ArticleChinese medical journal2016
Impact of Clinical Guideline Recommendations on the Application of Coronary Computed Tomographic Angiography in Patients with Suspected Stable Coronary Artery Disease.
Article in Chinese medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Prospective comparisons of three interpretation methods of fractional flow reserve derived from coronary computed tomography angiography.Quantitative imaging in medicine and surgery · 2025Article
- A novel hybrid machine learning model for auxiliary diagnosing myocardial ischemia.Frontiers in cardiovascular medicine · 2024Article
- Prediction of myocardial ischemia in coronary heart disease patients using a CCTA-Based radiomic nomogram.Frontiers in cardiovascular medicine · 2023Article
- Exploring the diagnostic effectiveness for myocardial ischaemia based on CCTA myocardial texture features.BMC cardiovascular disorders · 2021Article
- Diagnostic Performance of Angiography-Based Fractional Flow Reserve for Functional Evaluation of Coronary Artery Stenosis.Frontiers in cardiovascular medicine · 2021Article
- Article
- Coronary calcium score improves the estimation for pretest probability of obstructive coronary artery disease and avoids unnecessary testing in individuals at low extreme of traditional risk factor burden: validation and comparison of CONFIRM score and genders extended model.BMC cardiovascular disorders · 2018Observational
- Chinese expert consensus on the non-invasive imaging examination pathways of stable coronary artery disease.Journal of geriatric cardiology : JGC · 2018Article
- Decreased Diagnostic Accuracy of Multislice Coronary Computed Tomographic Angiography in Women with Atypical Angina Symptoms.Chinese medical journal · 2016Article
- Coronary Computed Tomographic Angiography for Suspected Stable Coronary Artery Disease: Gap Between the 2013 European Society of Cardiology Guideline Recommendations and Clinical Practice.Chinese medical journal · 2016Article
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Abstract
backgroundCoronary computed tomographic angiography (CCTA) has been widely used in patients who are at intermediate risk for having stable coronary artery disease (SCAD), and 2013 European Society of Cardiology Guidelines on the Management of SCAD (2013G) recommended the appropriate application of CCTA. However, 2013G has not been subjected to systematic analyses for subsequent impact on clinical practice.
methodsA total of 5320 patients suspected with SCAD were enrolled and scheduled for CCTA from March 2013 to September 2014. For each patient, pretest probability of SCAD was calculated according to updated Diamond-Forrester model (UDFM). Appropriate CCTA or appropriate stress test was determined as described in the 2013G. A generalized estimating equation model was used to determine the trends in the half-monthly rate of appropriate CCTA.
resultsOverall, only 61.37% of patients received appropriate CCTA, and there was insignificant change over time (P = 0.8701). The application of CCTA in patients who should have had a stress test accounted for most of the inappropriate CCTA before (22.29%) or after (19.98%) the publication of the 2013G. In all patients or any subgroup, no significant change in the adjusted half-monthly rate of appropriate CCTA was found after the publication of the 2013G (odds ratio, 1.002; 95% confidence interval, 0.982-1.021; P = 0.8678).
conclusionsThese findings suggest that the 2013G have not, to date, been fully incorporated into clinical practice, and the clinical utilization of CCTA remains unreasonable to some extent.
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