Effect of specialty and nationality on panel judgments of the appropriateness of coronary revascularization: a pilot study

Medical Care
S J BernsteinJ P Kahan

Abstract

Appropriateness criteria are frequently used to assess quality of care. However, assessing care in one country with criteria developed in another may be misleading. One approach to measuring care across countries would be to develop common standards using physicians from different countries and specialties. To identify the degree to which appropriateness ratings for coronary revascularization developed by a multinational panel differ by panelist specialty and nationality. A 13-member panel of cardiothoracic surgeons and cardiologists from the Netherlands, Spain, Sweden, Switzerland, and the United Kingdom was convened to rate the appropriateness of 842 indications for percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass graft surgery (CABG) on a 1 (extremely inappropriate) to 9 (extremely appropriate) scale. Mean appropriateness ratings by panelist specialty and nationality. Surgeons' mean ratings for PTCA indications ranged from 0.64 points lower than the corresponding ratings of the cardiologists for acute myocardial infarction indications to 1.22 points lower for chronic stable angina indications. Conversely, their ratings for bypass surgery indications ranged from 0.59 points higher for chronic s...Continue Reading

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Citations

Sep 17, 2005·BMJ : British Medical Journal·Rosalind RaineNick Black
Sep 16, 2010·BMC Pregnancy and Childbirth·Rahim OstovarUNKNOWN Members of the Panel of the Cesarean Section RAM Study
Jun 27, 2008·BMC Medical Informatics and Decision Making·Catherine R Rahilly-Tierney, Ira S Nash
Dec 1, 2006·Health Research Policy and Systems·Atle FretheimAndrew D Oxman
Mar 9, 2010·Health Research Policy and Systems·Ludovic ReveizRodrigo Pardo
Dec 14, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Jack V TuUNKNOWN Cardiac Care Network of Ontario’s Variations in Revascularization Practice in Ontario Working Group
Apr 7, 2009·Ophthalmology·UNKNOWN Appropriateness of Treating Glaucoma Suspects RAND Study Group
May 12, 2007·Lancet·Andrew D OxmanAtle Fretheim
Feb 24, 2006·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Jean-Luc Bosson, Jose Labarere

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