Adoption of the Coronary Artery Disease-reporting and Data System: Reduced Downstream Testing and Cardiology Referral Rates in Patients with Non-obstructive Coronary Artery Disease.
cad-rads
ccta
coronary ct angiography
cost
downstream testing
subspecialty referral
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
20 Sep 2019
20 Sep 2019
Historique:
entrez:
14
11
2019
pubmed:
14
11
2019
medline:
14
11
2019
Statut:
epublish
Résumé
Introduction The coronary artery disease-reporting and data system (CAD-RADS) was developed to standardize communication of per-patient maximal stenosis and provide treatment recommendations that may affect downstream testing. Methods Downstream testing, cardiology referral, and cost were abstracted for 1,796 consecutive patients undergoing coronary CT angiography (CCTA) before and after the adoption of the CAD-RADS reporting template at a single-center closed referral hospital system. Cost analysis was based on direct invasive and non-invasive testing utilizing the Center for Medicare & Medicaid Services (CMS) outpatient prospective payment system (OPPS) final rule for 2018. Results Baseline cardiovascular risk factors were balanced between the groups. Overall, referrals for downstream testing were similar between cohorts (10.7% vs 10.8%;
Identifiants
pubmed: 31720176
doi: 10.7759/cureus.5708
pmc: PMC6823058
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e5708Informations de copyright
Copyright © 2019, Boster et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Cardiovasc Comput Tomogr. 2014 Sep-Oct;8(5):375-83
pubmed: 25301043
J Am Coll Radiol. 2005 Jan;2(1):15-21
pubmed: 17411755
J Am Coll Cardiol. 2013 Feb 26;61(8):880-92
pubmed: 23395069
Lancet. 2015 Jun 13;385(9985):2383-91
pubmed: 25788230
J Am Coll Cardiol. 2011 Sep 27;58(14):1414-22
pubmed: 21939822
N Engl J Med. 2018 Sep 06;379(10):924-933
pubmed: 30145934
Curr Cardiovasc Imaging Rep. 2017;10(5):15
pubmed: 28446943
J Am Coll Cardiol. 2015 May 5;65(17):1810-21
pubmed: 25777650
Eur Heart J Cardiovasc Imaging. 2015 Apr;16(4):441-8
pubmed: 25473041
J Am Coll Cardiol. 1990 Mar 15;15(4):827-32
pubmed: 2407762
Hepatology. 2015 Mar;61(3):1056-65
pubmed: 25041904
J Cardiovasc Comput Tomogr. 2013 Mar-Apr;7(2):79-82
pubmed: 23538167
J Am Coll Radiol. 2006 Sep;3(9):677-85
pubmed: 17412148
Circ Cardiovasc Imaging. 2016 Apr;9(4):e004419
pubmed: 27072303
J Cardiovasc Comput Tomogr. 2018 Mar - Apr;12(2):125-130
pubmed: 29217341
J Am Coll Cardiol. 2012 Jan 31;59(5):462-74
pubmed: 22281249
Clin Cardiol. 2016 May;39(5):249-56
pubmed: 27080921
J Cardiovasc Comput Tomogr. 2016 Nov - Dec;10(6):435-449
pubmed: 27780758
Radiol Clin North Am. 2002 May;40(3):409-30, v
pubmed: 12117184
J Am Coll Radiol. 2007 May;4(5):313-9
pubmed: 17467614
N Engl J Med. 2012 Jul 26;367(4):299-308
pubmed: 22830462
J Cardiovasc Comput Tomogr. 2016 Jul-Aug;10(4):269-81
pubmed: 27318587
J Cardiovasc Comput Tomogr. 2014 Sep-Oct;8(5):342-58
pubmed: 25301040
N Engl J Med. 2015 Apr 2;372(14):1291-300
pubmed: 25773919