Can physicians identify inappropriate nuclear stress tests? An examination of inter-rater reliability for the 2009 appropriate use criteria for radionuclide imaging

Circulation: Cardiovascular Quality and Outcomes

Volumn 8, Issue 1, 2015, Pages 23-29

  Ye, Siqin ^a   Rabbani, LeRoy E ^a   Kelly, Christopher R ^a   Kelly, Maureen R ^a   Lewis, Matthew ^a   Paz, Yehuda ^a   Peck, Clara L ^a   Rao, Shaline ^a   Bokhari, Sabahat ^a   Weiner, Shepard D ^a   Einstein, Andrew J ^a  

^a Och Spine at New York Presbyterian Hospitals   (United States)

Author keywords

Coronary disease; Radioisotopes

Indexed keywords

TROPONIN;

ADULT; ARTICLE; CARDIOLOGIST; CONSENSUS; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DIABETES MELLITUS; ELECTROCARDIOGRAPHY; EXERCISE TEST; FEMALE; GOLD STANDARD; HEART INFARCTION; HEART MUSCLE REVASCULARIZATION; HUMAN; INTERRATER RELIABILITY; MAJOR CLINICAL STUDY; MALE; MEDICAL STAFF; MIDDLE AGED; NUCLEAR STRESS TEST; PERCUTANEOUS CORONARY INTERVENTION; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; SCINTISCANNING; SENSITIVITY AND SPECIFICITY; TREATMENT INDICATION; AGED; CLINICAL PRACTICE; COMPARATIVE STUDY; ELECTRONIC HEALTH RECORD; HEALTH CARE QUALITY; NEW YORK; OBSERVER VARIATION; PATIENT SELECTION; PRACTICE GUIDELINE; PREDICTIVE VALUE; PROTOCOL COMPLIANCE; RETROSPECTIVE STUDY; RISK FACTOR; STANDARDS; UNIVERSITY HOSPITAL; UNNECESSARY PROCEDURE; UTILIZATION;

ACADEMIC MEDICAL CENTERS; ADULT; AGED; ELECTRONIC HEALTH RECORDS; FEMALE; GUIDELINE ADHERENCE; HUMANS; MALE; MIDDLE AGED; NEW YORK CITY; OBSERVER VARIATION; PATIENT SELECTION; PRACTICE GUIDELINES AS TOPIC; PRACTICE PATTERNS, PHYSICIANS'; PREDICTIVE VALUE OF TESTS; QUALITY INDICATORS, HEALTH CARE; RADIONUCLIDE IMAGING; RETROSPECTIVE STUDIES; RISK FACTORS; UNNECESSARY PROCEDURES;

EID: 84927672541     PISSN: 19417713     EISSN: 19417705     Source Type: Journal    
DOI: 10.1161/CIRCOUTCOMES.114.001067     Document Type: Article

References (30)

