Spiral CT angiography for suspected pulmonary embolism: A cost- effectiveness analysis

Radiology

Volumn 201, Issue 1, 1996, Pages 29-36

  Van Erkel, Arian R ^a,c   Van Rossum, Astrid B ^b   Bloem, Johan L ^a   Kievit, Job ^c   Pattynama, Peter M T ^a  

^a LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^b LEYENBURG HOSPITAL   (Netherlands)

^c LEIDEN UNIVERSITY   (Netherlands)

Author keywords

Computed tomography (CT), clinical effectiveness; Computed tomography (CT), helical; Cost effectiveness; Embolism, pulmonary; Lung, radionuclide studies; Veins, thrombosis

Indexed keywords

ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; COMPUTER MODEL; COST BENEFIT ANALYSIS; DIAGNOSTIC ACCURACY; LUNG ANGIOGRAPHY; LUNG EMBOLISM; MORTALITY; PRIORITY JOURNAL;

EID: 0029814138     PISSN: 00338419     EISSN: None     Source Type: Journal    
DOI: 10.1148/radiology.201.1.8816516     Document Type: Article

References (70)

1. Hoellerich VL, Wigton RS. Diagnosing pulmonary embolism using clinical findings. Arch Intern Med 1986; 146:1699-1704.
2. Hull RD, Raskob GE, Carter CJ, et al. Pulmonary embolism in outpatients with pleuritic chest pain. Arch Intern Med 1988; 148:838-844.
3. Patil S, Henry JW, Rubenfire M, Stein PD. Neural network in the clinical diagnosis of acute pulmonary embolism. Chest 1993; 104:1685-1689.
4. Bell WR, Simon TL. Current status of pulmonary thromboembolic disease: pathophysiology, diagnosis, prevention, and treatment. Am Heart J 1982; 103:239-262.
5. The PIOPED investigators. Value of the ventilation/perfusion scan in acute pulmonary embolism: results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). JAMA 1990; 263:2753-2759.
6. Sostman HD, Ravi CE, Sullivan DC, Mills SR, Glickman MG, Dorfman GS. Use of pulmonary angiography for suspected pulmonary embolism: influence of scintigraphic diagnosis. AJR 1982; 139:673-677.
7. Blum AG, Delfau F, Grignon B, et al. Spiral-computed tomography versus pulmonary embolism in the diagnosis of acute massive pulmonary embolism. Am J Cardiol 1994; 74:96-98.
8. Remy-Jardin M, Remy J, Wattinne L, Giraud F. Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with the single-breath-hold technique - comparison with pulmonary angiography. Radiology 1992; 185:381-387.
9. Steiner P, Phillips F, Wesner D, et al. Primärdiagnostik und verlaufskontrolle der akuten lungenembolie: vergleich zwischen digitaler subtraktionsangiographie und spiral-CT. Rofo 1994; 161:285-291. [German]
10. Goodman LR, Curtin JJ, Mewissen MW, et al. Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography. AJR 1995; 164:1369-1374.
11. Van Rossum AB, Pattynama PMT, Treurniet FEE, Schepers R, Kieft GJ. Spiral CT angiography for pulmonary embolism: validation in 124 patients (abstr). Radiology 1995; 197(P):303.
12. Sasahara AA, Sharma GVRK, Parisi AF. New developments in the detection and prevention of venous thromboembolism. Am J Cardiol 1979; 43:1214-1224.
13. Hull RD, Hirsh J, Carter CJ, et al Pulmonary angiography, ventilation lung scanning, and venography for clinically suspected pulmonary embolism with abnormal perfusion lung scan. Ann Intern Med 1983; 98:891-899.
14. Hull RD, Hirsh J, Carter CJ, et al. Diagnostic value of ventilation-perfusion lung scanning in patients with suspected pulmonary embolism. Chest 1985; 88:819-828.
15. Quinn RJ, Nour R, Butler SP, et al. Pulmonary embolism in patients with intermediate probability lung scans: diagnosis with Doppler venous US and D-dimer measurement. Radiology 1994; 190:509-511.
16. Smith LL, Iber C, Sirr S. Pulmonary embolism: conformation with venous duplex US as adjunct to lung scanning. Radiology 1994; 191:143-147.
17. Van Beek EJR, Van den Ende B, Berckmans RJ, et al. A comparative analysis of D-dimer assays in patients with clinically suspected pulmonary embolism. Thromb Haemost 1993; 70:408-413.
18. Ginsberg JS, Brill-Edwards PA, Demers C, Donovan D, Panju A. D-dimer in patients with clinically suspected pulmonary embolism. Chest 1993; 104:1679-1684.
19. Demers C, Ginsberg JS, Johnston M, Brill-Edwards P, Panju A. D-dimer and thrombin-antithrombin III complexes in patients with clinically suspected pulmonary embolism. Thromb Haemost 1992; 67:408-412.
