The impact and challenges of implementing CTCA according to the 2019 ESC guidelines on chronic coronary syndromes: a survey and projection of CTCA services in the Netherlands
| Autor: | T. P. W. van den Boogert, B. E. P. M. Claessen, S. M. Boekholdt, T. Leiner, R. Vliegenthart, S. F. Schuiling, J. R. Timmer, S. C. A. M. Bekkers, M. Voskuil, H. J. Siebelink, W. van Es, H. J. Lamb, M. Prokop, P. Damman, J. Stoker, H. C. Willems, J. P. Henriques, R. N. Planken |
|---|---|
| Přispěvatelé: | Cardiologie, MUMC+: MA Cardiologie (9), RS: Carim - B06 Imaging, RS: Carim - H01 Clinical atrial fibrillation, Cardiology, ACS - Atherosclerosis & ischemic syndromes, ACS - Amsterdam Cardiovascular Sciences, Radiology and Nuclear Medicine, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, AMS - Amsterdam Movement Sciences, APH - Aging & Later Life, Geriatrics, ACS - Pulmonary hypertension & thrombosis, AMS - Ageing & Vitality, ACS - Heart failure & arrhythmias, Cardiovascular Centre (CVC), Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Computed Tomography Angiography
Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] R895-920 HEART-DISEASE Guidelines Coronary artery disease ANGIOGRAPHY EUROPEAN-SOCIETY Medical physics. Medical radiology. Nuclear medicine All institutes and research themes of the Radboud University Medical Center SCCT MANAGEMENT NORTH-AMERICAN SOCIETY ARTERY-DISEASE Original Article Radiology Nuclear Medicine and imaging |
| Zdroj: | Insights into Imaging, 12(1):186. SpringerOpen Insights into imaging, 12(1):186. Springer Science and Business Media Deutschland GmbH Insights into Imaging Insights Into Imaging, 12 Insights Into Imaging, 12, 1 Insights into Imaging, 12(1). SPRINGER Insights into Imaging, Vol 12, Iss 1, Pp 1-11 (2021) |
| ISSN: | 1869-4101 |
| Popis: | Background The 2019 ESC-guidelines on chronic coronary syndromes (ESC-CCS) recommend computed tomographic coronary angiography (CTCA) or non-invasive functional imaging instead of exercise ECG as initial test to diagnose obstructive coronary artery disease. Since impact and challenges of these guidelines are unknown, we studied the current utilisation of CTCA-services, status of CTCA-protocols and modeled the expected impact of these guidelines in the Netherlands. Methods and results A survey on current practice and CTCA utilisation was disseminated to every Dutch hospital organisation providing outpatient cardiology care and modeled the required CTCA capacity for implementation of the ESC guideline, based on these national figures and expert consensus. Survey response rate was 100% (68/68 hospital organisations). In 2019, 63 hospital organisations provided CTCA-services (93%), CTCA was performed on 99 CTCA-capable CT-scanners, and 37,283 CTCA-examinations were performed. Between the hospital organisations, we found substantial variation considering CTCA indications, CTCA equipment and acquisition and reporting standards. To fully implement the new ESC guideline, our model suggests that 70,000 additional CTCA-examinations would have to be performed in the Netherlands. Conclusions Despite high national CTCA-services coverage in the Netherlands, a substantial increase in CTCA capacity is expected to be able to implement the 2019 ESC-CCS recommendations on the use of CTCA. Furthermore, the results of this survey highlight the importance to address variations in image acquisition and to standardise the interpretation and reporting of CTCA, as well as to establish interdisciplinary collaboration and organisational alignment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink