Clinical Impact and Cost-Effectiveness of Coronary Computed Tomography Angiography or Exercise Electrocardiogram in Individuals Without Known Cardiovascular Disease

Medicine (United States)

Volumn 94, Issue 21, 2015, Pages

  Park, Gyung Min ^a   Kim, Seon Ha ^b   Jo, Min Woo ^c   Her, Sung Ho ^a   Han, Seungbong ^d   Ahn, Jung Min ^a   Park, Duk Woo ^c   Kang, Soo Jin ^c   Lee, Seung Whan ^c   Kim, Young Hak ^c   Lee, Cheol Whan ^c   Kim, Beom Jun ^c   Koh, Jung Min ^c   Kim, Hong Kyu ^c   Choe, Jaewon ^c   Park, Seong Wook ^c   Park, Seung Jung ^c  

^a Daejeon St Mary's Hospital   (South Korea)

^b Dankook University College of Medicine   (South Korea)

^c University of Ulsan College of Medicine   (South Korea)

^d Gachon University   (South Korea)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ANGIOCARDIOGRAPHY; ARTICLE; BODY MASS; CARDIOVASCULAR RISK; CEREBROVASCULAR ACCIDENT; COMORBIDITY; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; COST EFFECTIVENESS ANALYSIS; DEATH; DIABETES MELLITUS; DIASTOLIC BLOOD PRESSURE; EXERCISE ELECTROCARDIOGRAPHY; FEMALE; HEALTH CARE COST; HEART INFARCTION; HEART MUSCLE REVASCULARIZATION; HOSPITAL DISCHARGE; HUMAN; HYPERLIPIDEMIA; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; MEDICAL EXAMINATION; MIDDLE AGED; PATIENT CARE; PERCUTANEOUS CORONARY INTERVENTION; PHYSICAL ACTIVITY; PRIORITY JOURNAL; SALARY; SCREENING; SYSTOLIC BLOOD PRESSURE; WAIST CIRCUMFERENCE; CLINICAL TRIAL; COMPUTER ASSISTED TOMOGRAPHY; COST BENEFIT ANALYSIS; ECONOMICS; ELECTROCARDIOGRAPHY; EXERCISE TEST; HEALTH BEHAVIOR; HEALTH STATUS; MORPHOMETRICS; RISK FACTOR; SOCIOECONOMICS; STATISTICAL MODEL;

ADULT; BODY WEIGHTS AND MEASURES; CORONARY ANGIOGRAPHY; CORONARY ARTERY BYPASS; CORONARY ARTERY DISEASE; COST-BENEFIT ANALYSIS; ELECTROCARDIOGRAPHY; EXERCISE TEST; FEMALE; HEALTH BEHAVIOR; HEALTH STATUS; HUMANS; MALE; MIDDLE AGED; MODELS, ECONOMIC; RISK FACTORS; SOCIOECONOMIC FACTORS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84938850858     PISSN: 00257974     EISSN: 15365964     Source Type: Journal    
DOI: 10.1097/MD.0000000000000917     Document Type: Article

References (17)

1. Nabel EG, Braunwald E. A tale of coronary artery disease and myocardial infarction. N Engl J Med. 2012;366:54-63.
2. Go AS, Mozaffarian D, Roger VL, et al. Heart disease and stroke statistics-2013 update: a report from the American Heart Association. Circulation. 2013;127:e6-e245.
3. Lerner DJ, Kannel WB. Patterns of coronary heart disease morbidity and mortality in the sexes: a 26-year follow-up of the Framingham population. Am Heart J. 1986;111:383-390.
4. Gibbons RJ, Abrams J, Chatterjee K, et al. ACC/AHA 2002 guideline update for the management of patients with chronic stable angina-summary article: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee on the Management of Patients With Chronic Stable Angina). J Am Coll Cardiol. 2003;41:159-168.
5. Min JK, Shaw LJ, Berman DS. The present state of coronary computed tomography angiography a process in evolution. J Am Coll Cardiol. 2010;55:957-965.
6. Choi EK, Choi SI, Rivera JJ, et al. Coronary computed tomography angiography as a screening tool for the detection of occult coronary artery disease in asymptomatic individuals. J Am Coll Cardiol. 2008;52:357-365.
7. Chou R, Arora B, Dana T, et al. Screening asymptomatic adults with resting or exercise electrocardiography: a review of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2011;155:375-385.
8. Park GM, An H, Lee SW, et al. Risk score model for the assessment of coronary artery disease in asymptomatic patients with type 2 diabetes. Medicine (Baltimore). 2015;94:e508.
9. OECD. OECD Health Care Quality Review: Korea. 2012. http://www.oecd.org/korea. Accessed January 17, 2014.
10. Park GM, Han S, Kim SH, et al. Model for assessing cardiovascular risk in a Korean population. Circ Cardiovasc Qual Outcomes. 2014;7:944-951.
11. Expert Panel on Detection E, Treatment of High Blood Cholesterol in Adults. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2001;285:2486-2497.
12. Jee SH, Sull JW, Park J, et al. Body-mass index and mortality in Korean men and women. N Engl J Med. 2006;355:779-787.
13. Min JK, Kang N, Shaw LJ, et al. Costs and clinical outcomes after coronary multidetector CT angiography in patients without known coronary artery disease: comparison to myocardial perfusion SPECT. Radiology. 2008;249:62-70.
14. D'Agostino RB Jr. Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Stat Med. 1998;17:2265-2281.
15. Austin PC. Type I error rates, coverage of confidence intervals, and variance estimation in propensity-score matched analyses. Int J Biostat. 20095(1): Article 13.
16. Silber JH, Rosenbaum PR, Clark AS, et al. Characteristics associated with differences in survival among black and white women with breast cancer. JAMA. 2013;310:389-397.
17. The World Bank. GNI per capita, Atlas method. http://data.world-bank.org/indicator/NY.GNP.PCAP.CD. Accessed January 17, 2014.