0
Editor's Correspondence |

Electron-Beam Computed Tomography as a Population Screening Tool—Reply

Brahmajee K. Nallamothu, MD, MPH; Sanjay Saint, MD, MPH; Melvyn Rubenfire, MD; A. Mark Fendrick, MD
Arch Intern Med. 2001;161(21):2625. doi:.
Text Size: A A A
Published online

Extract

In reply

We thank Drs Cheng and Kelleher for their interest in our recent article on the use of EBCT in diagnosing CAD. We appreciate their comments and the opportunity to respond.

First, the objective of our article was "to estimate the accuracy of EBCT in diagnosing obstructive CAD."1 Toward that objective, we believe that our concluding remarks were appropriate: EBCT is reasonably accurate at detecting obstructive CAD in patients undergoing coronary angiography with an accuracy similar to exercise stress testing. In fact, the recent ACC/AHA expert consensus document cited by Dr Cheng clearly supports our finding, stating that the "predictive accuracy of the tests is similar."2 Dr Cheng's comments imply that our conclusion leads us to endorse the widespread clinical use of EBCT, unlike the authors of the ACC/AHA document, since we made no firm recommendations regarding its clinical use. We disagree. While we share his view that the medical community is ultimately responsible for "advocating clinically effective and cost-effective" care, the objective of our article was to better define the diagnostic accuracy of EBCT. Accordingly, we limited our discussion on cost-related issues, as these were concerns we were not directly investigating.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();