title: Audit of coronary angiography and bypass surgery.
abstract: The appropriateness of coronary angiography and coronary artery bypass surgery in the Trent regional health authority was assessed by comparison with predetermined consensus criteria. 49% of coronary angiographies were considered to be entirely appropriate in relation to the patient's clinical condition, but 21% were deemed inappropriate. Coronary artery bypass surgery was considered appropriate in 55% of patients, but inappropriate in 16%. Audit by "appropriateness" scores may help to determine which patients should first be investigated and treated when resources are limited and waiting lists are long.
authors.affiliation: Department of Medicine, University Hospital, Nottingham, UK.
authors.forename: D
authors.initials: D
authors.lastname: Gray
authors.forename: J R
authors.initials: JR
authors.lastname: Hampton
authors.forename: S J
authors.initials: SJ
authors.lastname: Bernstein
authors.forename: J
authors.initials: J
authors.lastname: Kosecoff
authors.forename: R H
authors.initials: RH
authors.lastname: Brook
mesh_terms: D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000145:classification / Q000628:therapy; D000792:Angiography / Q000592:standards*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000592:standards*; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D010818:Practice Patterns, Physicians'; D006113:United Kingdom