ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2016
Budget impact of applying appropriateness criteria for myocardial perfusion scintigraphy: The perspective of a developing country.
Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Cost of Low-Value Imaging Worldwide: A Systematic Review.Applied health economics and health policy · 2024Pooled it
- Cost-Effectiveness Analysis of CCTA in SUS, as Compared to Other Non-Invasive Imaging Modalities in Suspected Obstructive CAD.Arquivos brasileiros de cardiologia · 2022Article
- Reporting nuclear cardiology studies: Is the cup half-full or half-empty?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018Article
- Current Practices in Myocardial Perfusion Scintigraphy in Brazil and Adherence to the IAEA Recommendations: Results of a Cross-Sectional Study.Arquivos brasileiros de cardiologia · 2018Article
- ASNC imaging guidelines for nuclear cardiology procedures : Standardized reporting of nuclear cardiology procedures.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017Article
- 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
- Significance of inferior wall ischemia in non-dominant right coronary artery anatomy.World journal of cardiology · 2017Article
- Current status of nuclear cardiology practice in Latin America and the Caribbean.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017Article
- Nuclear cardiology and CVD in the developing world: Are we applying our scarce resources appropriately? Why is our mortality rate so high?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016Article
- Appropriate use criteria in myocardial perfusion imaging in a tertiary care hospital in South India: An audit.World journal of nuclear medicineArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Myocardial perfusion imaging is widely used for the risk stratification of coronary artery disease. In view of its cost, besides radiation issues, judicious evaluation of the appropriateness of its indications is essential to prevent an unnecessary economic burden on the health system. We evaluated, at a tertiary-care, public Brazilian hospital, the appropriateness of myocardial perfusion scintigraphy indications, and estimated the budget impact of applying appropriateness criteria. An observational, cross-sectional study of 190 patients with suspected or known coronary artery disease referred for myocardial perfusion imaging was conducted. The appropriateness of myocardial perfusion imaging indications was evaluated with the Appropriate Use Criteria for Cardiac Radionuclide Imaging published in 2009. Budget impact analysis was performed with a deterministic model. The prevalence of appropriate requests was 78%; of inappropriate indications, 12%; and of uncertain indications, 10%. Budget impact analysis showed that the use of appropriateness criteria, applied to the population referred to myocardial perfusion scintigraphy within 1 year, could generate savings of $ 64,252.04 dollars. The 12% inappropriate requests for myocardial perfusion scintigraphy at a tertiary-care hospital suggest that a reappraisal of MPI indications is needed. Budget impact analysis estimated resource savings of 18.6% with the establishment of appropriateness criteria for MPI.
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