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EAPCI White Book

Interview From Prof. Emmanuele Barbato. Project Champion, EAPCI White Book - First Edition

As cardiology increasingly turns towards the use of data to inform its practices and improve patient outcomes, anticipation is growing for the publication of the first edition of the EAPCI White Book. Building upon the broader base of data in the ESC Atlas of Cardiology, the EAPCI White Book is a compilation of important, independent, targeted data collected by interventional cardiologists, which applies specifically to their specialty.

The first edition

The first edition of the EAPCI White Book was developed under the supervision of Prof. Emanuele Barbato, an EAPCI Board member and chair of the 2016-2018 EAPCI National Cardiac Societies and International Affairs Committee. Prof. Barbato explains the difference between the EAPCI White Book and the ESC Atlas of Cardiology. “You have the ESC or e-Atlas with general cardiology data, of interest to the general cardiology community, and you have the EAPCI White Book that is more relevant to those interested in interventional cardiology practice.”

The objectives

According to Prof. Barbato, among the objectives of the EAPCI White Book are to aid in the tracking of possible discrepancies in therapies being adopted across Europe, help detect possible differences in the quality of care, and point out any difficulties in implementing the recommendations coming from national interventional cardiology societies.

The data

The data for the first edition of the EAPCI White Book was gathered on a regular basis in 2016-2018in 2016, by interventional cardiologists in 16 ESC countries: Belgium, Denmark, Egypt, France, Germany, Greece, Italy, Netherlands, Poland, Romania, Slovenia, Spain, Sweden, Switzerland, Turkey and the United Kingdom.

The information in the White Book falls into three categories:

  1. Health care resources and logistics in interventional cardiology
  2. Procedure and resources in coronary interventions
  3. Procedures and resources in structural heart interventions

Prof. Barbato points out that individual interventional cardiologists are quite familiar with the types of data in the EAPCI White Book. “Anyone who works in a cath lab basically takes good counts of all the procedures performed,” he said. “The point is how to centrally collect this information at the national level.”

But not every country has an organized, central data collection system, which is why only 16 countries, all members of the ESC, were invited to participate in the creation of the first edition of the EAPCI White Book.

Still, Prof. Barbato believes all ESC member countries can benefit from it.

It will provide the National Cardiac Society Members of the ESC with the tools that will enable them to compare their situation in terms of interventional cardiology practice to other European countries. And to use that information with their payers, with the regulatory bodies in their own countries in order to get some changes in reimbursement policies.

Although the publication of the first edition of the EAPCI White Book is undergoing editorial review before it can be published, data for 2018 will shortly be gathered for a second edition to be released in 2020. Prof. Barbato is eager to maintain the momentum generated by the first edition, and to see what changes in therapies the next edition reveals.

The fact of having done the first data collection and to repeat it at regular time intervals, every two years actually, it gives unique opportunity to monitor trends and identify the changes in therapy adoption.

On May 20, during EuroPCR 2019, the Presidents of the 16 Interventional Working Groups that contributed to the first edition of the EAPCI White Book, are invited to gather in Paris to celebrate what has been achieved so far, and to encourage societies in other countries to join the second edition.

The EAPCI White Book it is an important tool that was not available beforeIt is an important landmark, a reference we can use and to which we can compare our practice day by day. I am sure that regular data collection, will allow us to see a very significant increase in therapy adoption.