The Use of Appropriate Use Criteria Are Increasing, But What Are Their Effects on Medical Care?
The first Appropriate Use Criteria (AUC) for coronary revascularization was published in 2009 with an update published in 20121,2. A new version of the AUC for coronary revascularization is currently under development and will hopefully address some of the constructive criticisms directed at the earlier versions. The use of AUC is increasing and several other organizations have developed AUC for different procedures outside the cardiovascular arena. For example, orthopedic surgeons now have AUC for several of their common procedures, the American Academy of Dermatology has AUC for Mohs surgery, and recently AUC for placement of Foley catheters was published3-5. With the increasing development, promotion and adoption of AUC it is reasonable to ask a critical question. What are the effects of AUC on the delivery of cardiovascular care? This is a fair question as the AUC are intended to address the rational use of coronary revascularization, provide a practical standard upon which to assess and understand variability and evaluate overall patterns of care regarding coronary revascularization.
- Received May 20, 2015.
- Accepted May 20, 2015.