title: What resources should be made available for coronary artery bypass surgery in Europe.
abstract: In the immediate future it seems correct to aim to provide for between 500 and 700 per million interventions for coronary artery disease per year. There is a continuing need for valve surgery, congenital heart surgery and miscellaneous conditions at a rate of about 150-200 per million per year. It is recommended that centres should be organised with a minimum of 750-1000 open heart procedures resulting in a minimum population requirement of between 1.2 M-1.5 M to support an individual unit. The likely revenue costs of running such a service at 1986 values is approximately 5-7 million pounds and such a unit is likely to have capital equipment of nearly 3 M pounds with an expected life span of seven to ten years. There is a continuing requirement to review the total need for surgery as more information becomes available and new techniques develop.
mesh_terms: D000328:Adult; D000368:Aged; D001026:Coronary Artery Bypass / Q000191:economics* / Q000706:statistics & numerical data; D003327:Coronary Disease / Q000601:surgery*; D003365:Costs and Cost Analysis; D005060:Europe; D006295:Health Resources / Q000191:economics; D006302:Health Services Research; D006331:Heart Diseases / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged