UK national and regional trends in cardiovascular magnetic resonance usage – the British Society of CMR survey results
Abstract Background CMR is an imaging modality recommended for multiple indications. Access to CMR is a key issue for its clinical use. We surveyed all CMR units in the UK. Methods An online survey of CMR units in the UK, with responses analysed by region and compared with population data. Results R...
Gespeichert in:
| Veröffentlicht in: | European heart journal 2020-11, Vol.41 (Supplement_2) |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | Supplement_2 |
| container_start_page | |
| container_title | European heart journal |
| container_volume | 41 |
| creator | Keenan, N Captur, G McCann, G Berry, C Myerson, S Fairbairn, T Hudsmith, L O'Regan, D Westwood, M Greenwood, J |
| description | Abstract
Background
CMR is an imaging modality recommended for multiple indications. Access to CMR is a key issue for its clinical use. We surveyed all CMR units in the UK.
Methods
An online survey of CMR units in the UK, with responses analysed by region and compared with population data.
Results
Response rate was 100% (Table). The UK performed a total of 102,886 scans in 2017, and 117,967 in 2018 representing a 1-year 14.7% increase and a 10-year increase of 573% compared to 2008 data (20,597).By head of population in 2018 there were 1,776 CMR scans per million people, with significant variation nationally and regionally, e.g. 4,256 per million in London vs. 396 per million in Wales (Figure). Mean number of scans per unit was 1,404, (range 98–10,000) with wide variation in referral to diagnostic times (mean 45.7 days, range 5–180) (Figure).
Clinical indications for CMR were: heart failure 21%, cardiomyopathy 27%, function and viability 22%, stress 24%, vascular disease 5%, valvular 5%, myocarditis/pericardial 10%, paediatric /congenital 10%, others e.g. transplant/masses 4%, with overlap. There were 358 consultants reporting CMR in 2018 (234 (65%) cardiologists and 124 (35%) radiologists). 81% of units had a CMR service for patients with pacemakers and defibrillators.
Conclusion
The survey shows the state of CMR in the UK. The 10-year growth has been remarkable, but there are wide disparities in terms of use, access and wait times with potential implications for clinical care. Action is needed to make access equitable across the UK.
Country/Region
Population (million)
No. of CMR scans in 2018
No. CMR scans per million 2018
No. of CMR scans 2017
No. CMR scans per million 2017
Number of CMR Units
Number of CMR scanners
Number of CMR scanners per million population
Number of CMR consultants
Number of CMR consultant per million population
Mean outpatient waiting time (days)
East of England
6.3
10647
1690
8749
1389
7
9
1.4
37
5.9
39.0
London
9.2
39152
4256
33241
3613
11
27
2.9
69
7.5
28.5
England-Midlands
10.7
17525
1638
15573
1455
16
30
2.8
59
5.5
40.7
England-Northeast and Yorkshire
8.4
12285
1463
10313
1228
10
24
2.9
45
5.4
34.9
England-Northwest
7.4
12562
1698
10936
1478
9
17
2.3
37
5.0
40.4
England-Southeast
9.1
8968
985
8177
899
12
21
2.3
36
4.0
50.3
England-Southwest
6.0
8641
