Association of Lower Diagnostic Yield With High Users of CT Pulmonary Angiogram

doi:10.1001/jamainternmed.2017.7552

. 2018 Mar 1;178(3):412-413.

doi: 10.1001/jamainternmed.2017.7552.

Association of Lower Diagnostic Yield With High Users of CT Pulmonary Angiogram

Jaron Chong¹, Todd C Lee², Armen Attarian¹, Lojan Sivakumaran¹, Jean-Marc Troquet³, Emily G McDonald², Benoît Gallix¹

Affiliations

¹ Department of Radiology, McGill University Health Centre, Montréal, Québec, Canada.
² Clinical Practice Assessment Unit, Department of Medicine, McGill University Health Centre, Montréal, Québec, Canada.
³ Department of Emergency Medicine, McGill University Health Centre, Montréal, Québec, Canada.

PMID: 29309487
PMCID: PMC5885908
DOI: 10.1001/jamainternmed.2017.7552

Association of Lower Diagnostic Yield With High Users of CT Pulmonary Angiogram

Jaron Chong et al. JAMA Intern Med. 2018.

. 2018 Mar 1;178(3):412-413.

doi: 10.1001/jamainternmed.2017.7552.

Authors

Jaron Chong¹, Todd C Lee², Armen Attarian¹, Lojan Sivakumaran¹, Jean-Marc Troquet³, Emily G McDonald², Benoît Gallix¹

Affiliations

¹ Department of Radiology, McGill University Health Centre, Montréal, Québec, Canada.
² Clinical Practice Assessment Unit, Department of Medicine, McGill University Health Centre, Montréal, Québec, Canada.
³ Department of Emergency Medicine, McGill University Health Centre, Montréal, Québec, Canada.

PMID: 29309487
PMCID: PMC5885908
DOI: 10.1001/jamainternmed.2017.7552

Abstract

This study examines interphysician variability of diagnostic yield in computed tomographic pulmonary angiogram for pulmonary emboli.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Comment in

The Electronic Health Record as Practice-Improvement Coach.
Grady D, Incze M. Grady D, et al. JAMA Intern Med. 2018 Mar 1;178(3):413-414. doi: 10.1001/jamainternmed.2017.7536. JAMA Intern Med. 2018. PMID: 29309480 No abstract available.

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References

1. Chen YA, Gray BG, Bandiera G, MacKinnon D, Deva DP. Variation in the utilization and positivity rates of CT pulmonary angiography among emergency physicians at a tertiary academic emergency department. Emerg Radiol. 2015;22(3):221-229. - PubMed
1. Worrall JC, Jama S, Stiell IG. Radiation doses to emergency department patients undergoing computed tomography. CJEM. 2014;16(6):477-484. - PubMed
1. Stokes ME, Davis CS, Koch GG. Categorical Data Analysis Using the SAS System, 3e. Cary, NC: SAS Institute; 2012.
1. Mountain D, Keijzers G, Chu K, et al. . RESPECT-ED: Rates of pulmonary emboli (PE) and sub-segmental PE with modern computed tomographic pulmonary angiograms in emergency departments: a multi-center observational study finds significant yield variation, uncorrelated with use or small PE rates. PLoS One. 2016;11(12):e0166483. - PMC - PubMed
1. Kindermann DR, McCarthy ML, Ding R, et al. . Emergency department variation in utilization and diagnostic yield of advanced radiography in diagnosis of pulmonary embolus. J Emerg Med. 2014;46(6):791-799. - PubMed

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[1] Chen YA, Gray BG, Bandiera G, MacKinnon D, Deva DP. Variation in the utilization and positivity rates of CT pulmonary angiography among emergency physicians at a tertiary academic emergency department. Emerg Radiol. 2015;22(3):221-229. - PubMed

[2] Chen YA, Gray BG, Bandiera G, MacKinnon D, Deva DP. Variation in the utilization and positivity rates of CT pulmonary angiography among emergency physicians at a tertiary academic emergency department. Emerg Radiol. 2015;22(3):221-229. - PubMed

[3] Worrall JC, Jama S, Stiell IG. Radiation doses to emergency department patients undergoing computed tomography. CJEM. 2014;16(6):477-484. - PubMed

[4] Worrall JC, Jama S, Stiell IG. Radiation doses to emergency department patients undergoing computed tomography. CJEM. 2014;16(6):477-484. - PubMed

[5] Stokes ME, Davis CS, Koch GG. Categorical Data Analysis Using the SAS System, 3e. Cary, NC: SAS Institute; 2012.

[6] Stokes ME, Davis CS, Koch GG. Categorical Data Analysis Using the SAS System, 3e. Cary, NC: SAS Institute; 2012.

[7] Mountain D, Keijzers G, Chu K, et al. . RESPECT-ED: Rates of pulmonary emboli (PE) and sub-segmental PE with modern computed tomographic pulmonary angiograms in emergency departments: a multi-center observational study finds significant yield variation, uncorrelated with use or small PE rates. PLoS One. 2016;11(12):e0166483. - PMC - PubMed

[8] Mountain D, Keijzers G, Chu K, et al. . RESPECT-ED: Rates of pulmonary emboli (PE) and sub-segmental PE with modern computed tomographic pulmonary angiograms in emergency departments: a multi-center observational study finds significant yield variation, uncorrelated with use or small PE rates. PLoS One. 2016;11(12):e0166483. - PMC - PubMed

[9] Kindermann DR, McCarthy ML, Ding R, et al. . Emergency department variation in utilization and diagnostic yield of advanced radiography in diagnosis of pulmonary embolus. J Emerg Med. 2014;46(6):791-799. - PubMed

[10] Kindermann DR, McCarthy ML, Ding R, et al. . Emergency department variation in utilization and diagnostic yield of advanced radiography in diagnosis of pulmonary embolus. J Emerg Med. 2014;46(6):791-799. - PubMed

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Association of Lower Diagnostic Yield With High Users of CT Pulmonary Angiogram

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Association of Lower Diagnostic Yield With High Users of CT Pulmonary Angiogram

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