Effect of panel composition on appropriateness ratings

Gerald M. Fraser, Dina Pilpel, Jacqueline Kosecoff, Robert H. Brook

Research output: Contribution to journalArticlepeer-review

49 Scopus citations


Cholecystectomy is performed frequently and for relatively few indications. An all surgical panel agreed on more indications and fewer contraindications for cholecystectomy than a mixed specialty panel but did not approve indications for patients with higher comorbidity. In mixed panels subspecialists (gastroenterologists) were more conservative than generalists and surgeons. Similar findings have been shown for carotid endarterectomy. Comparing the results of British and Israeli panels showed variations in rating appropriateness that indicate differences in approach between countries. We conclude that the composition of panels will influence the assessment of appropriateness.

Original languageEnglish
Pages (from-to)251-255
Number of pages5
JournalInternational Journal for Quality in Health Care
Issue number3
StatePublished - 1 Jan 1994
Externally publishedYes


  • Appropriateness
  • Cholecystectomy
  • Contraindications
  • Indications
  • Panel


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