Budget impact of applying appropriateness criteria for myocardial perfusion scintigraphy: The perspective of a developing country

dc.contributor.authorSantos, Mauro Augusto dos
dc.contributor.authorSantos, Marisa Silva
dc.contributor.authorTura, Bernardo Rangel
dc.contributor.authorFelix, Renata
dc.contributor.authorBrito, Adriana Soares X
dc.contributor.authorDe Lorenzo, Andrea
dc.date.accessioned2022-09-14T13:01:58Z
dc.date.available2022-09-14T13:01:58Z
dc.date.issued2016
dc.description.abstractMyocardial perfusion imaging is widely used for the risk stratification of coronary artery disease. In view of its cost, besides radiation issues, judicious evaluation of the appropriateness of its indications is essential to prevent an unnecessary economic burden on the health system. We evaluated, at a tertiary-care, public Brazilian hospital, the appropriateness of myocardial perfusion scintigraphy indications, and estimated the budget impact of applying appropriateness criteria. An observational, cross-sectional study of 190 patients with suspected or known coronary artery disease referred for myocardial perfusion imaging was conducted. The appropriateness of myocardial perfusion imaging indications was evaluated with the Appropriate Use Criteria for Cardiac Radionuclide Imaging published in 2009. Budget impact analysis was performed with a deterministic model. The prevalence of appropriate requests was 78%; of inappropriate indications, 12%; and of uncertain indications, 10%. Budget impact analysis showed that the use of appropriateness criteria, applied to the population referred to myocardial perfusion scintigraphy within 1 year, could generate savings of $ 64,252.04 dollars. The 12% inappropriate requests for myocardial perfusion scintigraphy at a tertiary-care hospital suggest that a reappraisal of MPI indications is needed. Budget impact analysis estimated resource savings of 18.6% with the establishment of appropriateness criteria for MPI.en
dc.identifier.citationSantos Ma, Santos MS, Tura BR, Félix R, Soares A, De Lorenzo A. Budget impact of applying appropriateness criteria for myocardial perfusion scintigraphy: The perspective of a developing country. Rev Assoc Med Bras. 2016;23:1160-1165.
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/270
dc.language.isoen
dc.publisherJournal of Nuclear Cardiology
dc.subjectBudget impacten
dc.subjectmyocardial perfusion scintigraphyen
dc.subject.meshUtilization Reviewen
dc.subject.meshTomography, Emission-Computed, Single-Photon / statistics & numerical dataen
dc.subject.meshTomography, Emission-Computed, Single-Photon / economicsen
dc.subject.meshPrevalenceen
dc.subject.meshPractice Guidelines as Topicen
dc.subject.meshMyocardial Perfusion Imaging / statistics & numerical dataen
dc.subject.meshMyocardial Perfusion Imaging / standardsen
dc.subject.meshMyocardial Perfusion Imaging / economicsen
dc.subject.meshMiddle Ageden
dc.subject.meshMaleen
dc.subject.meshHumansen
dc.subject.meshHealth Care Costs / statistics & numerical dataen
dc.subject.meshGuideline Adherence / statistics & numerical dataen
dc.subject.meshGuideline Adherence / economicsen
dc.subject.meshFemaleen
dc.subject.meshDeveloping Countriesen
dc.subject.meshCross-Sectional Studiesen
dc.subject.meshCoronary Artery Disease / epidemiologyen
dc.subject.meshCoronary Artery Disease / economicsen
dc.subject.meshCoronary Artery Disease / diagnostic imagingen
dc.subject.meshBudgets / statistics & numerical dataen
dc.subject.meshBrazil / epidemiologyen
dc.titleBudget impact of applying appropriateness criteria for myocardial perfusion scintigraphy: The perspective of a developing countryen
dc.typeArticle
Arquivos
Original bundle
Agora exibindo 1 - 1 de 1
thumbnail.default.alt
Nome:
Santos MA_2016.pdf
Tamanho:
296.43 KB
Formato:
Adobe Portable Document Format
Descrição:
License bundle
Agora exibindo 1 - 1 de 1
thumbnail.default.placeholder
Nome:
license.txt
Tamanho:
1.71 KB
Formato:
Item-specific license agreed to upon submission
Descrição: