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Clinical Evaluation of the Appropriateness Use Criteria for Single-Photon Emission-Computed Tomography : Differences by Patient Population, Physician Specialty, and Patient Outcomes
المؤلفون المشاركون
Sharifova, Gulru
Phillips, Lawrence M.
Druz, Regina S.
المصدر
العدد
المجلد 2011، العدد 2011 (31 ديسمبر/كانون الأول 2011)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2011-06-02
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Objectives.
Determine outcome of the 2005 appropriateness use criteria (AUC) for SPECT in a diverse population of patients and physicians.
Background.
AUC for SPECT were the first cardiology document to identify 52 clinical indications for imaging, 49 of them for stress SPECT.
AUC have been proposed as cornerstone of responsible use of perfusion imaging.
Methods.
585 consecutive patients undergoing SPECT were evaluated prospectively.
Appropriateness was examined for demographic variables, clinical variables, and for physician and patient subgroups.
Combined end-point of total mortality, cardiac revascularization, and cardiac admissions at 1 year post SPECT was evaluated.
Results.
SPECT indications were: appropriate, 63%; uncertain, 20%; inappropriate, 14%; not assigned, 3%.
Most appropriate SPECT were observed in patients with known coronary disease (72%), chest pain syndrome (89%), high pre-test likelihood of disease (100%), men (70%), inpatients (72%), and cardiovascular physicians' referrals (69%).
End-point was reached in 53 patients (97.4% follow up).
Unadjusted event rates were: appropriate (12%), uncertain (7.1%), inappropriate (2.4%) SPECT (P=.01).
Conclusion.
Appropriateness of SPECT differs in subgroups of patients and physicians.
Clinically significant outcomes occur more frequently in the appropriate stress SPECT group.
Focused efforts are need for outpatients, asymptomatic patients, women, and non-cardiovascular physicians.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Druz, Regina S.& Phillips, Lawrence M.& Sharifova, Gulru. 2011. Clinical Evaluation of the Appropriateness Use Criteria for Single-Photon Emission-Computed Tomography : Differences by Patient Population, Physician Specialty, and Patient Outcomes. ISRN Cardiology،Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-499017
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Druz, Regina S.…[et al.]. Clinical Evaluation of the Appropriateness Use Criteria for Single-Photon Emission-Computed Tomography : Differences by Patient Population, Physician Specialty, and Patient Outcomes. ISRN Cardiology No. 2011 (2011), pp.1-8.
https://search.emarefa.net/detail/BIM-499017
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Druz, Regina S.& Phillips, Lawrence M.& Sharifova, Gulru. Clinical Evaluation of the Appropriateness Use Criteria for Single-Photon Emission-Computed Tomography : Differences by Patient Population, Physician Specialty, and Patient Outcomes. ISRN Cardiology. 2011. Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-499017
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-499017
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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