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Assessing the Predictive Validity of the RAND/UCLA Appropriateness Method Criteria for Performing Carotid Endarterectomy

Published online by Cambridge University Press:  10 March 2009

Paul G. Shekelle ,
Mark R. Chassin  and
R. E. Park
Paul G. Shekelle
Affiliation:
West Los Angeles Veterans Affairs Medical Center and The RAND Corporation
Mark R. Chassin
Affiliation:
Mount Sinai Medical Center
R. E. Park
Affiliation:
The RAND Corporation
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Abstract

We assessed the predictive validity of an expert panel's ratings of the appropriateness of carotid endarterectomy by comparing ratings to the results of subsequent randomized clinical trials. We found the trials confirmed the ratings for 44 indications (covering almost 30% of operations performed in 1981) and refuted the ratings for none.

Keywords

Quality of CareAppropriatenessCarotid EndarterectomyValidity
Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 14 , Issue 4 , Fall 1998 , pp. 707 - 727
Copyright
Copyright © Cambridge University Press 1998

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References

REFERENCES

1.Bengston, A., Herlitz, J., Karlsson, T., et al. The appropriateness of performing coronary angiography and coronary artery revascularization in a Swedish population. JAMA. 1994, 271, 1260–65.Google Scholar
2.Blumenthal, D.Quality of care—what is it? New England Journal of Medicine, 1996, 335, 891–94.CrossRefGoogle Scholar
3.Brook, R. H.Practice guidelines and practicing medicine: Are they compatible? JAMA, 1989, 262, 3027–30.CrossRefGoogle ScholarPubMed
4.Brook, R. H., Chassin, M. R., Fink, A., et al. A method for the detailed assessment of the appropriateness of medical technologies. International Journal of Technology Assessment in Health Care, 1986, 2, 53–63.CrossRefGoogle ScholarPubMed
5.Brook, R. H., & Kamberg, C. J.Appropriateness of the use of cardiovascular procedures: A method and results of this application. Schweiz Medizine Wochenschrift, 1993, 123, 249–53.Google ScholarPubMed
6.Brook, R. H., Kamberg, C. J., Mayer-Oakes, A., et al. Appropriateness of acute medical care for the elderly: An analysis of the literature. Santa Monica, CA: RAND, 1989. Publication No. R-3717-AARP/HF/RWJ/RC.Google Scholar
7.CASANOVA Study Group. Carotid surgery versus medical therapy in asymptomatic carotid stenosis. Stroke, 1991, 22, 1229–35.CrossRefGoogle Scholar
8.Chassin, M. R., Kosecoff, J., Solomon, D. H., & Brook, R. H.How coronary angiography is used. JAMA, 1987, 258, 2543–47.CrossRefGoogle ScholarPubMed
9.Chassin, M. R.Standards of care in medicine. Inquiry, 1988, 25, 437–53.Google ScholarPubMed
10.Chassin, M. R.Practice guidelines: Best hope for quality improvement in the 1990s. Journal of Occupational Medicine, 1990, 32, 1199–206.CrossRefGoogle ScholarPubMed
11.Chassin, M. R.The missing ingredient in health reform. JAMA, 1993, 270, 377–78.CrossRefGoogle ScholarPubMed
12.Chassin, M. R.Improving the quality of care. New England Journal of Medicine, 1996, 335, 1060–63.CrossRefGoogle ScholarPubMed
13.Dubinsky, M., & Ferguson, J. H.Analysis of the National Institutes of Health Medicare coverage assessment. International Journal of Technology Assessment in Health Care, 1990, 6, 480–88.CrossRefGoogle ScholarPubMed
14.Eddy, D. M.Practice policies: Where do they come from? JAMA, 1990, 263, 1265, 1269, 1272, 1275.Google ScholarPubMed
15.European Carotid Surgery Trialists’ Collaborative Group. MRC European Carotid Surgery Trial: Interim results for symptomatic patients with severe (70–99%) or with mild (0–29%) carotid stenosis. Lancet, 1991, 337, 1235–43.CrossRefGoogle Scholar
16.European Carotid Surgery Trialists’ Collaborative Group. Endarterectomy for moderate symptomatic carotid stenosis: Interim results from the MRC European Carotid Surgery Trial. Lancet, 1996, 347, 1591–93.CrossRefGoogle Scholar
17.Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA, 1995, 273, 1421–28.CrossRefGoogle Scholar
18.Field, M. J., & Lohr, K. N. (eds.). Guidelines for clinical practice: From development to use. Washington, DC: National Academy Press, 1992.Google Scholar
