Cost-effectiveness of diagnostic evaluation strategies for individuals with stable chest pain syndrome and suspected coronary artery disease. Academic Article uri icon

Overview

abstract

  • PURPOSE: To determine lifetime cost-effectiveness of diagnostic evaluation strategies for individuals with stable chest pain and suspected coronary artery disease (CAD). METHODS: Exercise treadmill testing (ETT), stress echocardiography (SE), myocardial perfusion scintigraphy (MPS), coronary computed tomographic angiography (CCTA), and invasive coronary angiography (ICA) were assessed alone, or in succession to each other. RESULTS: Initial ETT followed by imaging wherein ETT was equivocal or unable to be performed appeared more cost-effective than any strategy employing initial testing by imaging. CONCLUSION: As pre-test likelihood of CAD varies, different modalities including SE, CCTA, and MPS result in improved costs and enhanced effectiveness.

publication date

  • February 10, 2017

Research

keywords

  • Chest Pain
  • Coronary Angiography
  • Coronary Artery Disease
  • Cost-Benefit Analysis
  • Heart Function Tests
  • Tomography, Emission-Computed, Single-Photon
  • Tomography, X-Ray Computed

Identity

PubMed Central ID

  • PMC5410386

Scopus Document Identifier

  • 85014312442

Digital Object Identifier (DOI)

  • 10.1016/j.clinimag.2017.01.015

PubMed ID

  • 28273654

Additional Document Info

volume

  • 43