Percutaneous coronary intervention use in the United States: Defining measures of appropriateness

Steven P. Marso, Paul S. Teirstein, Dean J. Kereiakes, Jeffrey Moses, John Lasala, J. Aaron Grantham

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Appropriate utilization of percutaneous coronary intervention (PCI) and medical therapy is deservedly a national healthcare policy priority for the United States. Because PCI is both common and costly, appraisal of appropriateness is warranted. The initial appropriate use criteria (AUC) have been developed for coronary revascularization procedures and investigators recently reported the appropriateness for the approximately 500,000 PCI procedures performed at centers participating in the National Cardiovascular Data Registry. The AUC have broad implications for both healthcare providers and our patients and will be used as the basis for indications, referral patterns, treatment options, physician education, shared decision-making, and reimbursement for years to come. While we acknowledge the importance of thoughtfully assessing appropriateness for all medical procedures including PCI, there are a number of concerns with the current AUC and methods used to report appropriateness that warrant expanded commentary.

Original languageEnglish (US)
Pages (from-to)229-235
Number of pages7
JournalJACC: Cardiovascular Interventions
Volume5
Issue number2
DOIs
StatePublished - Feb 2012

Fingerprint

Percutaneous Coronary Intervention
Health Personnel
Registries
Decision Making
Referral and Consultation
Research Personnel
Delivery of Health Care
Physicians
Education
Therapeutics

Keywords

  • appropriateness
  • percutaneous coronary intervention
  • public reporting
  • quality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Percutaneous coronary intervention use in the United States : Defining measures of appropriateness. / Marso, Steven P.; Teirstein, Paul S.; Kereiakes, Dean J.; Moses, Jeffrey; Lasala, John; Grantham, J. Aaron.

In: JACC: Cardiovascular Interventions, Vol. 5, No. 2, 02.2012, p. 229-235.

Research output: Contribution to journalArticle

Marso, Steven P. ; Teirstein, Paul S. ; Kereiakes, Dean J. ; Moses, Jeffrey ; Lasala, John ; Grantham, J. Aaron. / Percutaneous coronary intervention use in the United States : Defining measures of appropriateness. In: JACC: Cardiovascular Interventions. 2012 ; Vol. 5, No. 2. pp. 229-235.
@article{8e860c933a3c4f45af83fe2b53421cb2,
title = "Percutaneous coronary intervention use in the United States: Defining measures of appropriateness",
abstract = "Appropriate utilization of percutaneous coronary intervention (PCI) and medical therapy is deservedly a national healthcare policy priority for the United States. Because PCI is both common and costly, appraisal of appropriateness is warranted. The initial appropriate use criteria (AUC) have been developed for coronary revascularization procedures and investigators recently reported the appropriateness for the approximately 500,000 PCI procedures performed at centers participating in the National Cardiovascular Data Registry. The AUC have broad implications for both healthcare providers and our patients and will be used as the basis for indications, referral patterns, treatment options, physician education, shared decision-making, and reimbursement for years to come. While we acknowledge the importance of thoughtfully assessing appropriateness for all medical procedures including PCI, there are a number of concerns with the current AUC and methods used to report appropriateness that warrant expanded commentary.",
keywords = "appropriateness, percutaneous coronary intervention, public reporting, quality",
author = "Marso, {Steven P.} and Teirstein, {Paul S.} and Kereiakes, {Dean J.} and Jeffrey Moses and John Lasala and Grantham, {J. Aaron}",
year = "2012",
month = "2",
doi = "10.1016/j.jcin.2011.12.004",
language = "English (US)",
volume = "5",
pages = "229--235",
journal = "JACC: Cardiovascular Interventions",
issn = "1936-8798",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Percutaneous coronary intervention use in the United States

T2 - Defining measures of appropriateness

AU - Marso, Steven P.

AU - Teirstein, Paul S.

AU - Kereiakes, Dean J.

AU - Moses, Jeffrey

AU - Lasala, John

AU - Grantham, J. Aaron

PY - 2012/2

Y1 - 2012/2

N2 - Appropriate utilization of percutaneous coronary intervention (PCI) and medical therapy is deservedly a national healthcare policy priority for the United States. Because PCI is both common and costly, appraisal of appropriateness is warranted. The initial appropriate use criteria (AUC) have been developed for coronary revascularization procedures and investigators recently reported the appropriateness for the approximately 500,000 PCI procedures performed at centers participating in the National Cardiovascular Data Registry. The AUC have broad implications for both healthcare providers and our patients and will be used as the basis for indications, referral patterns, treatment options, physician education, shared decision-making, and reimbursement for years to come. While we acknowledge the importance of thoughtfully assessing appropriateness for all medical procedures including PCI, there are a number of concerns with the current AUC and methods used to report appropriateness that warrant expanded commentary.

AB - Appropriate utilization of percutaneous coronary intervention (PCI) and medical therapy is deservedly a national healthcare policy priority for the United States. Because PCI is both common and costly, appraisal of appropriateness is warranted. The initial appropriate use criteria (AUC) have been developed for coronary revascularization procedures and investigators recently reported the appropriateness for the approximately 500,000 PCI procedures performed at centers participating in the National Cardiovascular Data Registry. The AUC have broad implications for both healthcare providers and our patients and will be used as the basis for indications, referral patterns, treatment options, physician education, shared decision-making, and reimbursement for years to come. While we acknowledge the importance of thoughtfully assessing appropriateness for all medical procedures including PCI, there are a number of concerns with the current AUC and methods used to report appropriateness that warrant expanded commentary.

KW - appropriateness

KW - percutaneous coronary intervention

KW - public reporting

KW - quality

UR - http://www.scopus.com/inward/record.url?scp=84857625968&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84857625968&partnerID=8YFLogxK

U2 - 10.1016/j.jcin.2011.12.004

DO - 10.1016/j.jcin.2011.12.004

M3 - Article

C2 - 22326193

AN - SCOPUS:84857625968

VL - 5

SP - 229

EP - 235

JO - JACC: Cardiovascular Interventions

JF - JACC: Cardiovascular Interventions

SN - 1936-8798

IS - 2

ER -