Applicability and accuracy of pretest probability calculations implemented in the NICE clinical guideline for decision making about imaging in patients with chest pain of recent onset.
Robert RoehleViktoria WieskeGeorg M SchuetzPascal GueretDaniele AndreiniWillem Bob MeijboomGianluca PontoneMario GarciaHatem AlkadhiLily HonorisJörg HausleiterNuno BettencourtElke ZimmermannSebastian LeschkaBernhard GerberCarlos RochitteU Joseph SchoepfAbbas Arjmand ShabestariBjarne NørgaardAkira SatoJuhani KnuutiMatthijs F L MeijsHarald BrodoefelShona M M JenkinsKristian Altern ØvrehusAxel Cosmus Pyndt DiederichsenAshraf HamdanBjørn Arild HalvorsenVladimir Mendoza RodriguezYung Liang WanJohannes RixeMehraj SheikhChristoph LangerSaid GhostineEugenio MartuscelliHiroyuki NiinumaArthur ScholteKonstantin NikolaouGeir UlimoenZhaoqi ZhangHans MickleyKoen NiemanPhilipp A KaufmannRonny Ralf BuechelBernhard A HerzogMelvin ClouseDavid A HalonJonathan LeipsicDavid BushReda JakamyKai SunLin YangThorsten JohnsonJean-Pierre LaissyRoy MarcusSimone MuragliaJean-Claude TardifBenjamin ChowNarinder PaulDavid MaintzJohn HoeAlbert de RoosRobert HaaseMichael LaulePeter SchlattmannMarc DeweyPublished in: European radiology (2018)
• Duke clinical score is not implemented correctly in NICE guideline 95. • Pretest probability assessment in NICE guideline 95 is impossible for most patients. • Improved clinical decision making requires accurate pretest probability calculation. • These refinements are essential for appropriate use of cardiac CT.