Cited 2 times in
Nationwide Trends of Gatekeeper to Invasive Coronary Angiography in Suspected Coronary Artery Disease
DC Field | Value | Language |
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dc.contributor.author | 조익성 | - |
dc.date.accessioned | 2023-03-21T07:21:33Z | - |
dc.date.available | 2023-03-21T07:21:33Z | - |
dc.date.issued | 2022-11 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/193331 | - |
dc.description.abstract | Background and objectives: Real-world trends in the utility and type of gatekeeping studies in invasive coronary angiography (ICA) requires further investigation. Methods: We identified outpatients who underwent noninvasive cardiac tests or directly ICA for suspected coronary artery disease (CAD) from the nationwide Korea Health Insurance Review and Assessment Service-National Patient Sample database between 2012 and 2018. Results: Among 71,401 patients, the percentage of patients who were evaluated for suspected CAD was 34.7% for treadmill test (TMT), 4.2% for single-photon emission computed tomography (SPECT), 24.2% for coronary computed tomography angiography (CCTA), 1.6% for multiple gatekeepers, and 32.3% for directly ICA without noninvasive studies. The proportion of CCTA as a gatekeeper showed linear increase, (18.6% in 2012 and 28.8% in 2018; p<0.001), while those of TMT, SPECT, and direct ICA have decreased (p<0.001, p=0.03, and p<0.001, respectively). The overall incidence of downstream ICA after gatekeeper was 13.8% (6,662/48,346), and SPECT showed higher ICA rate in pairwise comparison with TMT and CCTA (p<0.001). Patients who performed gatekeepers before ICA showed higher rate of subsequent PCI (34.7% vs. 32.3%; p<0.001) and CABG (3.5% vs. 1.0%; p<0.001), compared to those who directly underwent ICA, and CCTA was associated with higher revascularization rate after ICA in pairwise comparison with TMT and SPECT (p<0.001). Conclusions: Nationwide database demonstrated that CCTA is utilized increasingly as a gatekeeper for ICA and is associated with high revascularization rate after ICA in outpatients with suspected CAD. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English, Korean | - |
dc.publisher | Korean Society of Circulation | - |
dc.relation.isPartOf | KOREAN CIRCULATION JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Nationwide Trends of Gatekeeper to Invasive Coronary Angiography in Suspected Coronary Artery Disease | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Min Jae Cha | - |
dc.contributor.googleauthor | William D Kim | - |
dc.contributor.googleauthor | Hoyoun Won | - |
dc.contributor.googleauthor | Jaeeun Joo | - |
dc.contributor.googleauthor | Hasung Kim | - |
dc.contributor.googleauthor | In-Cheol Kim | - |
dc.contributor.googleauthor | Jin Young Kim | - |
dc.contributor.googleauthor | Seonhwa Lee | - |
dc.contributor.googleauthor | Iksung Cho | - |
dc.identifier.doi | 10.4070/kcj.2022.0110 | - |
dc.contributor.localId | A03888 | - |
dc.relation.journalcode | J01952 | - |
dc.identifier.eissn | 1738-5555 | - |
dc.identifier.pmid | 36217588 | - |
dc.subject.keyword | Chest pain | - |
dc.subject.keyword | Computed tomography angiography | - |
dc.subject.keyword | Exercise test | - |
dc.subject.keyword | Single photon emission computed tomography | - |
dc.contributor.alternativeName | Cho, Ik Sung | - |
dc.contributor.affiliatedAuthor | 조익성 | - |
dc.citation.volume | 52 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 814 | - |
dc.citation.endPage | 825 | - |
dc.identifier.bibliographicCitation | KOREAN CIRCULATION JOURNAL, Vol.52(11) : 814-825, 2022-11 | - |
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