ACCF/ACR/AIUM/ASE/ASN/ICAVL/SCAI/SCCT/SIR/SVM/SVS 2012 Appropriate use criteria for peripheral vascular ultrasound and physiological testing part I: Arterial ultrasound and physiological testing

Emile R. Mohler, Heather L. Gornik, Marie Gerhard-Herman, Sanjay Misra, Jeffrey W. Olin, R. Eugene Zierler

Research output: Contribution to journalArticle

53 Scopus citations

Abstract

The American College of Cardiology Foundation (ACCF), in partnership with key specialty and subspecialty societies, conducted a review of common clinical scenarios where noninvasive vascular testing (ultrasound and physiological testing) is frequently considered. The indications (clinical scenarios) were derived from common applications or anticipated uses, as well as from current clinical practice guidelines and results of studies examining the implementation of the original appropriate use criteria (AUC). The 159 indications in this document were developed by a diverse writing group and scored by a separate independent technical panel on a scale of 1 to 9, to designate appropriate use (median 7 to 9), uncertain use (median 4 to 6), and inappropriate use (median 1 to 3). A total of 255 indications (with the inclusion of surveillance timeframes) were rated. One hundred and seventeen indications were rated as appropriate, 84 were rated as uncertain, and 54 were rated as inappropriate. The AUC for peripheral vascular disease have the potential to impact physician decision making, healthcare delivery, and reimbursement policy. Furthermore, recognition of uncertain clinical scenarios facilitates identification of areas that would benefit from future research.

Original languageEnglish (US)
Pages (from-to)242-276
Number of pages35
JournalJournal of the American College of Cardiology
Volume60
Issue number3
DOIs
StatePublished - Jul 17 2012

Keywords

  • ACCF Appropriate Use Criteria
  • abdominal aortic aneurysm
  • ankle-brachial index
  • arterial physiological testing
  • carotid artery disease
  • duplex ultrasound
  • mesenteric artery disease
  • noninvasive testing
  • noninvasive vascular laboratory
  • peripheral artery disease
  • peripheral vascular disease
  • renal artery stenosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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