ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2011
Gender disparity and the appropriateness of myocardial perfusion imaging.
Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Appropriate Use of Cardiac Stress Testing with Imaging: A Systematic Review and Meta-Analysis.PloS one · 2016Pooled it
- Gender Differences in the Impact of Recommendations on Diagnostic Imaging Tests: A Retrospective Study 2007-2021.Life (Basel, Switzerland) · 2023Article
- Outcomes after inappropriate nuclear myocardial perfusion imaging: A meta-analysis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016Review
- The feminine mystique of AUC.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016Article
- 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
- Impact of insurance carrier, prior authorization, and socioeconomic status on appropriate use of SPECT myocardial perfusion imaging in private community-based office practice.Clinical cardiology · 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
- Clinician-dependent variations in inappropriate use of myocardial perfusion imaging: training, specialty, and location.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 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
- The prognostic value of cardiac SPECT performed at the primary care physician's office.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
- Tests that may be overused or misused in cardiology: the Choosing Wisely campaign.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2012Article
- The time and place for appropriate radionuclide imaging: now and everywhere.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2011Article
- AUC for SPECT: is gender bias inappropriate.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2011Article
- Highlights of the 2009 Scientific Session of the American Society of Nuclear Cardiology: Minneapolis, Minnesota, October 1-4, 2009.Journal of nuclear cardiology : official publication of the American Society of Nuclear CardiologyArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAppropriate use criteria (AUC) were developed to guide the use of myocardial perfusion imaging (MPI). While MPI use has grown exponentially, women remain under tested. Given this bias in testing, we sought to determine if gender disparity exists in tests categorized by appropriateness and the role of referral bias.
methodsThe AUC were applied to 314 consecutive MPI. Analysis of variance and chi-squared tests were used for analysis. Gender disparity was assessed using correlation matrices comparing baseline to gender reversed data.
resultsOf the 314 studies, 263 were appropriate, 34 inappropriate, and 17 uncertain. Women had 68% of inappropriate studies, and 82% of uncertain studies (P < .01). Cardiologists ordered more appropriate studies than primary care physicians (PCPs) in women (86% vs 71%, P = .04). Among studies ordered by cardiologists and PCPs, a higher percentage of studies were appropriate in men vs women (96% vs 86%, P = 0.05 and 88% vs 71% P = .003), respectively. Gender reversal demonstrates disparity in the AUC tool with 46 (15%) not correlating (P < .00001).
conclusionsComparing patient gender and ordering physician, the majority of inappropriate and uncertain studies were ordered in women by PCPs, indicating a continuing need for education among PCPs, particularly as the AUC apply to women.
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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.