Appropriateness of diagnostic coronary angiography as a measure of cardiac ischemia testing in non-emergency patients - a retrospective cross-sectional analysis

Adequate application of guidelines concerning non-invasive ischemia testing (NIIT) could avoid inappropriate invasive testing in non-emergency situations. Hardly any data exists regarding frequency and appropriateness of diagnostic coronary angiography (CA). The aim of this study was to evaluate the...

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Veröffentlicht in:	PloS one 2015-02, Vol.10 (2), p.e0117172-e0117172
Hauptverfasser:	Chmiel, Corinne, Reich, Oliver, Signorell, Andri, Tandjung, Ryan, Rosemann, Thomas, Senn, Oliver
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Angina pectoris Angiography Angioplasty Cardiac patients Cardiology Cardiovascular disease Cofactors Comorbidity Computed tomography Coronary Angiography Coronary vessels Cross-sectional studies Data processing Diagnostic systems Diagnostic tests Echocardiography EKG Electrocardiography Emergency management Emergency medical care Emergency procedures Exercise Test Female Guidelines Health care policy Health risk assessment Health sciences Heart Heart attacks Heart diseases Hospitals Humans Insurance Internal medicine Intervention Intubation Ischemia Magnetic Resonance Angiography Magnetic resonance imaging Male Medical diagnosis Medical imaging Medical Overuse Medicine Middle Aged Mortality Myocardial Ischemia - diagnosis Patients Pharmacy Primary care Regression analysis Retrospective Studies Scintigraphy Thrombosis Tomography, X-Ray Computed
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Zusammenfassung:	Adequate application of guidelines concerning non-invasive ischemia testing (NIIT) could avoid inappropriate invasive testing in non-emergency situations. Hardly any data exists regarding frequency and appropriateness of diagnostic coronary angiography (CA). The aim of this study was to evaluate the proportion and predictors of patients without NIIT prior to elective purely diagnostic CA without therapeutic intervention. Retrospective cross-sectional analysis of insurance claims data from 2012 and 2013. Patients 6 chronic comorbidities were independently associated with a lower proportion of NIIT (p
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0117172