1. Iglehart JK. The new era of medical imaging-progress and pitfalls. N Engl J Med. 2006;354:2822-2828. doi: 10.1056/NEJMhpr061219.
2. Fazel R, Krumholz HM, Wang Y, Ross JS, Chen J, Ting HH, Shah ND, Nasir K, Einstein AJ, Nallamothu BK. Exposure to low-dose ionizing radiation from medical imaging procedures. N Engl J Med. 2009;361:849-857. doi: 10.1056/NEJMoa0901249.
3. Rozanski A, Gransar H, Hayes SW, Min J, Friedman JD, Thomson LE, Berman DS. Temporal trends in the frequency of inducible myocardial ischemia during cardiac stress testing: 1991 to 2009. J Am Coll Cardiol. 2013;61:1054-1065. doi: 10.1016/j.jacc.2012.11.056.
4. Lucas FL, DeLorenzo MA, Siewers AE, Wennberg DE. Temporal trends in the utilization of diagnostic testing and treatments for cardiovascular disease in the United States, 1993-2001. Circulation. 2006;113:374-379. doi: 10.1161/CIRCULATIONAHA.105.560433.
5. Einstein AJ, Weiner SD, Bernheim A, Kulon M, Bokhari S, Johnson LL, Moses JW, Balter S. Multiple testing, cumulative radiation dose, and clinical indications in patients undergoing myocardial perfusion imaging. JAMA. 2010;304:2137-2144. doi: 10.1001/jama.2010.1664.
6. Brindis RG, Douglas PS, Hendel RC, Peterson ED, Wolk MJ, Allen JM, Patel MR, Raskin IE, Hendel RC, Bateman TM, Cerqueira MD, Gibbons RJ, Gillam LD, Gillespie JA, Hendel RC, Iskandrian AE, Jerome SD, Krumholz HM, Messer JV, Spertus JA, Stowers SA; American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group; American Society of Nuclear Cardiology; American Heart Association. ACCF/ASNC appropriateness criteria for single-photon emission computed tomography myocardial perfusion imaging (SPECT MPI): a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group and the American Society of Nuclear Cardiology endorsed by the American Heart Association. J Am Coll Cardiol. 2005;46:1587-1605. doi: 10.1016/j.jacc.2005.08.029.
7. Hendel RC, Berman DS, Di Carli MF, Heidenreich PA, Henkin RE, Pellikka PA, Pohost GM, Williams KA; American College of Cardiology Foundation Appropriate Use Criteria Task Force; American Society of Nuclear Cardiology; American College of Radiology; American Heart Association; American Society of Echocardiology; Society of Cardiovascular Computed Tomography; Society for Cardiovascular Magnetic Resonance; Society of Nuclear Medicine. ACCF/ASNC/ACR/AHA/ASE/SCCT/SCMR/SNM 2009 Appropriate Use Criteria for Cardiac Radionuclide Imaging: A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the American Society of Nuclear Cardiology, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society of Nuclear Medicine. J Am Coll Cardiol. 2009;53:2201-2229. doi: 10.1016/j.jacc
8. Gibbons RJ, Miller TD, Hodge D, Urban L, Araoz PA, Pellikka P, McCully RB. Application of appropriateness criteria to stress single-photon emission computed tomography sestamibi studies and stress echocardiograms in an academic medical center. J Am Coll Cardiol. 2008;51:1283-1289. doi: 10.1016/j.jacc.2007.10.064.
9. Hendel RC, Cerqueira M, Douglas PS, Caruth KC, Allen JM, Jensen NC, Pan W, Brindis R, Wolk M. A multicenter assessment of the use of singlephoton emission computed tomography myocardial perfusion imaging with appropriateness criteria. J Am Coll Cardiol. 2010;55:156-162. doi: 10.1016/j.jacc.2009.11.004.
10. Nelson KH, Willens HJ, Hendel RC. Utilization of radionuclide myocardial perfusion imaging in two health care systems: assessment with the 2009 ACCF/ASNC/AHA appropriateness use criteria. J Nucl Cardiol. 2012;19:37-42. doi: 10.1007/s12350-011-9467-8.
11. Carryer DJ, Askew JW, Hodge D, Miller TD, Gibbons RJ. The impact of ordering provider specialty on appropriateness classification. J Nucl Cardiol. 2012;19:285-290. doi: 10.1007/s12350-011-9459-8.
12. Gupta A, Tsiaras SV, Dunsiger SI, Tilkemeier PL. Gender disparity and the appropriateness of myocardial perfusion imaging. J Nucl Cardiol. 2011;18:588-594. doi: 10.1007/s12350-011-9368-x.
