Appropriate Use of Cardiac Stress Testing with Imaging: A Systematic Review and Meta-Analysis.

ABSTRACT:

Background

Appropriate use criteria (AUC) for cardiac stress tests address concerns about utilization growth and patient safety. We systematically reviewed studies of appropriateness, including within physician specialties; evaluated trends over time and in response to AUC updates; and characterized leading indications for inappropriate/rarely appropriate testing.

Methods

We searched PubMed (2005-2015) for English-language articles reporting stress echocardiography or myocardial perfusion imaging (MPI) appropriateness. Data were pooled using random-effects meta-analysis and meta-regression.

Results

Thirty-four publications of 41,578 patients were included, primarily from academic centers. Stress echocardiography appropriate testing rates were 53.0% (95% CI, 45.3%-60.7

SUBMITTER: Ladapo JA 

PROVIDER: S-EPMC4990235 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature