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Results of a Swiss consensus conference on coronary angiography. Members of the Swiss Society of Cardiology, Swiss Society of Internal Medicine, Swiss Society of Thoracic and Cardiovascular Surgery


Schilling, Julian; et, al. (1997). Results of a Swiss consensus conference on coronary angiography. Members of the Swiss Society of Cardiology, Swiss Society of Internal Medicine, Swiss Society of Thoracic and Cardiovascular Surgery. Swiss Medical Weekly, 127(27-28):1179-1190.

Abstract

Coronary angiography is used as a diagnostic procedure to identify patients with coronary artery disease who need to undergo revascularization. The quality of its indication is widely discussed at present. The Swiss Societies of Cardiology, of Internal Medicine and of Thoracic and Cardiovascular Surgery decided to set up a consensus conference to evaluate the indications for angiography. For this a modified RAND approach (Delphi method) was used. An expert panel rated 374 indications for coronary angiography twice for appropriateness (more benefits than risks for the patient), and once for necessity (procedure has to be offered or discussed with the patient). In the panel an agreement percentage of 54% was noted. In 40% we observed neither agreement nor disagreement and in 6% we found disagreement among the panelists. The necessity ratings showed similar results: 48% agreement, 46% indetermination and 6% disagreement. The average median rating for appropriateness on a 1-9 point scale (1 = extremely inappropriate, 9 = extremely appropriate or necessary) was 6.3 over all given single indications and 7.3 for necessity. The results of appropriateness and necessity ratings presented in this paper reflect the findings of a 15-member Swiss panel.

Abstract

Coronary angiography is used as a diagnostic procedure to identify patients with coronary artery disease who need to undergo revascularization. The quality of its indication is widely discussed at present. The Swiss Societies of Cardiology, of Internal Medicine and of Thoracic and Cardiovascular Surgery decided to set up a consensus conference to evaluate the indications for angiography. For this a modified RAND approach (Delphi method) was used. An expert panel rated 374 indications for coronary angiography twice for appropriateness (more benefits than risks for the patient), and once for necessity (procedure has to be offered or discussed with the patient). In the panel an agreement percentage of 54% was noted. In 40% we observed neither agreement nor disagreement and in 6% we found disagreement among the panelists. The necessity ratings showed similar results: 48% agreement, 46% indetermination and 6% disagreement. The average median rating for appropriateness on a 1-9 point scale (1 = extremely inappropriate, 9 = extremely appropriate or necessary) was 6.3 over all given single indications and 7.3 for necessity. The results of appropriateness and necessity ratings presented in this paper reflect the findings of a 15-member Swiss panel.

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Additional indexing

Contributors:Members of the Swiss Society of Cardiology, Members of the Swiss Society of Internal Medicine, Members of the Swiss Thoracic and Cardiovascular Surgery
Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Epidemiology, Biostatistics and Prevention Institute (EBPI)
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:8 July 1997
Deposited On:10 Jun 2016 09:57
Last Modified:11 Jun 2016 08:08
Publisher:EMH Swiss Medical Publishers
ISSN:0036-7672
PubMed ID:9260296

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