ArticleCirculation2006
Temporal trends in the utilization of diagnostic testing and treatments for cardiovascular disease in the United States, 1993-2001.
Article in Circulation, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
109 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Clinical implications of referral bias in the diagnostic performance of exercise testing for coronary artery disease.Journal of the American Heart Association · 2013Pooled it
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- Incidence of Malignancy in Children After Cardiac Catheterization Within the First 8 Years of Life Between 1999 and 2013-A Single-Center Experience.Journal of clinical medicine · 2026Article
- State of the art of CT myocardial perfusion.La Radiologia medica · 2025Review
- Non-traditional factors affecting referral for coronary angiography following SPECT myocardial perfusion imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022Article
- Patient, physician and geographic predictors of cardiac stress testing strategy in Ontario, Canada: a population-based study.BMJ open · 2022Article
- The use and the cost of outpatient diagnostic procedures for cardiovascular diseases in Isfahan province: A utilization study.Journal of education and health promotion · 2022Article
- Appropriate use criteria implementation with modified Haller index for predicting stress echocardiographic results and outcome in a population of patients with suspected coronary artery disease.The international journal of cardiovascular imaging · 2021Article
- Exposure to low-dose ionising radiation from cardiac catheterisation and risk of cancer: the COCCINELLE study cohort profile.BMJ open · 2021Article
- The ISCHEMIA Trial: What is the Message for the Interventionalist?European cardiology · 2021Review
- High-frequency QRS analysis to supplement ST evaluation in exercise stress electrocardiography: Incremental diagnostic accuracy and net reclassification.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020Article
- Use of Cardiac Noninvasive Testing After Emergency Department Discharge: Association of Hospital Network Testing Intensity and Outcomes in Ontario, Canada.Journal of the American Heart Association · 2020Article
- Clinical Effectiveness of Cardiac Noninvasive Diagnostic Testing in Outpatients Evaluated for Stable Coronary Artery Disease.Journal of the American Heart Association · 2020Observational
- Coronary Disease Surveillance in the Community: Angiography and Revascularization.Journal of the American Heart Association · 2020Article
- Impact of Clinician Engagement on Implementation of the Pediatric Echocardiography Appropriate Use Criteria.Pediatric cardiology · 2020Article
- Trends in Characteristics and Outcomes of Patients Undergoing Coronary Revascularization in the United States, 2003-2016.JAMA network open · 2020Article
- Testing Real-World Application of Appropriateness Criteria of Single Photon Emission Computed Tomography (SPECT) In Two Egyptian Hospitals.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2020Article
- APPLICATION OF TIME-AVERAGED AND INTEGRAL-BASED MEASURE FOR MEASUREMENT RESULTS VARIABILITY REDUCTION IN GSM/DCS/UMTS SYSTEMS.Radiation protection dosimetry · 2019Article
- Clinical Effectiveness of Cardiac Noninvasive Diagnostic Testing in Patients Discharged From the Emergency Department for Chest Pain.Journal of the American Heart Association · 2019Article
49 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
Abstract
backgroundRates of invasive testing and treatment for coronary artery disease have increased over time. Less is known about trends in the utilization of noninvasive cardiac testing for coronary artery disease. The objective of this study was 2-fold: to explore temporal trends in the utilization of noninvasive and invasive cardiac services in relation to changes in the prevalence of cardiac disease, and to examine whether temporal increases have been targeted to potentially underserved populations. METHODS AND
resultsWe performed an annual cross-sectional population-based study of Medicare patients from 1993 to 2001. We identified stress testing, cardiac catheterization, and revascularization procedures, as well as hospitalizations for acute myocardial infarction, during each year and calculated population-based rates for each using the total fee-for-service Medicare population as the denominator and adjusting for age, gender, and race. We observed marked growth in the utilization rates of cardiac services over time, with relative rates nearly doubling for most services. Acute myocardial infarction hospitalization rates have remained stable over the study period. Although rates of all procedures except coronary artery bypass increased in all subgroups, differences in rates of cardiac testing and treatment between nonblack men and other subgroups persisted over time.
conclusionsTemporal increases in the use of noninvasive and invasive cardiac services are not explained by changes in disease prevalence and have not succeeded in narrowing preexisting treatment differences by gender and race. Such increases, although conferring benefit for some, may expose others to risk and cost without benefit.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.