1440
8334
1389
8
15
2.5
28
4.7
54.9
England Total
56.0
109780
1961
95323
1703
73
143
2.6
311
5.6
40.7
Northern Ireland
1.9
2450
1302
2300
1222
1
4
2.1
10
5.3
180
Scotland
5.4
4495 |
| doi_str_mv | 10.1093/ehjci/ehaa946.0200 |
| format | Article |
| fullrecord | <record><control><sourceid>oup_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1093_ehjci_ehaa946_0200</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/ehjci/ehaa946.0200</oup_id><sourcerecordid>10.1093/ehjci/ehaa946.0200</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1300-cc621e53b2af2bcc320a487c4fad4fb0490180ce277146e245acaae550dac0d83</originalsourceid><addsrcrecordid>eNqNkEtOwzAQQC0EEqVwAVa-QMrYcdxkCRU_UYQEVGIXTSeT1lWbVHZS0R134IachJT2AGxmNNJ7s3hCXCoYKMjiK54vyHUTMTN2ABrgSPRUonWUWZMcix6oLImsTT9OxVkICwBIrbI98Tl5khU2rq5wKbEqpOfZ_mg8V0WQrpKEvnD1BgO1S_RyhbOKG0cdGjqyIpZtwBnLn69v2cxZ3njXuDCXbzU5brayLuXo-VWG1m94u7PaZRPOxUmJy8AXh90Xk7vb99FDNH65fxxdjyNSMUBEZLXiJJ5qLPWUKNaAJh2SKbEw5RRMBioFYj0cKmNZmwQJkZMECiQo0rgv9P4v-ToEz2W-9m6FfpsryHft8r92-aFdvmvXSdFeqtv1f_hf0wh29Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>UK national and regional trends in cardiovascular magnetic resonance usage – the British Society of CMR survey results</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Keenan, N ; Captur, G ; McCann, G ; Berry, C ; Myerson, S ; Fairbairn, T ; Hudsmith, L ; O'Regan, D ; Westwood, M ; Greenwood, J</creator><creatorcontrib>Keenan, N ; Captur, G ; McCann, G ; Berry, C ; Myerson, S ; Fairbairn, T ; Hudsmith, L ; O'Regan, D ; Westwood, M ; Greenwood, J</creatorcontrib><description>Abstract
Background
CMR is an imaging modality recommended for multiple indications. Access to CMR is a key issue for its clinical use. We surveyed all CMR units in the UK.
Methods
An online survey of CMR units in the UK, with responses analysed by region and compared with population data.
Results
Response rate was 100% (Table). The UK performed a total of 102,886 scans in 2017, and 117,967 in 2018 representing a 1-year 14.7% increase and a 10-year increase of 573% compared to 2008 data (20,597).By head of population in 2018 there were 1,776 CMR scans per million people, with significant variation nationally and regionally, e.g. 4,256 per million in London vs. 396 per million in Wales (Figure). Mean number of scans per unit was 1,404, (range 98–10,000) with wide variation in referral to diagnostic times (mean 45.7 days, range 5–180) (Figure).
Clinical indications for CMR were: heart failure 21%, cardiomyopathy 27%, function and viability 22%, stress 24%, vascular disease 5%, valvular 5%, myocarditis/pericardial 10%, paediatric /congenital 10%, others e.g. transplant/masses 4%, with overlap. There were 358 consultants reporting CMR in 2018 (234 (65%) cardiologists and 124 (35%) radiologists). 81% of units had a CMR service for patients with pacemakers and defibrillators.
Conclusion
The survey shows the state of CMR in the UK. The 10-year growth has been remarkable, but there are wide disparities in terms of use, access and wait times with potential implications for clinical care. Action is needed to make access equitable across the UK.
