Coronary Artery Bypass Graft Surgery and Percutaneous Transluminal Coronary Angioplasty

Ratings of Appropriateness and Necessity by a Canadian Panel

by C. Naylor, Elizabeth A. McGlynn, Lucian L. Leape, Lee H. Hilborne, Rolla Edward Park, James P. Kahan, Robert H. Brook


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This publication provides the definitions used by a nine-member panel of Canadian physicians who rated the appropriateness and necessity of indications for the use of coronary artery bypass graft surgery and percutaneous transluminal coronary angioplasty, the methods by which the ratings of the panel were analyzed, and the final panel ratings by indications. The results of the panel ratings of appropriateness are provided in Appendix A. The results of the panel ratings of necessity are in Appendix B. This publication is part of a three-volume series. Two volumes report ratings for the appropriateness and necessity of performing coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty and coronary angiography. The other volume provides the medical records abstraction form and guidelines for its use.

This report is part of the RAND Corporation Monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

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