20. Bourameaux H, Cirafici P, De Moerloose P, et al. Measurement of D-dimer in plasma as a diagnostic aid in suspected pulmonary embolism. Lancet 1991; 337:196-200.
21. Ginsberg JS, Wells PS, Brill-Edwards P, et al. Application of a novel and rapid whole blood assay for D-dimer in patients with clinically suspected pulmonary embolism. Thromb Haemost 1995; 73:35-38.
22. Goldhaber SZ, Simons GR, Elliott G, et al. Quantitative plasma D-dimer levels among patients undergoing pulmonary angiography for suspected pulmonary embolism. JAMA 1993; 270:2819-2822.
23. Gillum RF. Pulmonary embolism and thrombophlebitis in the United States, 1970-1985. Am Heart J 1987; 114:1262-1264.
24. Oudkerk M, Van Beek EJR, Van Putten WLJ, Büller HR. Cost-effectiveness analysis of various strategies in the diagnostic management of pulmonary embolism. Arch Intern Med 1993; 153:947-954.
25. Quinn RJ, Butler SP. A decision analysis approach to the treatment of patients with suspected pulmonary emboli and an intermediate probability lung scan. J Nucl Med 1991; 32:2050-2056.
26. Perrier A, Bounameaux H, Morabia A, et al. Contribution of D-dimer plasma measurement and lower-limb venous ultrasound to the diagnosis of pulmonary embolism: a decision analysis model. Am Heart J1994; 127:624-635.
27. Black WC. The CE plane: a graphic representation of cost-effectiveness. Med Decis Making 1990; 10:212-214.
28. Eisenberg JM. A guide to the economic analysis of clinical practices. JAMA 1989; 262:2879-2886.
29. Oser RF, Zuckerman DA, Gutierrez FR, Brink JA. Anatomic distribution of pulmonary emboli at pulmonary arteriography: implications for spiral and ultra-fast CT. Radiology 1996; 199:31-35.
30. Dalen JE. When can treatment be with-held in patients with suspected pulmonary embolism (editorial). Arch Intern Med 1993; 153:1415-1418.
31. Gurney JW. No fooling around: direct visualization of pulmonary embolism (editorial). Radiology 1993; 188:618-619.
32. Stein PD, Athanasoulis C, Alavi A, et al. Complications and validity of pulmonary angiography in acute pulmonary embolism. Circulation 1992; 85:462-468.
33. Goodman LR, Lipchik RJ. Diagnosis of acute pulmonary embolism: time for a new approach. Radiology 1996; 199:25-27.
34. Hull RD, Raskob GE, Pineo CF, Brant RF. The low-probability lung scan: a need fur a change in nomenclature. Arch Intern Med 1995; 155:1945-1851.
35. Hull RD, Raskob GE, Coates G, Panju AA, Gill GJ. New noninvasive management strategy for patients with suspected pulmonary embolism. Arch Intern Med 1989; 149:2549-2555.
36. Hull RD, Raskob GE. Low-probability lung scan findings: a need for a change. Ann Intern Med 1991; 114:142-143.
37. Van Beek EJR, Tiel-Van Buul MMC, Büller HR, Van Royen EA, Ten Cate JW. The value of lung scintigraphy in the diagnosis of pulmonary embolism. Eur J Nucl Med 1993; 20:173-181.
38. Moser KM. Venous thromboembolism. Am Rev Respir Dis 1990; 141:235-249.
39. Miller GH, Feied CF. Suspected pulmonary embolism: the difficulties of diagnostic evaluation. Postgrad Med 1995; 97:51-58.
40. Cheely R, McCartney WH, Perry JR, et al. The role of noninvasive tests venus pulmonary angiography in the diagnosis of pulmonary embolism. Am J Med 1981; 70:17-22.
41. Quinn MF, Lundell CJ, Klotz TA, et al. Reliability of selective pulmonary arteriography in the diagnosis of pulmonary embolism. AJR 1987; 149:469-471.
42. Dalen JE, Mathur VS, Evans H, et al. Pulmonary angiography in experimental pulmonary embolism. Am Heart J 1966; 72: 509-520.
43. Wolf PS, Genton E. The accuracy of pulmonary angiography in assessing resolution of experimental thromboemboli. Circulation 1970; 41:59-66.
44. Katayama H, Yamaguchi K, Kozuka T, Takashima T, Seez P, Matsuura K. Advene reactions to ionic and nonionic contrast media: a report from the Japanese committee on the safety of contrast media. Radiology 1990; 175:621-628.
45. Heijboer H, Büller HR, Lensing AWA, Turpie AGG, Colly LP, Ten Cate JW. A comparison of real-time compression ultrasonography with impedance plethysmography for the diagnosis of deep-vein thrombosis in symptomatic outpatients. N Engl J Med 1993; 329:1365-1369.
