APPROACH Reports

With 15 years and 126,500 records entered, APPROACH data can monitor the trends of cardiac care in Alberta with exceptional detail. Regularly-issued reports on adjusted procedure rates, such as cardiac catheterizations, percutaneous coronary interventions (PCI), and coronary artery bypass graft (CABG) surgery are issued for the benefit of hospital adminstrators and health care planners.

A map of the 5 Zones in Alberta can be found on the Alberta Health Services website.

The following reports are available for review:

Alberta Procedures 1995-2002 (17 Regions)

Diagnostic Cardiac Catheterization and Revascularization Rates for Coronary Heart Disease
in Alberta Regional Health Authorities from 1995 to 2002

Click here for PDF of this report (207 KB)

Report Summary: This report examines the age- and sex-adjusted rates of diagnostic cardiac catheterization, percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery in Alberta health regions.

Background: The Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) maintains a clinical registry of all patients undergoing diagnostic cardiac catheterizations and subsequent cardiovascular procedures in Alberta. Although Alberta appears "on average" to be doing well relative to other Canadian provinces, this study addresses the equitability of cardiac care delivery across Alberta health regions between 1995 and 2002.

Methods: Data from the APPROACH registry were used to calculate age- and sex-adjusted procedure rates for persons aged 20 and older in each health region. We used maps, tables and graphs to show the distribution of rates in the Alberta regional health authorities between 1995 and 2002.

Results and Conclusions: For all years, the catheterization rates in the Capital Health Authority (CHA - region 10) were lower than in the Calgary Health Region (CHR - region 4). In 1995, regions 7, 13, and 15 had the lowest cardiac catheterization rates, all close to 300 per 100,000. These regions also showed the largest increases in catheterization rates, and by 2002 the rates in these regions were closer to the provincial rate of 514 per 100,000. In 1995, there was significant variation in procedure rates across regional health authorities. Regardless of the type of procedures examined, however, the disparities among regions appeared to diminish over time. This is surprising, given that only two of the health regions (the CHA and CHR) provide cardiac procedures for the entire province, and several of the health regions are remote and sparsely populated.

Alberta Procedure Rates 2003-2008 (9 Regions)

Alberta Procedure Rates for Coronary Heart Disease in Alberta Regional Health Authorities 2003-2008

Click here for PDF of this report (29 KB).

Background: The Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) maintains a clinical registry of all patients undergoing diagnostic cardiac catheterizations and subsequent cardiovascular procedures in Alberta. Although Alberta appears “on average” to be doing well relative to other Canadian provinces, this study addresses the equitability of these cardiac procedures across Alberta health regions in 2003-2008.

Objectives: To examine the age- and sex-adjusted rates of diagnostic cardiac catheterization, percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery in Alberta health regions.

Methods: Data from the APPROACH registry were used to calculate age- and sex- adjusted procedure rates for persons aged 20 and older in each health region. 1996 StatCan data were used for adjusting rates by age and sex. We used tables and graphs to show the distribution of rates in the Alberta regional health authorities in 2003- 2008.

A map of the previous 9 Regions in Alberta can be found on the Alberta Health Services website.

Alberta Procedures 2003-2011 (5 Zones)

Alberta Procedure Rates for Coronary Heart Disease in Alberta Zones 2003-2011

Click here for PDF of this report (137 KB).

Background: The Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) maintains a clinical registry of all patients undergoing diagnostic cardiac catheterizations and subsequent cardiovascular procedures in Alberta. Although Alberta appears “on average” to be doing well relative to other Canadian provinces, this study addresses the equitability of these cardiac procedures across Alberta zones in 2003-2011.

Objectives: To examine the age- and sex-adjusted rates of diagnostic cardiac catheterization, percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery in Alberta zones.

Methods: Data from the APPROACH registry were used to calculate age- and sex- adjusted procedure rates for persons aged 20 and older in each zone. 2001 StatCan data were used for adjusting rates by age and sex. We used tables and graphs to show the distribution of rates in the Alberta Zones in 2003-2011.

A map of the 5 Zones in Alberta can be found on the Alberta Health Services website.

External Reports

Links to external websites will open in another window.

Canadian Cardiovascular Data Definitions and Quality Indicators

Canadian Heart Health Strategy - Action Plan (Downloads PDF of Report)

Canadian Institute for Health Information - Report: Health Indicators

Public Health Agency of Canada - Report: 2009 Tracking Heart Disease and Stroke in Canada

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