Comparative cost-effectiveness of non-invasive imaging tests in patients presenting with chronic stable chest pain with suspected coronary artery disease: a systematic review

European Heart Journal. Quality of Care & Clinical Outcomes
Claudia N van WaardhuizenSteffen E Petersen

Abstract

Coronary artery disease (CAD) remains one of the leading causes of morbidity and mortality globally. The most cost-effective imaging strategy to diagnose CAD in patients with stable chest pain is however uncertain. To review the evidence on comparative cost-effectiveness of different imaging strategies for patients presenting with stable chest pain symptoms suggestive for CAD. Systematic review. Studies performing a formal economic evaluation or decision analysis in the English language published between January 1995 and December 2015 were identified using PubMed, Medline (OvidSP), Embase, Web of Science, Cochrane economic evaluations library, and EconLit. Reviews and meta-analyses were excluded. Two independent reviewers assessed titles and abstracts. Of the 4498 titles identified, 70 met our selection criteria. One reviewer used a modified version of the CHEERS checklist to assess study quality. One reviewer extracted data on study details, which were checked by a second reviewer. There is a major heterogeneity between the available cost-effectiveness studies included in this study. The included studies compared very different testing strategies in very different ways and provided mostly short-term results. Strategies of no-t...Continue Reading

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Citations

Apr 18, 2020·The British Journal of Radiology·Silanath Terpenning, Arthur Stillman
Mar 16, 2019·The International Journal of Cardiovascular Imaging·Wael AlJaroudiElie Chammas
Aug 15, 2019·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Valentina LorenzoniUNKNOWN EVINCI Investigators
Dec 11, 2019·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Qinli MaAbiy Agiro
Apr 6, 2021·The American Journal of Medicine·Ryan W EnglandPamela T Johnson
Jun 21, 2021·European Heart Journal Cardiovascular Imaging·William WoodwardAyyaz Sultan

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