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Published in: Journal of Nuclear Cardiology 5/2012

01-10-2012 | Major Achievements in Nuclear Cardiology

Prognosis in the era of comparative effectiveness research: Where is nuclear cardiology now and where should it be?

Authors: Leslee J. Shaw, PhD, Fadi G. Hage, MD, Daniel S. Berman, MD, Rory Hachamovitch, MD, MSc, Ami Iskandrian, MD

Published in: Journal of Nuclear Cardiology | Issue 5/2012

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Excerpt

Since our last review of the prognostic accuracy of stress myocardial perfusion SPECT,1 numerous advances in the field have promulgated tremendous (and oft characterized as excessive) growth in the utilization of nuclear cardiology services over the past few decades.2-4 The overall procedural utilization for stress myocardial perfusion imaging (MPI) reached its height in ~2008 with over 10 million procedures performed and Medicare expenditures in excess of $1 billion.3 Although many have focused culpability for growth on high reimbursement levels, the published evidence base also figured prominently in supporting healthcare coverage decisions and promoting utilization. Figure 1 plots the relationship between publications on nuclear cardiology and Medicare payments to physicians for stress MPI.
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Metadata
Title
Prognosis in the era of comparative effectiveness research: Where is nuclear cardiology now and where should it be?
Authors
Leslee J. Shaw, PhD
Fadi G. Hage, MD
Daniel S. Berman, MD
Rory Hachamovitch, MD, MSc
Ami Iskandrian, MD
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
Journal of Nuclear Cardiology / Issue 5/2012
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI
https://doi.org/10.1007/s12350-012-9593-y

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