Friday, October 31, 2014

Is Appropriate Use Similar for Cardiology and Non-Cardiology Providers?

Utilization patterns of single-photon emission cardiac tomography myocardial perfusion imaging studies in a rural tertiary care setting.
BACKGROUND: Appropriate use criteria (AUC) for single-photon emission computed tomographic myocardial perfusion imaging (SPECT MPI) were revised in 2009 to include 15 new clinical scenarios.

OBJECTIVE: are the appropriate utilization rates of SPECT MPI imaging similar for cardiology and non cardiology providers?

METHODS: all SPECT MPI studies performed for over a 6-month period at our center were reviewed.

RESULTS: 88% of studies were classified as appropriate, 5.5% as inappropriate,  and 7% as uncertain. The ordering provider specialty did not show any relation with appropriateness of the test (P = 0.46).

CONCLUSIONS: A great majority of MPI studies are performed for appropriate indications regardless of ordering provider specialty.

Clin Cardiol. 2014 Feb;37(2):67-72