13. Mehta R, Ward RP, Chandra S, Agarwal R, Williams KA; American College of Cardiology Foundation; American Society of Nuclear Cardiology. Evaluation of the American College of Cardiology Foundation/American Society of Nuclear Cardiology appropriateness criteria for SPECT myocardial perfusion imaging. J Nucl Cardiol. 2008;15:337-344. doi: 10.1016/j.nuclcard.2007.10.010.
14. Doukky R, Hayes K, Frogge N, Balakrishnan G, Dontaraju VS, Rangel MO, Golzar Y, Garcia-Sayan E, Hendel RC. Impact of appropriate use on the prognostic value of single-photon emission computed tomography myocardial perfusion imaging. Circulation. 2013;128:1634-1643. doi: 10.1161/CIRCULATIONAHA.113.002744.
15. Gibbons RJ, Askew JW, Hodge D, Kaping B, Carryer DJ, Miller T. Appropriate use criteria for stress single-photon emission computed tomography sestamibi studies: a quality improvement project. Circulation. 2011;123:499-503. doi: 10.1161/CIRCULATIONAHA.110.975995.
16. Lin FY, Dunning AM, Narula J, Shaw LJ, Gransar H, Berman DS, Min JK. Impact of an automated multimodality point-of-order decision support tool on rates of appropriate testing and clinical decision making for individuals with suspected coronary artery disease: a prospective multicenter study. J Am Coll Cardiol. 2013;62:308-316. doi: 10.1016/j.jacc.2013.04.059.
17. Gibbons RJ, Askew JW, Hodge D, Miller TD. Temporal trends in compliance with appropriateness criteria for stress single-photon emission computed tomography sestamibi studies in an academic medical center. Am Heart J. 2010;159:484-489. doi: 10.1016/j.ahj.2009.12.004.
18. Saifi S, Taylor AJ, Allen J, Hendel R. The use of a learning community and online evaluation of utilization for SPECT myocardial perfusion imaging. JACC Cardiovasc Imaging. 2013;6:823-829. doi: 10.1016/j.jcmg.2013.01.012.
19. US Census Bureau. Download Center: American FactFinder. http://factfinder. census.gov/servlet/DownloadDatasetServlet?-lang=en. Accessed July 1, 2009.
20. Diamond GA, Forrester JS. Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease. N Engl J Med. 1979;300:1350-1358. doi: 10.1056/NEJM197906143002402.
21. Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof EL, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 2002 guidelines on perioperative cardiovascular evaluation for noncardiac surgery). Circulation. 2007;116:e418-e500.
22. Maldonado G, Greenland S. Simulation study of confounder-selection strategies. Am J Epidemiol. 1993;138:923-936.
23. Reichenheim ME. Confidence intervals for the kappa statistic. Stata Journal. 2004;4:421-428.
24. Fleiss JL. Statistical Methods for Rates and Proportions. New York, NY: John Wiley & Sons; 1973.
25. Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78:775-780.
26. Choudhry NK, Soumerai SB, Normand SL, Ross-Degnan D, Laupacis A, Anderson GM. Warfarin prescribing in atrial fibrillation: the impact of physician, patient, and hospital characteristics. Am J Med. 2006;119:607-615. doi: 10.1016/j.amjmed.2005.09.052.
27. Lin FY, Rosenbaum LR, Gebow D, Kim RJ, Wolk MJ, Patel MR, Dunning AM, Labounty TM, Gomez MJ, Shaw LJ, Narula J, Douglas PS, Raman SV, Berman DS, Min JK. Cardiologist concordance with the American College of Cardiology appropriate use criteria for cardiac testing in patients with coronary artery disease. Am J Cardiol. 2012;110:337-344. doi: 10.1016/j.amjcard.2012.03.026.
28. Chan PS, Brindis RG, Cohen DJ, Jones PG, Gialde E, Bach RG, Curtis J, Bethea CF, Shelton ME, Spertus JA. Concordance of physician ratings with the appropriate use criteria for coronary revascularization. J Am Coll Cardiol. 2011;57:1546-1553. doi: 10.1016/j.jacc.2010.10.050.
29. Shekelle PG, Kahan JP, Bernstein SJ, Leape LL, Kamberg CJ, Park RE. The reproducibility of a method to identify the overuse and underuse of medical procedures. N Engl J Med. 1998;338:1888-1895. doi: 10.1056/NEJM199806253382607.
30. Hendel RC, Patel MR, Allen JM, Min JK, Shaw LJ, Wolk MJ, Douglas PS, Kramer CM, Stainback RF, Bailey SR, Doherty JU, Brindis RG. Appropriate use of cardiovascular technology: 2013 ACCF appropriate use criteria methodology update: a report of the American College of Cardiology Foundation appropriate use criteria task force. J Am Coll Cardiol. 2013;61:1305-1317. doi: 10.1016/j.jacc.2013.01.025.