The Road to Overdiagnosis. The Case of Subsegmental Pulmonary Embolism

Academic Radiology

Volumn 22, Issue 8, 2015, Pages 985-987

  Jha, Saurabh ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Overdiagnosis; PIOPED; Pulmonary embolism; Subsegmental pulmonary embolism

Indexed keywords

D DIMER;

ANTICOAGULATION; BLEEDING; CONVENTIONAL ANGIOGRAPHY; DIAGNOSTIC TEST; EMERGENCY WARD; EVIDENCE BASED PRACTICE; HEART ARREST; HUMAN; LUNG EMBOLISM; MULTIDETECTOR COMPUTED TOMOGRAPHY; NOTE; PHYSICIAN; PREDICTIVE VALUE; PRIORITY JOURNAL; PROBABILITY; PULMONARY ARTERY; SHOCK; SUDDEN DEATH; THROMBOEMBOLISM; DIAGNOSTIC IMAGING; EVIDENCE BASED MEDICINE; HEALTH SERVICE; PREVALENCE; PREVENTION AND CONTROL; PULMONARY EMBOLISM; RADIOGRAPHY; RISK ASSESSMENT; STATISTICS AND NUMERICAL DATA; TRENDS; UNITED STATES; UTILIZATION;

DIAGNOSTIC IMAGING; EVIDENCE-BASED MEDICINE; HUMANS; MEDICAL OVERUSE; PREVALENCE; PULMONARY EMBOLISM; RISK ASSESSMENT; UNITED STATES;

EID: 84937971578     PISSN: 10766332     EISSN: 18784046     Source Type: Journal    
DOI: 10.1016/j.acra.2015.05.001     Document Type: Note

References (15)

1. National Heart, Lung and Blood Institute. What is pulmonary embolism? (accessed May 24, 2015). http://www.nhlbi.nih.gov/health/health-topics/topics/pe.
2. Wiener R.S., Schwartz L.M., Woloshin S. When a test is too good. How CT pulmonary angiograms find pulmonary emboli that do not need to be found. BMJ 2013, 347:f3368.
3. Handler J.A., Feied C.F. Acute pulmonary embolism. Aggressive therapy with anticoagulants and thrombolytics. Postgrad Med 1995, 97:61-62. 65-8, 71-2.
4. Sasahara A.A., Stein M., Simon M., et al. Pulmonary angiography in the diagnosis of thromboembolic disease. NEJM 1964, 270:1075-1081.
5. Value of the ventilation/perfusion scan in acute pulmonary embolus. The results of the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED). JAMA 1990, 263(20):2753-2759. The Pioped Investigators.
6. Stein P.D., Fowler S.E., Goodman L.R., et al. Multidetector computed tomography for acute pulmonary embolism. NEJM 2006, 354(22):2317-2327.
7. Weiss C.R., Scatarige J.C., Diette G.B., et al. CT pulmonary angiography is the first-line imaging test for acute pulmonary embolism: a survey of US clinicians. Academic Radiology 2006, 13:434-446.
8. Russo V., Piva T., Lovato L., et al. Multidetector CT: a new gold standard in the diagnosis of pulmonary embolism? State of the art and diagnostic algorithms. Radiol Med 2005, 109(1-2):49-61.
9. Calder K.K., Herbert M., Henderson S.O. The mortality of untreated pulmonary embolism in the emergency department patients. Ann Emerg Med 2005, 45:302-310.
10. Wiener R.S., Schwartz L.M., Woloshin S. Time trends in pulmonary embolism in the United States: evidence of overdiagnosis. Arch Intern Med 2011, 171:831-837.
11. Stein P.D., Henry J.W. Prevalence of acute pulmonary embolism in central and subsegmental pulmonary arteries and relation to probability interpretation of ventilation/perfusion lung scans. Chest 1997, 111:1246-1248.
12. Carrier M., Righini M., Wells P.S., et al. Subsegmental pulmonary embolism diagnosed by computed tomography: incidence and clinical implications. A systematic review and meta-analysis of the management outcome studies. J Thromb Haemost 2010, 8:1716-1722.
13. Donato A.A., Khoche S., Santora J., et al. Clinical outcomes in patients with isolated subsegmental pulmonary emboli diagnosed by multidetector CT pulmonary angiography. Thromb Res 2010, 126:e266-e270.
14. Goldstein N.M., Kollef M.H., Ward S., et al. The impact of the introduction of a rapid D-dimer assay on the diagnostic evaluation of suspected pulmonary embolism. Arch Intern Med 2001, 161:567-571.
15. Escarce J.J., Chen W., Schwartz J.S. Falling cholecystectomy thresholds since the introduction of laparoscopic cholecystectomy. JAMA 1995, 273(20):1581-1585.