Normal coronary rates for elective angiography in the veterans affairs healthcare system: Insights from the VA CART program (Veterans Affairs Clinical Assessment Reporting and Tracking)

Journal of the American College of Cardiology

Volumn 63, Issue 5, 2014, Pages 417-426

  Bradley, Steven M ^a,b,c   Maddox, Thomas M ^a,b,c   Stanislawski, Maggie A ^a,c   O'Donnell, Colin I ^a,c   Grunwald, Gary K ^a,b,c   Tsai, Thomas T ^a,b,c   Ho, P Michael ^a,b,c   Peterson, Eric D ^d   Rumsfeld, John S ^a,b,c  

^a UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c Department of Medicine   (United States)

^d DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

coronary angiography; institutional variability; patient selection; quality improvement

Indexed keywords

ADULT; AGED; ANGIOCARDIOGRAPHY; ARTICLE; CARDIOVASCULAR PARAMETERS; CARDIOVASCULAR RISK; COHORT ANALYSIS; COMPARATIVE STUDY; CORONARY ARTERY DISEASE; CORONARY ARTERY OBSTRUCTION; CORONARY ARTERY RATE; DISEASE SEVERITY; ELECTIVE CORONARY ANGIOGRAPHY; EXERCISE TEST; FEMALE; FRAMINGHAM RISK SCORE; HEALTH CARE QUALITY; HEART CATHETERIZATION; HEART MUSCLE REVASCULARIZATION; HUMAN; INTEGRATED HEALTH CARE SYSTEM; MAJOR CLINICAL STUDY; MALE; PATIENT SELECTION; PRIORITY JOURNAL; SENSITIVITY ANALYSIS; TREATMENT INDICATION;

APPROPRIATE USE CRITERIA; AUC; CAD; CART; CENTERS FOR MEDICARE AND MEDICAID SERVICES; CLINICAL ASSESSMENT REPORTING AND TRACKING; CMS; CORONARY ANGIOGRAPHY; CORONARY ARTERY DISEASE; EHR; ELECTRONIC HEALTH RECORD; INSTITUTIONAL VARIABILITY; NATIONAL CARDIOVASCULAR DATA REGISTRY; NCDR; PATIENT SELECTION; QUALITY IMPROVEMENT; VA; VETERANS AFFAIRS;

AGED; CORONARY ANGIOGRAPHY; CORONARY DISEASE; FEMALE; FOLLOW-UP STUDIES; HOSPITALS, VETERANS; HUMANS; MALE; MEDICARE; MIDDLE AGED; PATIENT SELECTION; PROGRAM EVALUATION; REGISTRIES; RETROSPECTIVE STUDIES; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; VETERANS;

EID: 84893265308     PISSN: 07351097     EISSN: 15583597     Source Type: Journal    
DOI: 10.1016/j.jacc.2013.09.055     Document Type: Article

References (29)

