Abstract

Reporting physicians’ percutaneous coronary intervention (PCI) outcomes are intended to improve the quality of care by influencing clinician behavior and providing transparent information to patients. However, reporting can also have the unintended consequence of making physicians risk-averse and less willing to offer PCI to more complex and sicker patients. SCAI recommends public reporting but emphasizes that excessive reliance on risk-adjusted mortality rates may result in risk-avoidant behavior that can adversely affect the public.

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