Patient Preferences for Coronary CT Angiography with Stress Perfusion, SPECT, or Invasive Coronary Angiography
| العنوان: | Patient Preferences for Coronary CT Angiography with Stress Perfusion, SPECT, or Invasive Coronary Angiography |
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| المؤلفون: | Melvin E. Clouse, Andrea Vavere, Yutaka Tanami, Marc Dewey, Matthias Rief, Jacob Geleijns, Pia Maier, Mohammad R. Ostovaneh, Cesar Nomura, Hiroyuki Niinuma, Kakuya Kitagawa, Swee Yaw Tan, Anum S. Minhas, Christopher Cox, Sarah Feger, Marcus Y. Chen, Michael Laule, Eva Schönenberger, Klaus F. Kofoed, Carlos E. Rochitte, John Hoe, Frank J. Rybicki, Michail Plotkin, Narinder Paul, Matthew B. Matheson |
| المصدر: | Radiology, 291(2), 339-347 |
| بيانات النشر: | Radiological Society of North America (RSNA), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Computed Tomography Angiography, Visual analogue scale, Pain, Procedural, Coronary Angiography, 030218 nuclear medicine & medical imaging, Coronary artery disease, 03 medical and health sciences, 0302 clinical medicine, Interquartile range, medicine, Humans, Radiology, Nuclear Medicine and imaging, Prospective Studies, Prospective cohort study, Cardiac imaging, Aged, medicine.diagnostic_test, business.industry, Patient Preference, Middle Aged, medicine.disease, Patient preference, Invasive coronary angiography, 030220 oncology & carcinogenesis, Angiography, Female, Radiology, business |
| الوصف: | Background Patient preference is pivotal for widespread adoption of tests in clinical practice. Patient preferences for invasive versus other noninvasive tests for coronary artery disease are not known. Purpose To compare patient acceptance and preferences for noninvasive and invasive cardiac imaging in North and South America, Asia, and Europe. Materials and Methods This was a prospective 16-center trial in 381 study participants undergoing coronary CT angiography with stress perfusion, SPECT, and invasive coronary angiography (ICA). Patient preferences were collected by using a previously validated questionnaire translated into eight languages. Responses were converted to ordinal scales and were modeled with generalized linear mixed models. Results In patients in whom at least one test was associated with pain, CT and SPECT showed reduced median pain levels, reported on 0-100 visual analog scales, from 20 for ICA (interquartile range [IQR], 4-50) to 6 for CT (IQR, 0-27.5) and 5 for SPECT (IQR, 0-25) (P < .001). Patients from Asia reported significantly more pain than patients from other continents for ICA (median, 25; IQR, 10-50; P = .01), CT (median, 10; IQR, 0-30; P = .02), and SPECT (median, 7; IQR, 0-28; P = .03). Satisfaction with preparation differed by continent and test (P = .01), with patients from Asia reporting generally lower ratings. Patients from North America had greater percentages of "very high" or "high" satisfaction than patients from other continents for ICA (96% vs 82%, respectively; P < .001) and SPECT (95% vs 79%, respectively; P = .04) but not for CT (89% vs 86%, respectively; P = .70). Among all patients, CT was preferred by 54% of patients, compared with 18% for SPECT and 28% for ICA (P < .001). Conclusion For cardiac imaging, patients generally favored CT angiography with stress perfusion, while study participants from Asia generally reported lowest satisfaction. © RSNA, 2019 Online supplemental material is available for this article. See also the editorial by Woodard and Nguyen in this issue. |
| تدمد: | 1527-1315 0033-8419 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a8c188e3b25c5c36cd817919bb5f6c73 https://doi.org/10.1148/radiol.2019181409 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a8c188e3b25c5c36cd817919bb5f6c73 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15271315 00338419 |
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