Why the study?
Do alternative diagnostic strategies improve quality-adjusted life-years and reduce costs in men and women with intermediate pretest risk for coronary disease?
Population
Men and women 45, 55, and 65 years of age with a 25% to 75% pretest risk for coronary disease
Comparison
Diagnostic strategies including initial… vs Alternative diagnostic strategies compared…
Design
Meta-analysis
Follow-up
30 years (time horizon)
Authors
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Supports echocardiography as initial test in intermediate-risk CAD; extends cost-effectiveness evidence for imaging hierarchies in guidelines.
Do alternative diagnostic strategies improve quality-adjusted life-years and reduce costs in men and women with intermediate pretest risk for coronary disease?
Echocardiography, SPECT, and immediate angiography are cost-effective alternatives to PET and other diagnostic approaches for patients with intermediate pretest risk of coronary disease.
Alan M. Garber (1999) studied this question.
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