Temporal Changes in Appropriateness of Cardiac Imaging
Ricardo Fonseca, Kazuaki Negishi, Petr Otahal, Thomas H Marwick
Journal of the American College of Cardiology | ELSEVIER SCIENCE INC | Published : 2015
BACKGROUND: Appropriate use criteria (AUC) for cardiac imaging have been available for almost 10 years. The extent to which there has been a reported improvement in appropriate use is undefined. OBJECTIVES: This study systematically reviewed published evidence to identify whether the promulgation of AUC has led to an improvement in the proportion of appropriate cardiac imaging requests. METHODS: Electronic databases were systematically searched for English-language papers related to AUC and cardiovascular imaging. We found 59 reports involving 103,567 tests that were published from 2000 to 2012. The rate of appropriate testing over time was analyzed in a meta-regression. RESULTS: New AUC wer..View full abstract
From the Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia. Dr. Fonseca is supported by a scholarship from the Farrell Foundation. Dr. Negishi is supported by an award from the Select Foundation, Hobart, Australia. Dr. Marwick has received research grants from GE Medical Systems and Siemens. Mr. Otahal has reported that he has no relationships relevant to the contents of this paper to disclose.