1. S.D. Fihn, J.M. Gardin, and J. Abrams et al. 2012 ACCF/AHA/ACP/AATS/PCNA/ SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons J Am Coll Cardiol 60 2012 e44 e164
2. M.R. Patel, S.R. Bailey, and R.O. Bonow et al. ACCF/SCAI/AATS/AHA/ASE/ ASNC/HFSA/HRS/SCCM/SCCT/SCMR/STS 2012 appropriate use criteria for diagnostic catheterization: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society for Cardiovascular Angiography and Interventions, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons J Am Coll Cardiol 59 2012 1995 2027
3. T.M. Bashore, E.R. Bates, and P.B. Berger et al. American College of Cardiology/Society for Cardiac Angiography and Interventions Clinical Expert Consensus Document on cardiac catheterization laboratory standards. A report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents J Am Coll Cardiol 37 2001 2170 2214
4. P. Douglas, A.E. Iskandrian, and H.M. Krumholz et al. Achieving quality in cardiovascular imaging: proceedings from the American College of Cardiology-Duke University Medical Center Think Tank on Quality in Cardiovascular Imaging J Am Coll Cardiol 48 2006 2141 2151
5. M.R. Patel, E.D. Peterson, and D. Dai et al. Low diagnostic yield of elective coronary angiography N Engl J Med 362 2010 886 895
6. P.S. Douglas, M.R. Patel, and S.R. Bailey et al. Hospital variability in the rate of finding obstructive coronary artery disease at elective, diagnostic coronary angiography J Am Coll Cardiol 58 2011 801 809
7. R.A. Lange, and L.D. Hillis Use and overuse of angiography and revascularization for acute coronary syndromes N Engl J Med 338 1998 1838 1839
8. B.R. Shah, P.A. Cowper, and S.M. O'Brien et al. Association between physician billing and cardiac stress testing patterns following coronary revascularization JAMA 306 2011 1993 2000
9. D. Wennberg, J. Dickens Jr., and D. Soule et al. The relationship between the supply of cardiac catheterization laboratories, cardiologists and the use of invasive cardiac procedures in northern New England J Health Serv Res Policy 2 1997 75 80
10. R.G. Brindis, S. Fitzgerald, H.V. Anderson, R.E. Shaw, W.S. Weintraub, and J.F. Williams The American College of Cardiology-National Cardiovascular Data Registry (ACC-NCDR): building a national clinical data repository J Am Coll Cardiol 37 2001 2240 2245
11. J.B. Byrd, R. Vigen, and M.E. Plomondon et al. Data quality of an electronic health record tool to support VA cardiac catheterization laboratory quality improvement: the VA Clinical Assessment, Reporting, and Tracking System for Cath Labs (CART) program Am Heart J 165 2013 434 440
12. T.L. Box, M. McDonell, C.D. Helfrich, R.L. Jesse, S.D. Fihn, and J.S. Rumsfeld Strategies from a nationwide health information technology implementation: the VA CART story J Gen Intern Med 25 2010 72 76
13. T.T. Tsai, T.L. Box, and H. Gethoffer et al. Feasibility of Proactive Medical Device Surveillance: The VA Clinical Assessment Reporting and Tracking (CART) Program Med Care 51 Suppl 2013 S57 S61
14. Coronary Heart Disease (10-year risk) Framingham Heart Study. Available at: http://www.framinghamheartstudy.org/risk/coronary.html. Accessed November 29, 2012.
15. IVEware: Imputation and Variance Estimation Software. Available at: http://www.isr.umich.edu/src/smp/ive/. Accessed November 29, 2012.
16. Executive Summary of the Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III) JAMA 285 2001 2486 2497
17. B.C. Lund, M.E. Charlton, M.A. Steinman, and P.J. Kaboli Regional differences in prescribing quality among elder veterans and the impact of rural residence: rural residence and prescribing quality J Rural Health 29 2013 172 179
18. F.L. Lucas, B.E. Sirovich, P.M. Gallagher, A.E. Siewers, and D.E. Wennberg Variation in cardiologists' propensity to test and treat: is it associated with regional variation in utilization? Circ Cardiovasc Qual Outcomes 3 2010 253 260
19. L.A. Petersen, S.-L.T. Normand, L.L. Leape, and B.J. McNeil Regionalization and the underuse of angiography in the Veterans Affairs Health Care System as compared with a fee-for-service system N Engl J Med 348 2003 2209 2217
20. W.B. Batchelor, D.B. Mark, and J.D. Knight et al. Development and validation of a simple model to predict severe coronary artery disease after myocardial infarction: potential impact on cardiac catheterization use in the United States and Canada Am Heart J 145 2003 349 355
21. M.R. Patel, G.J. Dehmer, J.W. Hirshfeld, P.K. Smith, and J.A. Spertus ACCF/SCAI/STS/AATS/AHA/ASNC/HFSA/SCCT 2012 appropriate use criteria for coronary revascularization focused update: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, American Society of Nuclear Cardiology, and the Society of Cardiovascular Computed Tomography J Am Coll Cardiol 59 2012 857 881
22. G.A. Diamond, and S. Kaul Low diagnostic yield of elective coronary angiography N Engl J Med 363 2010 93 author reply 94-5
23. M. Borges Santos, A.M. Ferreira, and P. de Araújo Goncalves et al. Diagnostic yield of current referral strategies for elective coronary angiography in suspected coronary artery disease-an analysis of the ACROSS registry Rev Port Cardiol 32 2013 483 488
24. P.S. Chan, M.R. Patel, and L.W. Klein et al. Appropriateness of percutaneous coronary intervention JAMA 306 2011 53 61
25. S.M. Bradley, C. Maynard, and C.L. Bryson Appropriateness of percutaneous coronary interventions in Washington State Circ Cardiovasc Qual Outcomes 5 2012 445 453
26. G.A. Diamond, and J.S. Forrester Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease N Engl J Med 300 1979 1350 1358
27. D.B. Pryor, L. Shaw, and C.B. McCants et al. Value of the history and physical in identifying patients at increased risk for coronary artery disease Ann Intern Med 118 1993 81 90
28. A.P. Morise, W.J. Haddad, and D. Beckner Development and validation of a clinical score to estimate the probability of coronary artery disease in men and women presenting with suspected coronary disease Am J Med 102 1997 350 356
29. L.D. Fisher, M.P. Judkins, and J. Lesperance et al. Reproducibility of coronary arteriographic reading in the coronary artery surgery study (CASS) Cathet Cardiovasc Diagn 8 1982 565 575