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Appropriateness of Diagnostic Coronary Angiography as a Measure of Cardiac Ischemia Testing in Non-Emergency Patients – A Retrospective Cross-Sectional Analysis

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  • Corinne Chmiel
  • Oliver Reich
  • Andri Signorell
  • Ryan Tandjung
  • Thomas Rosemann
  • Oliver Senn

Abstract

Background: Adequate application of guidelines concerning non-invasive ischemia testing (NIIT) could avoid inappropriate invasive testing in non-emergency situations. Hardly any data exists regarding frequency and appropriateness of diagnostic coronary angiography (CA). The aim of this study was to evaluate the proportion and predictors of patients without NIIT prior to elective purely diagnostic CA without therapeutic intervention. Methods: Retrospective cross-sectional analysis of insurance claims data from 2012 and 2013. Patients 6 chronic comorbidities were independently associated with a lower proportion of NIIT (p

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  • Corinne Chmiel & Oliver Reich & Andri Signorell & Ryan Tandjung & Thomas Rosemann & Oliver Senn, 2015. "Appropriateness of Diagnostic Coronary Angiography as a Measure of Cardiac Ischemia Testing in Non-Emergency Patients – A Retrospective Cross-Sectional Analysis," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-12, February.
    • Handle: RePEc:plo:pone00:0117172
    DOI: 10.1371/journal.pone.0117172
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    1. Lamers, Leida M. & van Vliet, Rene C. J. A., 2004. "The Pharmacy-based Cost Group model: validating and adjusting the classification of medications for chronic conditions to the Dutch situation," Health Policy, Elsevier, vol. 68(1), pages 113-121, April.
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