Audit of coronary angiography and bypass surgery

Lancet. 1990 Jun 2;335(8701):1317-20. doi: 10.1016/0140-6736(90)91196-h.


The appropriateness of coronary angiography and coronary artery bypass surgery in the Trent regional health authority was assessed by comparison with predetermined consensus criteria. 49% of coronary angiographies were considered to be entirely appropriate in relation to the patient's clinical condition, but 21% were deemed inappropriate. Coronary artery bypass surgery was considered appropriate in 55% of patients, but inappropriate in 16%. Audit by "appropriateness" scores may help to determine which patients should first be investigated and treated when resources are limited and waiting lists are long.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Angina Pectoris / classification
  • Angina Pectoris / therapy
  • Angiography / standards*
  • Coronary Angiography*
  • Coronary Artery Bypass / standards*
  • Coronary Disease / diagnostic imaging
  • Coronary Disease / therapy*
  • Demography
  • Female
  • Humans
  • Male
  • Medical Audit*
  • Middle Aged
  • Practice Patterns, Physicians'
  • United Kingdom