Treatment decisions made by interventional cardiologists should go beyond appropriate use criteria to tailor the approach to patient and clinical expectations while also accounting for cost, writes SCAI trustee Dr. Peter L. Duffy in an editorial published in Catheterization and Cardiovascular Interventions. He uses the additional measures to construct the "Real Value Approach," a four-part mathematical formula that provides physicians with a means of documenting why a particular option may be right for a patient even if it doesn't meet AUC. "It is no longer good enough for us to just do our work and expect it to be appreciated," Duffy writes. Interventionalists "must prove that we add real value to our health care system."

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