Country/Region
Population (million)
No. of CMR scans in 2018
No. CMR scans per million 2018
No. of CMR scans 2017
No. CMR scans per million 2017
Number of CMR Units
Number of CMR scanners
Number of CMR scanners per million population
Number of CMR consultants
Number of CMR consultant per million population
Mean outpatient waiting time (days)
East of England
6.3
10647
1690
8749
1389
7
9
1.4
37
5.9
39.0
London
9.2
39152
4256
33241
3613
11
27
2.9
69
7.5
28.5
England-Midlands
10.7
17525
1638
15573
1455
16
30
2.8
59
5.5
40.7
England-Northeast and Yorkshire
8.4
12285
1463
10313
1228
10
24
2.9
45
5.4
34.9
England-Northwest
7.4
12562
1698
10936
1478
9
17
2.3
37
5.0
40.4
England-Southeast
9.1
8968
985
8177
899
12
21
2.3
36
4.0
50.3
England-Southwest
6.0
8641
1440
8334
1389
8
15
2.5
28
4.7
54.9
England Total
56.0
109780
1961
95323
1703
73
143
2.6
311
5.6
40.7
Northern Ireland
1.9
2450
1302
2300
1222
1
4
2.1
10
5.3
180
Scotland
5.4
4495
827
4128
759
6
17
3.1
23
4.2
59.0
Wales
3.1
1242
396
1135
362
4
6
1.9
14
4.5
76.3
UK Total
66.4
117967
1776
102886
1549
84
170
2.6
358
5.4
45.7
Figure 1
Funding Acknowledgement
Type of funding source: None</description><identifier>ISSN: 0195-668X</identifier><identifier>EISSN: 1522-9645</identifier><identifier>DOI: 10.1093/ehjci/ehaa946.0200</identifier><language>eng</language><publisher>Oxford University Press</publisher><ispartof>European heart journal, 2020-11, Vol.41 (Supplement_2)</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com. 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1300-cc621e53b2af2bcc320a487c4fad4fb0490180ce277146e245acaae550dac0d83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Keenan, N</creatorcontrib><creatorcontrib>Captur, G</creatorcontrib><creatorcontrib>McCann, G</creatorcontrib><creatorcontrib>Berry, C</creatorcontrib><creatorcontrib>Myerson, S</creatorcontrib><creatorcontrib>Fairbairn, T</creatorcontrib><creatorcontrib>Hudsmith, L</creatorcontrib><creatorcontrib>O'Regan, D</creatorcontrib><creatorcontrib>Westwood, M</creatorcontrib><creatorcontrib>Greenwood, J</creatorcontrib><title>UK national and regional trends in cardiovascular magnetic resonance usage – the British Society of CMR survey results</title><title>European heart journal</title><description>Abstract
Background
CMR is an imaging modality recommended for multiple indications. Access to CMR is a key issue for its clinical use. We surveyed all CMR units in the UK.
Methods
An online survey of CMR units in the UK, with responses analysed by region and compared with population data.
Results
Response rate was 100% (Table). The UK performed a total of 102,886 scans in 2017, and 117,967 in 2018 representing a 1-year 14.7% increase and a 10-year increase of 573% compared to 2008 data (20,597).By head of population in 2018 there were 1,776 CMR scans per million people, with significant variation nationally and regionally, e.g. 4,256 per million in London vs. 396 per million in Wales (Figure). Mean number of scans per unit was 1,404, (range 98–10,000) with wide variation in referral to diagnostic times (mean 45.7 days, range 5–180) (Figure).
Clinical indications for CMR were: heart failure 21%, cardiomyopathy 27%, function and viability 22%, stress 24%, vascular disease 5%, valvular 5%, myocarditis/pericardial 10%, paediatric /congenital 10%, others e.g. transplant/masses 4%, with overlap. There were 358 consultants reporting CMR in 2018 (234 (65%) cardiologists and 124 (35%) radiologists). 81% of units had a CMR service for patients with pacemakers and defibrillators.
Conclusion
The survey shows the state of CMR in the UK. The 10-year growth has been remarkable, but there are wide disparities in terms of use, access and wait times with potential implications for clinical care. Action is needed to make access equitable across the UK.
