Amyloid PET ordering practices in a memory disorders clinic.
Amyloid PET ordering practices in a memory disorders clinic.
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DOI：
10.1002/trc2.12333
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发表时间：
2022
影响因子：
4.8
通讯作者：
Budson, Andrew E
中科院分区：
文献类型：
--
作者：
Turk, Katherine W;Vives-Rodriguez, Ana;Schiloski, Kylie A;Marin, Anna;Wang, Ryan;Singh, Prabhjyot;Hajos, Gabor P;Powsner, Rachel;DeCaro, Renee;Budson, Andrew E
这项研究评估了退伍军人事务部(VA)记忆障碍诊所的淀粉样正电子发射断层扫描(PET)扫描的排序，作为常规临床护理的一部分，如果保险覆盖，可能会对未来可能发生在VA以外的排序产生影响。回顾评估了预测订购淀粉样蛋白PET扫描的临床特征；评估了符合适当使用标准的患者的百分比。在565名退伍军人中，34.9%的人接受了淀粉样蛋白PET扫描，其中98.0%的人符合适当的使用标准。患有PET的患者更年轻，更有可能被初步诊断为阿尔茨海默病(AD)。在没有订购淀粉样蛋白PET扫描的患者中，64.4%的患者符合淀粉样蛋白PET的适当使用标准。大多数订购的扫描符合适当的使用标准，符合条件的患者比接受扫描的患者更多。目前的研究发现，记忆障碍诊所约三分之一的患者接受了淀粉样蛋白PET扫描，这对美国退伍军人健康管理局内外的记忆障碍诊所都有影响。
This study assessed the ordering of amyloid positron emission tomography (PET) scans in a Veterans Affairs (VA) memory disorders clinic as part of routine clinical care, with possible implications for the extent to which ordering may occur outside of the VA in the future if covered by insurance. Clinical features predictive of ordering amyloid PET scans were retrospectively assessed; the percentage of patients who met appropriate use criteria were evaluated. Among 565 veterans, 34.9% of received an amyloid PET scan and 98.0% of these were consistent with appropriate use criteria. Patients with a PET were younger and more likely to have an initial diagnosis of Alzheimer's disease (AD). Of patients without an amyloid PET scan ordered, 64.4% would have met appropriate use criteria for amyloid PET. The majority of scans ordered were consistent with appropriate use criteria and more patients were eligible than received a scan. The current study's findings that approximately one‐third of patients in a memory disorders clinic received an amyloid PET scan has implications for memory disorders clinics inside and outside of the US Veterans Health Administration.