ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2013
A multicenter evaluation of the appropriate use of single-photon emission tomography myocardial perfusion imaging in Greece.
Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
7 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
- Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review.BMC medical imaging · 2022Article
- 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
- Outcomes after inappropriate nuclear myocardial perfusion imaging: A meta-analysis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016Review
- Assessment of inpatient multimodal cardiac imaging appropriateness at large academic medical centers.Cardiovascular ultrasound · 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
- Applicability of the appropriate use criteria for SPECT myocardial perfusion imaging in Italy: preliminary results.European journal of nuclear medicine and molecular imaging · 2014Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study evaluates the appropriate use of myocardial perfusion imaging (MPI) and determines patterns and variables associated with inappropriate testing.
methodsOver a 10-month period data were collected prospectively from consecutive patients referred for MPI in four academic departments and an appropriate use grade was assigned (appropriate, uncertain, inappropriate, and unclassifiable scans) according to established criteria.
resultsAmong 3,032 referrals appropriate MPI had 72.8% of patients and 19.2% of studies were inappropriate, the remaining being uncertain (7.2%) or unclassifiable (0.8%). In multivariate analysis the asymptomatic status (odds ratio 10.7, P < .001), good functional capacity (odds ratio 1.9, P < .001), an interpretable resting electrocardiogram (odds ratio 1.8, P = .004), an age <65 years (odds ratio 1.5, P = .001) and the absence of diabetes (odds ratio 1.7, P < .001) or dyslipidemia (odds ratio 1.3, P = .014) were independent predictors of inappropriate scintigraphy. The most common indication for inappropriate testing was the assessment of asymptomatic patients <2 years after percutaneous coronary intervention (PCI) (38.9%).
conclusionsThe appropriate use of MPI is relatively high, but a considerable proportion of inappropriate scans is noted which is associated with markers of lower risk. The most common source of inappropriate testing is the assessment of asymptomatic patients <2 years after PCI.
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Registered trials
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