Key result
Referral for coronary revascularisation following angiography was judged inappropriate in 19% of Swedish patients, with inappropriate rates of 10% for CABG and 38% for PTCA.
Why the study?
What is the appropriateness of referral for coronary revascularisation (CABG or PTCA) versus medical management in patients undergoing coronary angiography?
Population
2767 consecutive patients who underwent coronary angiography in Sweden between May 1994 and January 1995 and…
Comparison
Referral for coronary artery bypass graft… vs Referral for continued medical management
Design
Cohort
Authors
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Inappropriate PTCA referrals may reflect practice variation; extends RAND/UCLA criteria evaluation but remains hypothesis-generating.
Observational (n=2,767)
Yes
What is the appropriateness of referral for coronary revascularisation (CABG or PTCA) versus medical management in patients undergoing coronary angiography?
A significant proportion of patients referred for coronary revascularisation, particularly PTCA, were judged to have inappropriate indications based on RAND/UCLA criteria.
Bernstein et al. (1999) conducted an observational in Coronary artery disease (n=2,767). Referral for coronary revascularisation (CABG or PTCA) was evaluated on Percentage of patients referred for CABG and PTCA for indications judged necessary, appropriate, uncertain, and inappropriate. Referral for coronary revascularisation following angiography was judged inappropriate in 19% of Swedish patients, with inappropriate rates of 10% for CABG and 38% for PTCA.