The appropriate use criteria: Improvements for its integration into real world clinical practice

For The AUC Workgroup of the ISLC Endorsed by the Interventional Section Leadership Council, American College of Cardiology

    Research output: Contribution to journalArticlepeer-review

    Abstract

    The purpose of this position statement is to suggest ways in which future appropriate use criteria (AUC) for coronary revascularization might be restructured to: (1) incorporate improvement in quality of life and angina relief as primary goals of therapy, (2) integrate the findings of recent trials into quality appraisal, (3) employ the combined information of the coronary angiogram and invasive physiologic measurements together with the results of stress test imaging to assess risk, and (4) recognize the essential role that patient preference plays in making individualized therapeutic decisions. The AUC is a valuable tool within the quality assurance process; it is vital that interventionists ensure that percutaneous coronary intervention case selection is both evidence-based and patient oriented. Appropriate patient selection is an important quality indicator and adherence to evidence-based practice should be one metric in a portfolio of process and outcome indicators that measure quality.

    Original languageEnglish (US)
    JournalCatheterization and Cardiovascular Interventions
    DOIs
    StateAccepted/In press - 2021

    Keywords

    • Appropriate use
    • Coronary PCI
    • Quality

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging
    • Cardiology and Cardiovascular Medicine

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