Appropriate use criteria and percutaneous coronary intervention: Measuring patient selection quality

Steven M. Bradley, John A. Spertus, Brahmajee K. Nallamothu, Paul S. Chan

Research output: Contribution to journalReview articlepeer-review

Abstract

The Appropriate Use Criteria (AUC) for Coronary Revascularization represent an effort by national professional societies to assess the quality of patient selection for procedures, such as percutaneous coronary intervention (PCI). The AUC focus on whether and when PCI should be performed, and complement traditional PCI quality metrics that focus on how well PCI is performed (e.g., postprocedural processes of care and outcomes). Such quality metrics help ensure that patients who undergo PCI have a high likelihood of clinical benefit, while minimizing the potential for procedural risk. Tools like the AUC are potentially important since, in real-world settings, large variations exist in hospital rates of PCI appropriateness for nonacute indications and can improve patient selection at facilities with high rates of inappropriate PCI. Ongoing efforts to verify the accuracy of key variables used in adjudicating PCI appropriateness and to update the AUC as new evidence emerges will ensure that the AUC are dynamic quality improvement tools that can facilitate high-quality PCI.

Original languageEnglish
Pages (from-to)549-556
Number of pages8
JournalInterventional Cardiology (London)
Volume4
Issue number5
DOIs
StatePublished - Oct 2012
Externally publishedYes

Keywords

  • appropriate use
  • coronary artery disease
  • health services research
  • hospital
  • percutaneous coronary intervention
  • quality of care
  • utilization

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