Country/Region
Population (million)
No. of CMR scans in 2018
No. CMR scans per million 2018
No. of CMR scans 2017
No. CMR scans per million 2017
Number of CMR Units
Number of CMR scanners
Number of CMR scanners per million population
Number of CMR consultants
Number of CMR consultant per million population
Mean outpatient waiting time (days)
East of England
6.3
10647
1690
8749
1389
7
9
1.4
37
5.9
39.0
London
9.2
39152
4256
33241
3613
11
27
2.9
69
7.5
28.5
England-Midlands
10.7
17525
1638
15573
1455
16
30
2.8
59
5.5
40.7
England-Northeast and Yorkshire
8.4
12285
1463
10313
1228
10
24
2.9
45
5.4
34.9
England-Northwest
7.4
12562
1698
10936
1478
9
17
2.3
37
5.0
40.4
England-Southeast
9.1
8968
985
8177
899
12
21
2.3
36
4.0
50.3
England-Southwest
6.0
8641
1440
8334
1389
8
15
2.5
28
4.7
54.9
England Total
56.0
109780
1961
95323
1703
73
143
2.6
311
5.6
40.7
Northern Ireland
1.9
2450
1302
2300
1222
1
4
2.1
10
5.3
180
Scotland
5.4
4495
827
4128
759
6
17
3.1
23
4.2
59.0
Wales
3.1
1242
396
1135
362
4
6
1.9
14
4.5
76.3
UK Total
66.4
117967
1776
102886
1549
84
170
2.6
358
5.4
45.7
Figure 1
Funding Acknowledgement
Type of funding source: None</description><issn>0195-668X</issn><issn>1522-9645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqNkEtOwzAQQC0EEqVwAVa-QMrYcdxkCRU_UYQEVGIXTSeT1lWbVHZS0R134IachJT2AGxmNNJ7s3hCXCoYKMjiK54vyHUTMTN2ABrgSPRUonWUWZMcix6oLImsTT9OxVkICwBIrbI98Tl5khU2rq5wKbEqpOfZ_mg8V0WQrpKEvnD1BgO1S_RyhbOKG0cdGjqyIpZtwBnLn69v2cxZ3njXuDCXbzU5brayLuXo-VWG1m94u7PaZRPOxUmJy8AXh90Xk7vb99FDNH65fxxdjyNSMUBEZLXiJJ5qLPWUKNaAJh2SKbEw5RRMBioFYj0cKmNZmwQJkZMECiQo0rgv9P4v-ToEz2W-9m6FfpsryHft8r92-aFdvmvXSdFeqtv1f_hf0wh29Q</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Keenan, N</creator><creator>Captur, G</creator><creator>McCann, G</creator><creator>Berry, C</creator><creator>Myerson, S</creator><creator>Fairbairn, T</creator><creator>Hudsmith, L</creator><creator>O'Regan, D</creator><creator>Westwood, M</creator><creator>Greenwood, J</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20201101</creationdate><title>UK national and regional trends in cardiovascular magnetic resonance usage – the British Society of CMR survey results</title><author>Keenan, N ; Captur, G ; McCann, G ; Berry, C ; Myerson, S ; Fairbairn, T ; Hudsmith, L ; O'Regan, D ; Westwood, M ; Greenwood, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1300-cc621e53b2af2bcc320a487c4fad4fb0490180ce277146e245acaae550dac0d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keenan, N</creatorcontrib><creatorcontrib>Captur, G</creatorcontrib><creatorcontrib>McCann, G</creatorcontrib><creatorcontrib>Berry, C</creatorcontrib><creatorcontrib>Myerson, S</creatorcontrib><creatorcontrib>Fairbairn, T</creatorcontrib><creatorcontrib>Hudsmith, L</creatorcontrib><creatorcontrib>O'Regan, D</creatorcontrib><creatorcontrib>Westwood, M</creatorcontrib><creatorcontrib>Greenwood, J</creatorcontrib><collection>CrossRef</collection><jtitle>European heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keenan, N</au><au>Captur, G</au><au>McCann, G</au><au>Berry, C</au><au>Myerson, S</au><au>Fairbairn, T</au><au>Hudsmith, L</au><au>O'Regan, D</au><au>Westwood, M</au><au>Greenwood, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>UK national and regional trends in cardiovascular magnetic resonance usage – the British Society of CMR survey results</atitle><jtitle>European heart journal</jtitle><date>2020-11-01</date><risdate>2020</risdate><volume>41</volume><issue>Supplement_2</issue><issn>0195-668X</issn><eissn>1522-9645</eissn><abstract>Abstract
Background
CMR is an imaging modality recommended for multiple indications. Access to CMR is a key issue for its clinical use. We surveyed all CMR units in the UK.
Methods
An online survey of CMR units in the UK, with responses analysed by region and compared with population data.
