The appropriateness of the use of cardiovascular procedures: British versus U.S. perspectives.
To determine whether patients are less likely to receive an inappropriate procedure in countries that devote fewer resources to health care than does the United States, we studied how appropriately coronary angiography and coronary artery bypass surgery were performed in the Trent region of the United Kingdom.
The medical records of 320 patients who underwent coronary angiography and 319 who underwent coronary artery bypass surgery in 1987 and 1988 were randomly selected for review.
Despite the United Kingdom's more limited use of coronary angiography and coronary artery bypass surgery, a substantial proportion were still performed for less than appropriate reasons, by both U.S. and U.K. criteria.
Mots-clés Pascal : Angiographie, Dérivation, Appareil circulatoire pathologie, Radiodiagnostic, Exploration, Aortocoronaire, Cardiopathie coronaire, Chirurgie, Traitement, Etude comparative, Homme, Trent, Utilisation, Evaluation, Etats Unis, Amérique du Nord, Amérique, Royaume Uni, Europe
Mots-clés Pascal anglais : Angiography, Bypass, Cardiovascular disease, Radiodiagnosis, Exploration, Aortocoronary, Coronary heart disease, Surgery, Treatment, Comparative study, Human, Use, Evaluation, United States, North America, America, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0586365
Code Inist : 002B12A03. Création : 199406.