46. Cronan JJ, Dorfman GS, Grusmayk J. Lower-extremity deep venous thrombosis: further experience with and refinements of US assessment. Radiology 1988; 168:101-107.
47. Chance JF, Abbit PL, Tegtmeyer CJ, Powers RD. Real-time ultrasound for the detection of deep venous thrombosis. Ann Emerg Med 1991; 20:494-496.
48. Pedersen OM, Aslaksen A, Vik-Mo H, Bassoe AM. Compression ultrasonography in hospitalized patients with suspected deep venous thrombosis. Arch Intern Med 1991; 151:2217-2220.
49. Vogel P, Laing FC, Jeffrey RB, Wing VW. Deep venous thrombosis of the lower extremity: US evaluation. Radiology 1987; 163:747-751.
50. Cronan JJ, Dorfman GS, Scola FH, Schepps B, Alexander J. Deep venous thrombosis: US assessment using vein compression. Radiology 1987; 162:191-194
51. Appelman PT, De Jong TE, Lampmann LE. Deep venous thrombosis of the leg: US findings. Radiology 1987; 163:743-746.
52. Lensing AWA, Prandoni P, Brandjes D, et al. Detection of deep-vein thrombosis by real-lime B-mode ultrasonography. N Engl J Med 1989; 320:342-345.
53. Douzat MM, Laroche JP, Charras C, et al. Real-time B-mode ultrasonography in the noninvasive diagnosis of deep venous thrombosis. J Ultrasound Med 1986; 5:625-631.
54. Kruit WHJ, De Boer AC, Sing AK, Van Roon F. The significance of venography in the management of patients with clinically suspected pulmonary embolism. J Intern Med 1991; 230:333-339.
55. Cogo A, Lensing AW, Prandoni P, Hirsh J. Distribution of thrombosis in patients with symptomatic deep vein thrombosis: implications for simplifying the diagnostic process with compression ultrasound. Arch Intern Med 1993; 153:2777-2780.
56. Gottschalk A, Sostman HD, Coleman RE, et al. Ventilation-perfusion scintigraphy in the PIOPED study. II. Evaluation of the scintigraphic criteria and interpretations. J Nucl Med 1993; 34:1119-1126.
57. Sostman HD, Coleman RE, DeLong DM, Newman GE, Paine S. Evaluation of revised criteria for ventilation-perfusion scintigraphy in patients with suspected pulmonary embolism. Radiology 1994; 1993:103-107.
58. Hull RD, Raskob GE, Coates G, Panju AA. Clinical validity of a normal perfusion lung scan in patients with suspected pulmonary embolism. Chest 1990; 97:23-26.
59. Egermayer P. Value of anticoagulants in the treatment of pulmonary embolism: a discussion paper. J R Soc Med 1981; 74:675-681.
60. Hirsh J, Hull RD. Natural history of venous thromboembolism. In: Venous thromboembolism: natural history, diagnosis, and management. Boca Raton, Fla: CRC, 1987; 17-21.
61. Hull R, Delmore T, Carter C, et al. Adjusted subcutaneous heparin versus warfarin sodium in the long-term treatment of venous thrombosis. N Engl J Med 1982; 306:189-194.
62. Hull R, Hirsh J, Jay R, et al. Different intensities of oral anticoagulant therapy in the treatment of proximal-vein thrombosis. N Engl J Med 1982; 307:1676-1681.
63. Huisman MV, Büller HR, Ten Cate JW, Vreeken J. Serial impedance plethysmography for suspected deep venous thrombosis in outpatients. N Engl J Med 1986; 314: 823-828.
64. Monreal M, Ruiz J, Salvador R, Morera J, Arias A. Recurrent pulmonary embolism: a prospective study. Chest 1989; 95:976-979.
65. Hull R, Delmore T, Genton E, et al. Warfarin sodium versus low-dose heparin in the long-term treatment of venous thrombosis. N Engl J Med 1979; 301:855-858.
66. Nieuwenhuis HK, Albada J, Banga JD, Sixma JJ. Identification of risk factors for bleeding during treatment of acute venous thromboembolism with heparin or low molecular weight heparin. Blood 1991; 78:2337-2343.
67. Morabia A. Heparin doses and major bleedings. Lancet 1986; 1:1278-1279.
68. Landfeld CS, Cook EF, Flatley M, Weisberg M, Goldman L. Identification and preliminary validation of predictors of major bleeding in hospitalized patients starting anticoagulant therapy. AmJ Med 1987; 82: 703-713.
69. Landfeld CS, Goldman L. Major bleeding in outpatients treated with warfarin: incidence and prediction by factors known at the start of outpatient therapy. Am J Med 1989; 87:144-152.
70. Launbjerg J, Egeblad H, Heaf J, Nielsen NH, Fugleholm AM, Ladefoged K. Bleeding complications to oral anticoagulant therapy: multivariate analysis of 1010 treatment years in 551 outpatients. J Intern Med 1991; 229:351-355.