Coronary disease & ACS

Contact with general practice in patients with suspected chronic coronary syndrome before and after CT angiography compared with the general population

Eur Heart J Qual Care Clin OutcomesPublished Matched registry-based cohort study

Authors' conclusion

In patients undergoing CCTA to diagnose CAD, a substantially increased frequency of contacts to GP was observed in the 5-year period prior to examination compared with the reference populations, regardless of the CCTA findings. Obtaining the CCTA result did not seem to substantially affect the GP visit frequency.

Study context

Population
Patients undergoing coronary computed tomography angiography (CCTA) for suspected coronary artery disease (CAD) in Western Denmark, 2014–2022
Participants
62,512 patients
Exposure
Patients undergoing CCTA vs matched reference populations
  • Stenosisn = 12,886
  • No stenosisn = 49,626
Outcome
GP visits (up to 5 years before and 1 year after CTA)
Methodological details1:5 matched reference population, national registries
  • 1:5 matched reference population
  • National registries

Main finding

As reported in the abstract

GP contacts in the year of coronary CTA

Stenosis

11

median · range as printed 6–17

Reference (stenosis)

6

median · range as printed 2–11

No stenosis

10

median · range as printed 6–17

Reference (no stenosis)

5

median · range as printed 2–11

Stenosis vs Reference (stenosis): P < 0.001 · No stenosis vs Reference (no stenosis): P < 0.001

Observational data: associations, not effects.

Further findings

Charlson comorbidity index

Charlson comorbidity index (CCI) higher among patients with and without stenosis vs reference groups

Original publication

Contact with general practice in patients with suspected chronic coronary syndrome before and after CT angiography compared with the general population. Eur Heart J Qual Care Clin Outcomes. Published 3 January 2024. doi:10.1093/ehjqcco/qcad074

Composed by AI from the published abstract and checked against it. How Briefs are made →

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