GuidelineJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
Evaluation of the American College of Cardiology Foundation/American Society of Nuclear Cardiology appropriateness criteria for SPECT myocardial perfusion imaging.
Guideline in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.
- Appropriate Use of Cardiac Stress Testing with Imaging: A Systematic Review and Meta-Analysis.PloS one · 2016Pooled it
- Diagnostic performance of combined noninvasive coronary angiography and myocardial perfusion imaging using 320 row detector computed tomography: design and implementation of the CORE320 multicenter, multinational diagnostic study.Journal of cardiovascular computed tomographyTrial
- 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
- Impact of the Publication of Appropriate Use Criteria on Utilization Rates of Myocardial Perfusion Imaging Studies in Ontario, Canada: A Population-Based Study.Journal of the American Heart Association · 2017Article
- Budget impact of applying appropriateness criteria for myocardial perfusion scintigraphy: The perspective of a developing country.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016Article
- Study to Evaluate Current Trends in Appropriate Usage of Tread Mill Exercise Testing.Journal of clinical and diagnostic research : JCDR · 2016Article
- Outcomes after inappropriate nuclear myocardial perfusion imaging: A meta-analysis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016Review
- Appropriate use criteria for SPECT myocardial perfusion imaging: Are they appropriate for women?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016Article
- The feminine mystique of AUC.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016Article
- A Cohort Study of Myocardial Perfusion Imaging in Veteran Patients Without Symptoms: Contributing Factors and Results of Testing.Medicine · 2015Article
- The value and appropriateness of positron emission tomography: an evolving tale.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2015Article
- Can physicians identify inappropriate nuclear stress tests? An examination of inter-rater reliability for the 2009 appropriate use criteria for radionuclide imaging.Circulation. Cardiovascular quality and outcomes · 2015Article
- Application of appropriate use criteria to cardiac stress testing in the hospital setting: limitations of the criteria and areas for improved practice.Clinical cardiology · 2015Article
- Applicability of the appropriate use criteria for SPECT myocardial perfusion imaging in Italy: preliminary results.European journal of nuclear medicine and molecular imaging · 2014Article
- Inappropriate utilization of SPECT myocardial perfusion imaging on the USA-Mexico border.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2014Article
- Computed tomography angiography and perfusion to assess coronary artery stenosis causing perfusion defects by single photon emission computed tomography: the CORE320 study.European heart journal · 2014Article
- Utilization patterns of single-photon emission cardiac tomography myocardial perfusion imaging studies in a rural tertiary care setting.Clinical cardiology · 2014Observational
- Downstream clinical implications of abnormal myocardial perfusion single-photon emission computed tomography based on appropriate use criteria.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2013Article
- A multicenter evaluation of the appropriate use of single-photon emission tomography myocardial perfusion imaging in Greece.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2013Article
- Correlation between clinical outcomes and appropriateness grading for referral to myocardial perfusion imaging for preoperative evaluation prior to non-cardiac surgery.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2012Article
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe American College of Cardiology Foundation/American Society of Nuclear Cardiology appropriateness criteria (AC) were created to guide responsible use of single photon emission computed tomography (SPECT). Clinical applicability of the AC has not been evaluated. METHODS AND
resultsIndications for testing were determined in 1209 patients and categorized as having appropriate, uncertain, or inappropriate indications; the specialty of the ordering physician was noted. There were 940 (80%) appropriate, 154 (13%) inappropriate, and 79 (7%) uncertain tests; 36 tests were labeled "no category," as these were ordered for indications not clearly addressed in the AC. Inappropriate studies had more normal and lower summed stress scores, although there remained a high proportion of abnormal SPECT studies in this group (26% of women and 50% of men). Women had lower summed stress scores and more normal tests in the appropriate and inappropriate groups. Studies ordered by anesthesiologists for preoperative evaluation were more likely to be deemed inappropriate than other specialty groups.
conclusionIn evaluating the AC in a single-center academic setting, the majority of studies are appropriate, but a large proportion of ordered SPECT studies were categorized as uncertain, inappropriate, or no category. Although the inappropriate studies showed less ischemia than other groups, especially in women, a substantial portion of these studies (32%) were abnormal.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.