19.Fields, W. S., Maslenikov, V., Meyer, J. S., et al. Joint study of extracranial arterial occlusion, V: Progress report of prognosis following surgery or nonsurgical treatment for transient cerebral ischemic attacks and cervical carotid artery lesions. JAMA, 1970, 211, 1993–2003.CrossRefGoogle ScholarPubMed
20.Fink, A., Brook, R. H., Kosecoff, J., Chassin, M. R., & Solomon, D. H.The sufficiency of the clinical literature for learning about the appropriate uses of six medical and surgical procedures. Western Journal of Medicine, 1987, 147, 609–15.Google Scholar
21.Gray, D., Hampton, J. R., Bernstein, S. J., et al. Audit of coronary angiography and bypass surgery. Lancet, 1990, 335, 1317–20.CrossRefGoogle ScholarPubMed
22.Greenspan, A. M., Kay, H. R., Berger, B. C., et al. Incidence of unwarranted implantation of permanent cardiac pacemakers in a large medical population. New England Journal of Medicine, 1988, 318, 158–63.CrossRefGoogle Scholar
23.Hobson, R. W., Weiss, D. G., Fields, W. S., et al. Efficacy of carotid endarterectomy for asymptomatic carotid stenosis. New England Journal of Medicine, 1993, 328, 222–27.CrossRefGoogle ScholarPubMed
24.Institute of Medicine. Assessing medical technologies. Washington, DC: National Academy Press, 1985.Google Scholar
25.Kahn, K. L., Kosecoff, J., Chassin, M. R., et al. The use and misuse of upper gastrointestinal endoscopy. Annals of Internal Medicine, 1988, 109, 664–70.CrossRefGoogle ScholarPubMed
26.Kassirer, J. P.The quality of care and the quality of measuring it. New England Journal of Medicine, 1993, 329, 1263–65.CrossRefGoogle Scholar
27.Kleinman, L. C., Kosecoff, J., Dubois, R. W., et al. The medical appropriateness of tympanotomy tubes proposed for children younger than 16 years in the United States. JAMA, 1994, 271, 1250–55.CrossRefGoogle ScholarPubMed
28.Leape, L.Practice guidelines and standards: An overview. Quality Review Bulletin, 1990, 16, 42–49.CrossRefGoogle ScholarPubMed
29.Mayberg, M. R., Wilson, S. E., Yatsu, F., et al. Carotid endarterectomy and prevention of cerebral ischemia in symptomatic carotid stenosis. JAMA, 1991, 266, 3289–94.CrossRefGoogle ScholarPubMed
30.Noble, H. B. Quality is focus for health plans. The New York Times, 07 3, 1995, 1.Google Scholar
31.North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. New England Journal of Medicine, 1991, 325, 445–53.CrossRefGoogle Scholar
32.Phelps, C. E.The methodologic foundations of studies of the appropriateness of medical care. New England Journal of Medicine, 1993, 329, 1241–45.CrossRefGoogle ScholarPubMed
33.Pilpel, D., Fraser, G. M., Kosecoff, J., Weitzman, S., & Brook, R. H.Regional differences in appropriateness of cholecystectomy in a prepaid health insurance system. Public Health Review, 1992–1993, 20, 61–74.Google Scholar
34.Roos, L. L., Bond, R., Naylor, C. D., & Chassin, M. R.Coronary angiography and bypass surgery in Manitoba and the United States: A first comparison. Canadian Journal of Cardiology, 1994, 10, 49–56.Google ScholarPubMed
35.Rothwell, P. M.Can overall results of clinical trials be applied to all patients? Lancet, 1995, 345, 1616–19.CrossRefGoogle ScholarPubMed
36.Siu, A. L., Sonnenberg, W. G., Manning, W. G., et al. Inappropriate use of hospitals in randomized trial of health insurance plans. New England Journal of Medicine, 1986, 315, 1259–66.CrossRefGoogle ScholarPubMed
37.Stiell, I. G., McKnight, R. D., Greenberg, G. H., et al. Implementation of the Ottawa ankle rules. JAMA, 1994, 271, 827–32.CrossRefGoogle ScholarPubMed
38.Winslow, C. M., Kosecoff, J., Brook, R. H., et al. The appropriateness of performing coronary artery bypass surgery. JAMA, 1988, 260, 505–09.CrossRefGoogle ScholarPubMed
39.Winslow, C. M., Solomon, D. H., Chassin, M. R., et al. The appropriateness of performing carotid endarterectomy. New England Journal of Medicine, 1988, 318, 721–27.CrossRefGoogle Scholar
40.Woolf, S. H.Practice guidelines, a new reality in medicine, II: Methods of developing guidelines. Archives of Internal Medicine, 1992, 152, 946–52.CrossRefGoogle Scholar