Appropriate Use Criteria for Coronary Revascularization and Trends in Utilization, Patient Selection, and Appropriateness of Percutaneous Coronary Intervention
Desai NR, Bradley SM, Parzynski CS, Nallamothu BK, Chan PS, Spertus JA, Patel MR, Ader J, Soufer A, Krumholz HM, Curtis JP. Appropriate Use Criteria for Coronary Revascularization and Trends in Utilization, Patient Selection, and Appropriateness of Percutaneous Coronary Intervention. JAMA 2015, 314: 2045-2053. PMID: 26551163, PMCID: PMC5459470, DOI: 10.1001/jama.2015.13764.Peer-Reviewed Original ResearchConceptsNonacute percutaneous coronary interventionPercutaneous coronary interventionAppropriate use criteriaInappropriate percutaneous coronary interventionHospital-level variationCoronary revascularizationPatient selectionUse criteriaCoronary interventionStudy periodAppropriateness of PCINational Cardiovascular Data Registry CathPCI RegistryProportion of PCIsMultivessel coronary artery diseaseHigh-risk findingsCoronary artery diseaseAnnual PCI volumesCross-sectional analysisAngina severityAntianginal medicationsAcute indicationsCathPCI RegistryArtery diseasePCI volumePCI proceduresTemporal Trends in Percutaneous Coronary Intervention Appropriateness
Bradley SM, Bohn CM, Malenka DJ, Graham MM, Bryson CL, McCabe JM, Curtis JP, Lambert-Kerzner A, Maynard C. Temporal Trends in Percutaneous Coronary Intervention Appropriateness. Circulation 2015, 132: 20-26. PMID: 26022910, DOI: 10.1161/circulationaha.114.015156.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionUse of PCIInappropriate percutaneous coronary interventionElective percutaneous coronary interventionNumber of PCIsPCI appropriatenessElective indicationsAppropriate use criteriaMinority of hospitalsCoronary interventionIntervention appropriatenessComparator periodUse criteriaHospitalAppropriate useAppropriateness assessmentOverall numberSignificant improvementWashington StateConcurrent improvementIndicationsProportionTemporal trendsTertileAppropriateness