The appropriate use criteria: Improvements for its integration into real world clinical practice
| Autor: | Jacqueline E. Tamis-Holland, Frederick G.P. Welt, James C. Blankenship, Ajay J. Kirtane, C Michael Valentine, Joaquin E. Cigarroa, Lloyd W. Klein, Peter L. Duffy, H. Vernon Anderson |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject medicine.medical_treatment Coronary Artery Disease 030204 cardiovascular system & hematology Coronary Angiography Appropriate Use Criteria Angina 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Quality of life (healthcare) Stress test medicine Humans Radiology Nuclear Medicine and imaging Quality (business) 030212 general & internal medicine Intensive care medicine media_common business.industry Patient Selection Percutaneous coronary intervention General Medicine medicine.disease Treatment Outcome Quality of Life Metric (unit) Cardiology and Cardiovascular Medicine business Quality assurance |
| Zdroj: | Catheterization and Cardiovascular Interventions. 98:1349-1357 |
| ISSN: | 1522-726X 1522-1946 |
| DOI: | 10.1002/ccd.29784 |
| Popis: | The purpose of this position statement is to suggest ways in which future appropriate use criteria (AUC) for coronary revascularization might be restructured to: (1) incorporate improvement in quality of life and angina relief as primary goals of therapy, (2) integrate the findings of recent trials into quality appraisal, (3) employ the combined information of the coronary angiogram and invasive physiologic measurements together with the results of stress test imaging to assess risk, and (4) recognize the essential role that patient preference plays in making individualized therapeutic decisions. The AUC is a valuable tool within the quality assurance process; it is vital that interventionists ensure that percutaneous coronary intervention case selection is both evidence-based and patient oriented. Appropriate patient selection is an important quality indicator and adherence to evidence-based practice should be one metric in a portfolio of process and outcome indicators that measure quality. |
| Databáze: | OpenAIRE |
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