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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
Joint Authors
Sharifova, Gulru
Phillips, Lawrence M.
Druz, Regina S.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-06-02
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-499017