PMID: 18711152Aug 20, 2008Paper

Appropriateness criteria for coronary angiography in angina: reliability and validity

Annals of Internal Medicine
Harry HemingwayGene Feder

Abstract

Evaluated criteria for tailoring the decision to perform coronary angiography in specific clinical scenarios are lacking. To determine the reliability and prognostic validity of patient-specific appropriateness criteria for coronary angiography among patients with suspected angina pectoris. Prospective observational study. Two independent panels of clinicians scored 2400 patient-specific indications for coronary angiography as inappropriate, uncertain, or appropriate. Using a simple computer algorithm, patients were matched to 1 of these indications. 6 urban ambulatory care clinics in the United Kingdom. 9356 consecutive patients with recent-onset chest pain in whom stable angina was suspected. Appropriateness ratings and clinical outcomes (coronary death and acute coronary syndrome events) over a median of 3 years of follow-up. 660 coronary deaths or acute coronary syndrome events occurred. Agreement between the 2 panels (reliability) on appropriateness category was moderate (weighted kappa = 0.58; P < 0.001). Use of subsequent angiography was strongly related to appropriateness category (P for linear trend <0.001) according to scores from either panel. Among patients judged as appropriate candidates for angiography, underuse ...Continue Reading

Citations

Aug 6, 2011·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Ali GholamrezanezhadMohammadali Ramezani
Nov 7, 2009·BMJ : British Medical Journal·Hannah KuperHarry Hemingway
Sep 24, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·M Justin ZamanHarry Hemingway
Jul 5, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Stephen M CampbellFd Richard Hobbs
Oct 27, 2011·International Review of Psychiatry·Tim HopthrowSusan Michie
Apr 19, 2011·Transfusion Medicine Reviews·Aryeh ShanderUNKNOWN International Consensus Conference on Transfusion Outcomes Group
Dec 4, 2009·Mayo Clinic Proceedings·Andrew CassarBernard J Gersh
Jan 27, 2009·Health Services Research·Salomeh Keyhani, Albert L Siu
Jul 2, 2011·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Karen E HansenRobert A Adler
Mar 2, 2013·Journal of the American College of Cardiology·David R HolmesMichael J Mack
Mar 20, 2009·Expert Review of Cardiovascular Therapy·James H P GambleMichael P Frenneaux
Sep 7, 2020·Journal of the American Academy of Dermatology·Joel M GelfandChristopher T Ritchlin

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