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

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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.accessioned2022-07-28T17:06:54Z
dc.date.available2022-07-28T17:06:54Z
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.
dc.identifier.citationDos Santos MA, Santos MS, Tura BR, Félix R, Brito ASX, De Lorenzo A. Budget impact of applying appropriateness criteria for myocardial perfusion scintigraphy: The perspective of a developing country. J Nucl Cardiol. 2016 Oct;23(5):1160-1165. doi: 10.1007/s12350-016-0505-4.
dc.identifier.otherDOI: 10.1007/s12350-016-0505-4
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/44
dc.language.isoen
dc.publisherJournal of Nuclear Cardiology
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 country
dc.typeArticle
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