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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.

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