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Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Aug 26, 2016; 8(8): 456-463
Published online Aug 26, 2016. doi: 10.4330/wjc.v8.i8.456
Application of appropriate use criteria for percutaneous coronary intervention in Japan
Taku Inohara, Shun Kohsaka, Ikuko Ueda, Takashi Yagi, Yohei Numasawa, Masahiro Suzuki, Yuichiro Maekawa, Keiichi Fukuda
Taku Inohara, Department of Cardiology, Hiratsuka City Hospital, Hiratsuka 254-0065, Japan
Taku Inohara, Shun Kohsaka, Ikuko Ueda, Yuichiro Maekawa, Keiichi Fukuda, Department of Cardiology, Keio University School of Medicine, Tokyo 160-8582, Japan
Takashi Yagi, Yohei Numasawa, Masahiro Suzuki, Keio Interhospital Cardiovascular Studies, Tokyo 160-8582, Japan
Author contributions: Inohara T and Kohsaka S contributed to draft of the manuscript; Inohara T, Kohsaka S, Ueda I, Yagi T, Numasawa Y, Suzuki M, Maekawa Y and Fukuda K contributed to critical revision of the manuscript for important intellectual content.
Supported by The Pfizer Health Research Foundation.
Conflict-of-interest statement: Dr. Kohsaka and Fukuda received unrestricted research grant for Department of Cardiology, Keio University School of Medicine from Bayer Pharmaceutical Co., Ltd. No other authors have any conflicts to disclose. The funders had no role in the conduct of the study; in the collection, management, analysis, and interpretation of the data; or in the preparation or approval of the manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Shun Kohsaka, MD, PhD, Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. kohsaka@cpnet.med.keio.ac.jp
Telephone: +81-3-58436702 Fax: +81-3-53633875
Received: April 2, 2016
Peer-review started: April 6, 2016
First decision: May 17, 2016
Revised: June 7, 2016
Accepted: July 11, 2016
Article in press: July 13, 2016
Published online: August 26, 2016
Processing time: 142 Days and 7.7 Hours
Core Tip

Core tip: The concept of appropriate use criteria (AUC) regarding percutaneous coronary intervention (PCI) has significantly impacted patient selection for PCI in the United States, particularly in non-acute settings. In Japan, when the United States-derived AUC were applied to Japanese patients, about one-third of elective cases were classified as inappropriate. This is largely due to the perception gap between American and Japanese experts. To extrapolate the current AUC to Japan or any other regions outside of the United States, these local discrepancies must be taken into consideration, and scenarios should be revised to reflect contemporary practice.