Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2009-2-19
pubmed:abstractText
The American College of Cardiology Foundation (ACCF), Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, and the American Association for Thoracic Surgery, along with key specialty and subspecialty societies, conducted an appropriateness review of common clinical scenarios in which coronary revascularization is frequently considered. The clinical scenarios were developed to mimic common situations encountered in everyday practice and included information on symptom status, extent of medical therapy, risk level as assessed by noninvasive testing, and coronary anatomy. Approximately 180 clinical scenarios were developed by a writing committee and scored by a separate technical panel on a scale of 1 to 9. Scores of 7 to 9 indicate that revascularization was considered appropriate and likely to improve health outcomes or survival. Scores of 1 to 3 indicate revascularization was considered inappropriate and unlikely to improve health outcomes or survival. The mid range (4 to 6) indicates a clinical scenario for which the likelihood that coronary revascularization would improve health outcomes or survival was considered uncertain. For the majority of the clinical scenarios, the panel only considered the appropriateness of revascularization irrespective of whether this was accomplished by percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG). In a select subgroup of clinical scenarios in which revascularization is generally considered appropriate, the appropriateness of PCI and CABG individually as the primary mode of revascularization was considered. In general, the use of coronary revascularization for patients with acute coronary syndromes and combinations of significant symptoms and/or ischemia was viewed favorably. In contrast, revascularization of asymptomatic patients or patients with low-risk findings on noninvasive testing and minimal medical therapy were viewed less favorably. It is anticipated that these results will have an impact on physician decision making and patient education regarding expected benefits from revascularization and will help guide future research.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1522-726X
pubmed:author
pubmed-author:AllenJoseph MJM, pubmed-author:BeckmanKaren JKJ, pubmed-author:BrindisRalph GRG, pubmed-author:ChambersCharles ECE, pubmed-author:DehmerGregory JGJ, pubmed-author:DouglasPamela SPS, pubmed-author:FergusonT BruceTBJr, pubmed-author:GarciaMario JMJ, pubmed-author:GroverFrederick LFL, pubmed-author:HendelRobert CRC, pubmed-author:HirshfeldJohn WJW, pubmed-author:HolmesDavid RDRJr, pubmed-author:KleinLloyd WLW, pubmed-author:LimacherMarianM, pubmed-author:MackMichael JMJ, pubmed-author:MalenkaDavid JDJ, pubmed-author:MasoudiFrederick AFA, pubmed-author:ParkMyung HMH, pubmed-author:PatelManesh RMR, pubmed-author:PetersonEric DED, pubmed-author:RagostaMichaelM3rd, pubmed-author:RitchieJames LJL, pubmed-author:RoseGeoffrey AGA, pubmed-author:RosenbergAlan BAB, pubmed-author:SheminRichard JRJ, pubmed-author:SmithPeter KPK, pubmed-author:SpertusJohn AJA, pubmed-author:WeintraubWilliam SWS, pubmed-author:WolfMichael MMM
pubmed:issnType
Electronic
pubmed:day
15
pubmed:volume
73
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
E1-24
pubmed:meshHeading
pubmed:year
2009
pubmed:articleTitle
ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization : a report of the American College of Cardiology Foundation Appropriateness Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, and the American Society of Nuclear Cardiology. Endorsed by the American Society of Echocardiography, the Heart Failure Society of America, and the Society of Cardiovascular Computed Tomography.
pubmed:affiliation
Division of Cardiology, Duke University Medical Center, Durham, NC, USA.
pubmed:publicationType
Journal Article, Practice Guideline