Results
Response rate was 100% (Table). The UK performed a total of 102,886 scans in 2017, and 117,967 in 2018 representing a 1-year 14.7% increase and a 10-year increase of 573% compared to 2008 data (20,597).By head of population in 2018 there were 1,776 CMR scans per million people, with significant variation nationally and regionally, e.g. 4,256 per million in London vs. 396 per million in Wales (Figure). Mean number of scans per unit was 1,404, (range 98–10,000) with wide variation in referral to diagnostic times (mean 45.7 days, range 5–180) (Figure).
Clinical indications for CMR were: heart failure 21%, cardiomyopathy 27%, function and viability 22%, stress 24%, vascular disease 5%, valvular 5%, myocarditis/pericardial 10%, paediatric /congenital 10%, others e.g. transplant/masses 4%, with overlap. There were 358 consultants reporting CMR in 2018 (234 (65%) cardiologists and 124 (35%) radiologists). 81% of units had a CMR service for patients with pacemakers and defibrillators.
Conclusion
The survey shows the state of CMR in the UK. The 10-year growth has been remarkable, but there are wide disparities in terms of use, access and wait times with potential implications for clinical care. Action is needed to make access equitable across the UK.
Country/Region
Population (million)
No. of CMR scans in 2018
No. CMR scans per million 2018
No. of CMR scans 2017
No. CMR scans per million 2017
Number of CMR Units
Number of CMR scanners
Number of CMR scanners per million population
Number of CMR consultants
Number of CMR consultant per million population
Mean outpatient waiting time (days)
East of England
6.3
10647
1690
8749
1389
7
9
1.4
37
5.9
39.0
London
9.2
39152
4256
33241
3613
11
27
2.9
69
7.5
28.5
England-Midlands
10.7
17525
1638
15573
1455
16
30
2.8
59
5.5
40.7
England-Northeast and Yorkshire
8.4
12285
1463
10313
1228
10
24
2.9
45
5.4
34.9
England-Northwest
7.4
12562
1698
10936
1478
9
17
2.3
37
5.0
40.4
England-Southeast
9.1
8968
985
8177
899
12
21
2.3
36
4.0
50.3
England-Southwest
6.0
8641
1440
8334
1389
8
15
2.5
28
4.7
54.9
England Total
56.0
109780
1961
95323
1703
73
143
2.6
311
5.6
40.7
Northern Ireland
1.9
2450
1302
2300
1222
1
4
2.1
10
5.3
180
Scotland
5.4
4495
827
4128
759
6
17
3.1
23
4.2
59.0
Wales
3.1
1242
396
1135
362
4
6
1.9
14
4.5
76.3
UK Total
66.4
117967
1776
102886
1549
84
170
2.6
358
5.4
45.7
Figure 1
Funding Acknowledgement
Type of funding source: None</abstract><pub>Oxford University Press</pub><doi>10.1093/ehjci/ehaa946.0200</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0195-668X |
| ispartof | European heart journal, 2020-11, Vol.41 (Supplement_2) |
| issn | 0195-668X 1522-9645 |
| language | eng |
| recordid | cdi_crossref_primary_10_1093_ehjci_ehaa946_0200 |
| source | Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| title | UK national and regional trends in cardiovascular magnetic resonance usage – the British Society of CMR survey results |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T22%3A34%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-oup_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=UK%20national%20and%20regional%20trends%20in%20cardiovascular%20magnetic%20resonance%20usage%20%E2%80%93%20the%20British%20Society%20of%20CMR%20survey%20results&rft.jtitle=European%20heart%20journal&rft.au=Keenan,%20N&rft.date=2020-11-01&rft.volume=41&rft.issue=Supplement_2&rft.issn=0195-668X&rft.eissn=1522-9645&rft_id=info:doi/10.1093/ehjci/ehaa946.0200&rft_dat=%3Coup_cross%3E10.1093/ehjci/ehaa946.0200%3C/oup_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rft_oup_id=10.1093/ehjci/ehaa946.0200&rfr_iscdi=true |