Educating House Staff on Appropriate Use of Echoes (18 Apr 2013)
Rory B Weiner, MD, Rajan Sacha Bhatia, MD/MBA, and John Ryan, MDA relatively simple educational intervention reduces the ordering of inappropriate echoes
ACC and HRS Release Appropriate Use Criteria for ICDs and CRTs (1 Mar 2013)
The American College of Cardiology (ACC) and the Heart Rhythm Society (HRS) today published appropriate use criteria for implantable cardioverter-defibrillators (ICDs) and cardiac resynchronization therapy (CRT). The document offers an expert consensus on the appropriateness of 369 separate real-life clinical scenarios in six areas: ICDs for secondary prevention, ICDs for primary prevention, comorbidities, CRT devices, generator replacement,…
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Appropriate Use or Defensive Medicine? (25 Jan 2013)
Sarah C. Hull, MD, MBE (Master of Bioethics)Is the practice of defensive medicine overriding the implementation of appropriate use to the detriment of economics, patient care, and medical education?
Missouri Board Issues Emergency Suspension of Cardiologist Accused of Implanting Unnecessary Stents (4 Jan 2013)
A Missouri cardiologist who has been accused of unnecessarily implanting stents in six patients has been temporarily barred from seeing patients. The Missouri State Board of Registration for the Healing Arts, which licenses physicians and investigates and disciplines physicians in cases of accused misconduct, issued an emergency suspension of the cardiologist’s license to practice, according to a…
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ACC Releases Appropriate Use Criteria for Noninvasive Peripheral Vascular Tests (12 Jun 2012)
The American College of Cardiology (ACC) has published appropriate use criteria (AUC) for peripheral vascular ultrasound and physiological testing. The criteria were developed in coordination with 10 other medical societies. “This is the first systematic and comprehensive evaluation looking at appropriate indications for vascular testing, such as ultrasound or functional testing,” said Emile Mohler III, the…
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Revascularization in New York State: High Questionable Rates for PCI but Not CABG (14 May 2012)
A large study looking at real-world use of elective coronary artery bypass surgery (CABG) and stenting (PCI) in New York State finds that nearly two thirds of PCI procedures have inappropriate or uncertain indications. By contrast, 90% of CABG procedures were deemed appropriate and 1.1% inappropriate. In a paper published in the Journal of the American…
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Part 5: Clashing Views of Appropriate Use Criteria for PCI (22 Feb 2012)
Paul S. Chan, MD, MS, Steve Marso, MD, John Spertus, MD, MPH, and J Aaron Grantham, MD, FACCIn a recent Viewpoint in JACC: Cardiovascular Interventions, Marso and colleagues expressed grave reservations about the application of appropriate use criteria for PCI in a controversial study published last year in JAMA by Chan and colleagues, which found that only half of PCIs performed for nonacute indications were classified as appropriate. Interventional cardiology editors Rick Lange and David Hillis asked CardioExchange members for their…
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Part 3: Clashing Views of Appropriate Use Criteria for PCI (17 Feb 2012)
John Spertus, MD, MPH, Steve Marso, MD, J Aaron Grantham, MD, FACC, and Paul S. Chan, MD, MSIn a recent Viewpoint in JACC: Cardiovascular Interventions, Marso and colleagues expressed grave reservations about the application of appropriate use criteria for PCI in a controversial study published last year in JAMA by Chan and colleagues, which found that only half of PCIs performed for nonacute indications were classified as appropriate. Interventional cardiology editors Rick Lange and David Hillis asked CardioExchange members for their…
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Part 2: Clashing Views of Appropriate Use Criteria for PCI (16 Feb 2012)
J Aaron Grantham, MD, FACC, John Spertus, MD, MPH, Steve Marso, MD, and Paul S. Chan, MD, MSIn a recent Viewpoint in JACC: Cardiovascular Interventions, Marso and colleagues expressed grave reservations about the application of appropriate use criteria for PCI in a controversial study published last year in JAMA by Chan and colleagues, which found that only half of PCIs performed for nonacute indications were classified as appropriate. Interventional cardiology editors Rick Lange and David Hillis asked CardioExchange members for their…
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Part 1: Clashing Views of Appropriate Use Criteria for PCI (15 Feb 2012)
Paul S. Chan, MD, MS, J Aaron Grantham, MD, FACC, Steve Marso, MD, and John Spertus, MD, MPHIn a recent Viewpoint in JACC: Cardiovascular Interventions, Marso and colleagues expressed grave reservations about the application of appropriate use criteria for PCI in a controversial study published last year in JAMA by Chan and colleagues, which found that only half of PCIs performed for nonacute indications were classified as appropriate. Interventional cardiology editors Rick Lange and David Hillis asked CardioExchange…
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