Table 3 Patient and provider narrative responses by rank and their correlation to published AUC
Patients: Inappropriate Reasons for MPI (n = 149) | 2009 AUC | Number |
If the test is too risky | N/A | 11 |
If you do not have symptoms | #7–11 | 10 |
If the test is not necessary | N/A | 10 |
If the radiation risk is high | N/A | 6 |
The doctor should decide | N/A | 6 |
If the cost is too high | N/A | 1 |
False positive testing | N/A | 0 |
Providers: Inappropriate reasons for MPI | 2009 AUC | Number |
Asymptomatic | #7–11 | 26 |
Patient or family demand | N/A | 16 |
Concern about professional liability | N/A | 12 |
Screening in low risk patients | #7 | 9 |
Annual MPI | #45–56, #66–70 | 8 |
Preoperative risk assessment | #71 | 8 |
Symptoms with a normal ECG and can exercise | #1 | 8 |
Low risk chest pain | #1–2 | 6 |
Acute coronary syndrome | #10 | 6 |
Repeat test, no change in symptoms | #45–56, #66–70 | 5 |
Financial gain | N/A | 4 |
Risk factors/Family History/Abnormal ECG alone | N/A | 4 |
Chest pain with high pretest likelihood | #5–6 | 3 |