures, and training opportunities in 2010.METHODS AND RESULTS: German cardiology centres performing invasive electrophysiology were identified from quality reports and contacted to fill a questionnaire. A majority of 122 centres (65%) responded. Electrophysiology (ablation procedures and device therapy) was mainly part of a cardiology department (82%), and only in 9% independent (own budget). In only 58% of the centres, (at least) two physicians were present during catheter ablations. Although in 2010, women represented 59.4% of physicians <35 years old, only 26% of physicians in electrophysiology training were female. In total, 33 420 catheter ablations were performed with a median number of 180 per centre. Atrial fibrillation (AF) was the most common arrhythmia invasively treated (35%). At least 50 AF ablations were performed in 53% of the centres. Of the centres performing AF ablations, consecutive left atrial arrhythmias were treated by catheter ablation only in 75%, and only 44% had in-house surgical backup. Only one-fourth of the 122 centres fulfilled all requirements for training centre accreditation according to the European Heart Rhythm Association and the German Cardiac Society.CONCLUSION: The results indicate a high number of electrophysiology centres and procedures in Germany. Atrial fibrillation was the most common arrhythmia invasively treated. An increasing demand for catheter ablation is likely, but training opportunities are limited. Women are clearly underrepresented. A co-operation of higher and lower volume electrophysiology centres may be necessary for training purposes.
AB - AIMS: To provide a nationwide survey (and reference for the future) on cardiac electrophysiologists, types and numbers of invasive electrophysiological procedures, and training opportunities in 2010.METHODS AND RESULTS: German cardiology centres performing invasive electrophysiology were identified from quality reports and contacted to fill a questionnaire. A majority of 122 centres (65%) responded. Electrophysiology (ablation procedures and device therapy) was mainly part of a cardiology department (82%), and only in 9% independent (own budget). In only 58% of the centres, (at least) two physicians were present during catheter ablations. Although in 2010, women represented 59.4% of physicians <35 years old, only 26% of physicians in electrophysiology training were female. In total, 33 420 catheter ablations were performed with a median number of 180 per centre. Atrial fibrillation (AF) was the most common arrhythmia invasively treated (35%). At least 50 AF ablations were performed in 53% of the centres. Of the centres performing AF ablations, consecutive left atrial arrhythmias were treated by catheter ablation only in 75%, and only 44% had in-house surgical backup. Only one-fourth of the 122 centres fulfilled all requirements for training centre accreditation according to the European Heart Rhythm Association and the German Cardiac Society.CONCLUSION: The results indicate a high number of electrophysiology centres and procedures in Germany. Atrial fibrillation was the most common arrhythmia invasively treated. An increasing demand for catheter ablation is likely, but training opportunities are limited. Women are clearly underrepresented. A co-operation of higher and lower volume electrophysiology centres may be necessary for training purposes.
KW - Accreditation/trends
KW - Adult
KW - Arrhythmias, Cardiac/diagnosis
KW - Cardiology/education
KW - Cardiology Service, Hospital/statistics & numerical data
KW - Catheter Ablation/statistics & numerical data
KW - Education, Medical, Graduate/trends
KW - Electrophysiologic Techniques, Cardiac/statistics & numerical data
KW - Female
KW - Germany
KW - Health Care Surveys
KW - Hospitals, High-Volume/trends
KW - Hospitals, Low-Volume/trends
KW - Humans
KW - Male
KW - Physicians, Women/trends
KW - Program Evaluation
KW - Surveys and Questionnaires
KW - Time Factors
KW - Workforce
U2 - 10.1093/europace/eut149
DO - 10.1093/europace/eut149
M3 - SCORING: Journal article
C2 - 23736806
VL - 15
SP - 1741
EP - 1746
JO - EUROPACE
JF - EUROPACE
SN - 1099-5129
IS - 12
ER -
