Inappropriate utilization of SPECT myocardial perfusion imaging on the USA-Mexico border
| Autor: | Mell F. Gutarra, Omosalewa O. Lalude, Eduardo N. Pollono, Soyoung Lee, Patrick M. Tarwater |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Cardiology Medically Underserved Area Coronary Artery Disease Unnecessary Procedures Logistic regression Chest pain Appropriate Use Criteria Odds Cardiovascular symptoms Myocardial perfusion imaging Age Distribution Diabetes mellitus Internal medicine Prevalence medicine Humans Radiology Nuclear Medicine and imaging Practice Patterns Physicians' Sex Distribution Mexico Tomography Emission-Computed Single-Photon medicine.diagnostic_test business.industry Myocardial Perfusion Imaging Hispanic or Latino Middle Aged medicine.disease United States Exact test Practice Guidelines as Topic Utilization Review Female Guideline Adherence Radiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Nuclear Cardiology. 21:544-552 |
| ISSN: | 1532-6551 1071-3581 |
| DOI: | 10.1007/s12350-014-9881-9 |
| Popis: | The American College of Cardiology/American Society of Nuclear Cardiology published revised appropriate use criteria (AUC) for SPECT MPI in 2009. We assessed adherence to these guidelines and factors associated with inappropriate utilization at the University Medical Center. The AUC was applied retrospectively to 420 SPECT MPI studies. Two-sample t test, Fisher’s exact test, and multivariable logistic regression models were used for analysis. There were 322 appropriate (86%) and 54 (14%) inappropriate studies. The odds of having an inappropriate test increased with younger age (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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