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OBJECTIVE To compare the appropriateness of use of coronary artery bypass graft (CABG) surgery in Academic Medical Center Consortium hospitals as judged 1) according to criteria developed by an expert panel, 2) according to revisions of those criteria made by cardiac surgeons from the Academic Medical Center Consortium, and 3) by review of cases by the(More)
The authors compare the appropriateness ratings and mutual influence of panelists from different specialties rating a comprehensive set of indications for six surgical procedures. Nine-member panels rated each procedure: abdominal aortic aneurysm surgery, carotid endarterectomy, cataract surgery, coronary angiography, and coronary artery bypass graft(More)
OBJECTIVE To determine the appropriateness of use of coronary artery bypass graft surgery in New York State. DESIGN Retrospective randomized medical record review. SETTING Fifteen randomly selected hospitals in New York State that provide coronary artery bypass graft surgery. PATIENTS Random sample of 1338 patients undergoing isolated coronary artery(More)
BACKGROUND Patients are hospitalized for disparate conditions and procedures. Patient experiences with care may depend on hospitalization type (HT). OBJECTIVES Determine whether the contributions of patient experience composite measures to overall hospital ratings on the Hospital Consumer Assessment of Healthcare Providers and Systems Survey vary by HT.(More)
OBJECTIVES Our main objective was to apply a new method to determine whether coronary revascularization procedures are underused, especially among African-Americans and uninsured patients. BACKGROUND Although overuse of revascularization procedures has been studied, underuse as defined clinically has not been examined before. METHODS The study was(More)
OBJECTIVE To determine the appropriateness of use of percutaneous transluminal coronary angioplasty (PTCA) in New York State. DESIGN Retrospective randomized medical record. SETTING Fifteen randomly selected hospitals in New York State that provide PTCA. PATIENTS Random sample of 1306 patients undergoing PTCA in New York State in 1990. MAIN OUTCOME(More)
PURPOSE To develop criteria for the appropriateness of cataract surgery (extracapsular cataract extraction or phacoemulsification with planned implantation of a posterior chamber intraocular lens) and to apply these criteria to patients from ten academic medical centers. METHODS The study is a retrospective case series from ten academic medical centers.(More)
The authors initiated this study to consider if the formal preoperative assessment of appropriate or inappropriate utilization of cataract surgery by an expert panel could predict postoperative improvement or decline in visual acuity. They evaluated the association between ratings of appropriateness, as determined by the RAND-UCLA method, and measurements(More)
OBJECTIVE To assess criteria used for detecting underuse of coronary artery revascularization procedures in terms of patient outcomes. DESIGN Retrospective cohort study using medical records supplemented by a telephone survey and review of county death records. SETTING Four public hospitals and two academically affiliated private hospitals in Los(More)
OBJECTIVE To evaluate the effects of human immunodeficiency virus (HIV) antibody testing and education about HIV infection on communication about sexual risk behaviors for HIV transmission. DESIGN Randomized, controlled trial with three arms. SETTING University student health center. PATIENTS Of 2196 heterosexual university students attending the(More)