Roehle, Robert, Wieske, Viktoria, Schuetz, Georg M., Gueret, Pascal, Andreini, Daniele, Meijboom, Willem Bob, Pontone, Gianluca ORCID: 0000-0002-1339-6679, Garcia, Mario, Alkadhi, Hatem, Honoris, Lily, Hausleiter, Joerg, Bettencourt, Nuno ORCID: 0000-0002-9582-7881, Zimmermann, Elke, Leschka, Sebastian, Gerber, Bernhard, Rochitte, Carlos, Schoepf, U. Joseph, Shabestari, Abbas Arjmand ORCID: 0000-0003-2913-091X, Norgaard, Bjarne ORCID: 0000-0002-4758-7203, Sato, Akira ORCID: 0000-0002-2438-1464, Knuuti, Juhani ORCID: 0000-0003-3156-9593, Meijs, Matthijs F. L., Brodoefel, Harald, Jenkins, Shona M. M., Ovrehus, Kristian Altern, Diederichsen, Axel Cosmus Pyndt ORCID: 0000-0002-1285-4826, Hamdan, Ashraf, Halvorsen, Bjorn Arild, Mendoza Rodriguez, Vladimir, Wan, Yung Liang, Rixe, Johannes, Sheikh, Mehraj, Langer, Christoph, Ghostine, Said, Martuscelli, Eugenio, Niinuma, Hiroyuki, Scholte, Arthur, Nikolaou, Konstantin, Ulimoen, Geir, Zhang, Zhaoqi, Mickley, Hans, Nieman, Koen, Kaufmann, Philipp A., Buechel, Ronny Ralf, Herzog, Bernhard A., Clouse, Melvin, Halon, David A., Leipsic, Jonathan, Bush, David, Jakamy, Reda ORCID: 0000-0001-5780-9327, Sun, Kai, Yang, Lin, Johnson, Thorsten, Laissy, Jean-Pierre, Marcus, Roy, Muraglia, Simone, Tardif, Jean-Claude, Chow, Benjamin ORCID: 0000-0001-8631-0234, Paul, Narinder, Maintz, David, Hoe, John, de Roos, Albert, Haase, Robert ORCID: 0000-0003-2311-8004, Laule, Michael, Schlattmann, Peter and Dewey, Marc (2018). Applicability and accuracy of pretest probability calculations implemented in the NICE clinical guideline for decision making about imaging in patients with chest pain of recent onset. Eur. Radiol., 28 (9). S. 4006 - 4018. NEW YORK: SPRINGER. ISSN 1432-1084

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Abstract

To analyse the implementation, applicability and accuracy of the pretest probability calculation provided by NICE clinical guideline 95 for decision making about imaging in patients with chest pain of recent onset. The definitions for pretest probability calculation in the original Duke clinical score and the NICE guideline were compared. We also calculated the agreement and disagreement in pretest probability and the resulting imaging and management groups based on individual patient data from the Collaborative Meta-Analysis of Cardiac CT (CoMe-CCT). 4,673 individual patient data from the CoMe-CCT Consortium were analysed. Major differences in definitions in the Duke clinical score and NICE guideline were found for the predictors age and number of risk factors. Pretest probability calculation using guideline criteria was only possible for 30.8 % (1,439/4,673) of patients despite availability of all required data due to ambiguity in guideline definitions for risk factors and age groups. Agreement regarding patient management groups was found in only 70 % (366/523) of patients in whom pretest probability calculation was possible according to both models. Our results suggest that pretest probability calculation for clinical decision making about cardiac imaging as implemented in the NICE clinical guideline for patients has relevant limitations. aEuro cent Duke clinical score is not implemented correctly in NICE guideline 95. aEuro cent Pretest probability assessment in NICE guideline 95 is impossible for most patients. aEuro cent Improved clinical decision making requires accurate pretest probability calculation. aEuro cent These refinements are essential for appropriate use of cardiac CT.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Roehle, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wieske, ViktoriaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schuetz, Georg M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gueret, PascalUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Andreini, DanieleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meijboom, Willem BobUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pontone, GianlucaUNSPECIFIEDorcid.org/0000-0002-1339-6679UNSPECIFIED
Garcia, MarioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alkadhi, HatemUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Honoris, LilyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hausleiter, JoergUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bettencourt, NunoUNSPECIFIEDorcid.org/0000-0002-9582-7881UNSPECIFIED
Zimmermann, ElkeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Leschka, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gerber, BernhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rochitte, CarlosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schoepf, U. JosephUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Shabestari, Abbas ArjmandUNSPECIFIEDorcid.org/0000-0003-2913-091XUNSPECIFIED
Norgaard, BjarneUNSPECIFIEDorcid.org/0000-0002-4758-7203UNSPECIFIED
Sato, AkiraUNSPECIFIEDorcid.org/0000-0002-2438-1464UNSPECIFIED
Knuuti, JuhaniUNSPECIFIEDorcid.org/0000-0003-3156-9593UNSPECIFIED
Meijs, Matthijs F. L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brodoefel, HaraldUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jenkins, Shona M. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ovrehus, Kristian AlternUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Diederichsen, Axel Cosmus PyndtUNSPECIFIEDorcid.org/0000-0002-1285-4826UNSPECIFIED
Hamdan, AshrafUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Halvorsen, Bjorn ArildUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mendoza Rodriguez, VladimirUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wan, Yung LiangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rixe, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sheikh, MehrajUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Langer, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ghostine, SaidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Martuscelli, EugenioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Niinuma, HiroyukiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scholte, ArthurUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nikolaou, KonstantinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ulimoen, GeirUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zhang, ZhaoqiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mickley, HansUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nieman, KoenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kaufmann, Philipp A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buechel, Ronny RalfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herzog, Bernhard A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Clouse, MelvinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Halon, David A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Leipsic, JonathanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bush, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jakamy, RedaUNSPECIFIEDorcid.org/0000-0001-5780-9327UNSPECIFIED
Sun, KaiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Yang, LinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Johnson, ThorstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Laissy, Jean-PierreUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Marcus, RoyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Muraglia, SimoneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tardif, Jean-ClaudeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chow, BenjaminUNSPECIFIEDorcid.org/0000-0001-8631-0234UNSPECIFIED
Paul, NarinderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maintz, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoe, JohnUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Roos, AlbertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haase, RobertUNSPECIFIEDorcid.org/0000-0003-2311-8004UNSPECIFIED
Laule, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schlattmann, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dewey, MarcUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-173588
DOI: 10.1007/s00330-018-5322-5
Journal or Publication Title: Eur. Radiol.
Volume: 28
Number: 9
Page Range: S. 4006 - 4018
Date: 2018
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1432-1084
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CT-CORONARY-ANGIOGRAPHY; COMPUTED-TOMOGRAPHY; DIAGNOSTIC-ACCURACY; CALCIUM SCORES; HEART-DISEASE; METAANALYSIS; INTERVENTIONS; MANAGEMENT; LIKELIHOODMultiple languages
Radiology, Nuclear Medicine & Medical ImagingMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/17358

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