Evidence map›Paper›PMID 33766986›Full record

ArticleHeart (British Cardiac Society)2021

Regional variation in cardiovascular magnetic resonance service delivery across the UK.

Niall G Keenan, Gabriella Captur, Gerry P McCann, Colin Berry, Saul G Myerson, Timothy Fairbairn, Lucy Hudsmith, Declan P O'Regan, Mark Westwood, John P Greenwood

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Heart (British Cardiac Society), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  11. Diagnostic approach to heart failure in Türkiye.Turkish journal of medical sciences · 2024
    Article
  12. Article
  13. Worldwide variation in cardiovascular magnetic resonance practice models.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Article
  14. Society for cardiovascular magnetic resonance recommendations for training and competency of CMR technologists.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Article
  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 10 institutions in 1 country.

Niall G KeenanCardiology, West Hertfordshire Hospitals NHS Trust, Watford, Hertfordshire, UK n.keenan@imperial.ac.uk.ORCID 0000-0002-0841-6989
Gabriella CapturUniversity College London Institute of Cardiovascular Science, London, UK.ORCID 0000-0002-5662-0642
Gerry P McCannDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Colin BerryBHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID 0000-0002-4547-8636
Saul G MyersonUniversity of Oxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0001-5927-0230
Timothy FairbairnCardiology, Liverpool Heart and Chest Hospital NHS Trust, Liverpool, Merseyside, UK.
Lucy HudsmithAdult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, West Midlands, UK.
Declan P O'ReganMRC London Institute of Medical Sciences, Imperial College London, London, UK.ORCID 0000-0002-0691-0270
Mark WestwoodCardiology, Barts Heart Centre, London, UK.
John P GreenwoodLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.ORCID 0000-0002-2861-0914
British Heart Foundation · GBGolden Jubilee National Hospital · GBJohn Radcliffe Hospital · GBLiverpool Heart and Chest Hospital NHS Trust · GBMRC London Institute of Medical Sciences · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GBThe Royal Free Hospital · GBUniversity of Leeds · GBUniversity of Leicester · GBWest Hertfordshire Hospitals NHS Trust · GB

Funding

Medical Research Council MC_UP_1605/13
6 · The paper itself

Abstract

objectivesTo examine service provision in cardiovascular magnetic resonance (CMR) in the UK. Equitable access to diagnostic imaging is important in healthcare. CMR is widely available in the UK, but there may be regional variations.

methodsAn electronic survey was sent by the British Society of CMR to the service leads of all CMR units in the UK in 2019 requesting data from 2017 and 2018. Responses were analysed by region and interpreted alongside population statistics.

resultsThe survey response rate was 100% (82 units). 100 386 clinical scans were performed in 2017 and 114 967 in 2018 (15% 1-year increase; 5-fold 10-year increase compared with 2008 data). In 2018, there were 1731 CMR scans/million population overall, with significant regional variation, for example, 4256 scans/million in London vs 396 scans/million in Wales. Median number of clinical scans per unit was 780, IQR 373-1951, range 98-10 000, with wide variation in mean waiting times (median 41 days, IQR 30-49, range 5-180); median 25 days in London vs 180 days in Northern Ireland). Twenty-five units (30%) reported mean elective waiting times in excess of 6 weeks, and 8 (10%) ≥3 months. There were 351 consultants reporting CMR, of whom 230 (66%) were cardiologists and 121 (34%) radiologists; 81% of units offered a CMR service for patients with pacemakers and defibrillators.

conclusionsThis survey provides a unique, contemporary insight into national CMR delivery with 100% centre engagement. The 10-year growth in CMR usage at fivefold has been remarkable but heterogeneous across the UK, with some regions still reporting low usage or long waiting times which may be of clinical concern.

Indexed as

AdolescentAdultCardiovascular DiseasesChildChild, PreschoolDelivery of Health CareFemaleFollow-Up StudiesHumansIncidenceInfantMagnetic Resonance Imaging, CineMaleRetrospective StudiesUnited KingdomYoung Adultdelivery of health carehealth care economics and organizationsmagnetic resonance imaging

Identifiers

PMID33766986
PMCPMC8639953
OpenAlexW3137133780

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.