Assessing the predictive validity of the RAND/UCLA appropriateness method criteria for performing carotid endarterectomy

P G Shekelle; M R Chassin; R E Park

doi:10.1017/s0266462300012022

Assessing the predictive validity of the RAND/UCLA appropriateness method criteria for performing carotid endarterectomy

Int J Technol Assess Health Care. 1998 Fall;14(4):707-27. doi: 10.1017/s0266462300012022.

Authors

P G Shekelle¹, M R Chassin, R E Park

Affiliation

¹ West Los Angeles Veterans Affairs Medical Center, USA.

PMID: 9885461
DOI: 10.1017/s0266462300012022

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.

MeSH terms

Carotid Stenosis / diagnosis
Carotid Stenosis / surgery
Endarterectomy, Carotid / standards
Endarterectomy, Carotid / statistics & numerical data*
Health Services Misuse*
Health Services Research
Humans
Medicare
Quality Assurance, Health Care / methods*
United States
Unnecessary Procedures
Utilization Review