As part of the Choosing Wisely initiative spearheaded by the American Board of Internal Medicine (ABIM) Foundation, nine professional societies have jointly released a list of 45 tests and procedures deemed to be of little or no clinical value. Reported in the Daily Briefing, Choosing Wisely is a multi-year initiative that aims to reduce the use of unnecessary medicine and increase dialogue between patients and physicians in selecting the most appropriate test or therapy for a given patient’s condition.
CV imaging ranks highly among unnecessary procedures
Citing a need for more clear process explanation for cardiovascular catheterization labs, leaders from prominent cardiology departments across the country have united to develop a consensus statement on best practices for the cath lab, published in this month’s Catheterization and Cardiovascular Interventions. The groups recommendations span the full scope of the process, from credentialing and team composition, to most effectively managing pre-,peri-, and post-operative procedures.
Cardiology leaders release cath lab best practice consensus statement
Despite recent progress in reaching consensus on the appropriate management of carotid artery disease, several professional societies are now at odds over select patient types and indications. In particular, the Society of Vascular Surgeons (SVS) published new guidelines for selecting the appropriate treatment option (stenting versus endarterectomy, or surgery) which seemingly contradict multi-society developed guidelines published earlier in 2011.
Now, as CMS is considering revising its coverage policy for carotid artery stenting, the apparent disagreement between the SVS and other societies is calling into question the future role of stenting as a reimbursable procedure.
Carotid stenting debate reveals politics behind guideline development process