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Titolo:
Clinical and economic outcomes assessment in nuclear cardiology
Autore:
Shaw, LJ; Miller, DD; Berman, DS; Hachamovitch, R;
Indirizzi:
Emory Univ, Atlanta, GA 30322 USA Emory Univ Atlanta GA USA 30322Emory Univ, Atlanta, GA 30322 USA St Louis Univ, Hlth Sci Ctr, St Louis, MO 63103 USA St Louis Univ St Louis MO USA 63103 Hlth Sci Ctr, St Louis, MO 63103 USA Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA Cedars Sinai Med Ctr Los Angeles CA USA 90048 , Los Angeles, CA 90048 USA St Francis Med Ctr, New York, NY USA St Francis Med Ctr New York NY USASt Francis Med Ctr, New York, NY USA
Titolo Testata:
QUARTERLY JOURNAL OF NUCLEAR MEDICINE
fascicolo: 2, volume: 44, anno: 2000,
pagine: 138 - 152
SICI:
1125-0135(200006)44:2<138:CAEOAI>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY DISEASE; EMISSION COMPUTED-TOMOGRAPHY; INCREMENTAL PROGNOSTIC VALUE; ASSOCIATION TASK-FORCE; MYOCARDIAL-INFARCTION; RISK STRATIFICATION; PRACTICE GUIDELINES; STABLE ANGINA; ANGIOPLASTY; ANGIOGRAPHY;
Keywords:
nuclear medicine, economics; health care costs; heart radionuclide imaging;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Shaw, LJ Emory Univ, Room 638,1518 Clifton Rd NE, Atlanta, GA 30322 USA Emory Univ Room 638,1518 Clifton Rd NE Atlanta GA USA 30322 2 USA
Citazione:
L.J. Shaw et al., "Clinical and economic outcomes assessment in nuclear cardiology", Q J NUCL M, 44(2), 2000, pp. 138-152

Abstract

The future of nuclear medicine procedures, as understood within our current economic climate, depends upon its ability to provide relevant clinical information at similar or lower comparative costs. with an ever-increasing emphasis on cost containment, outcome assessment forms the basis of preserving the duality of patient cafe. Today, outcomes assessment encompasses a wide array of subjects including clinical economic, and humanistic (i.e., quality of life) outcomes. For nuclear cardiology evidence-based medicine mould require a threshold level of evidence in order to justify the added cost of any test in a patient's work-up. This evidence would include large multicenter, observational series as well as randomized trial data in sufficiently large and diverse patient populations. The nem movement in evidence-based medicine is also being applied to the introduction of new technologies, in particular when comparative modalities exist. In the past 5 years, me have seen a dramatic shift in the quality of outcomes data published in nuclear cardiology This includes the use of statistically rigorous risk-adjusted techniques as well as large populations (i.e., >500 patients) representing multiple diverse medical care settings, This has been the direct result of the development of multiple outcomes databases that have now amassed thousands of patients worth of data. One of the benefits of examining outcomes inlarge patient datasets is the ability to assess individual endpoints (e.g., cardiac death) as compared with smaller datasets that often assess combined endpoints (e.g., death, myocardial infarction, or unstable angina), New technologies for the diagnosis of coronary artery disease have contributed to the rising costs of care. In the United States and in Europe, costs of care have risen dramatically, consuming an ever-increasing amount of available resources. The overuse of diagnostic angiography often leads to unnecessary revascularization that does not lead to improvement in outcome. Thus, the potential exists that stress SPECT imaging, a highly effective diagnostic tool, could effect substantial change in reducing inappropriate use of aninvasive procedure resulting in cost effective cardiac care. A synthesis of current economic evidence in gated SPECT imaging will be presented In conclusion, a current state of the evidence review is presented on the clinical and economic data using nuclear cardiology imaging.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:33:09