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2020•Circulation ReportsOpen access

Effect of Coronary Computed Tomography Angiography-Derived Fractional Flow Reserve on Physicians’ Clinical Behavior ― Differences Between Sites With and Without Appropriate Use Criteria as Designated by the Japanese Reimbursement System ―

Hitoshi Matsuo, Tomohiro Kawasaki, Tetsuya Amano, Yoshiaki Kawase, Yoshihiro Sobue, Takeshi Kondo, Yoshihiro Morino, Shunichi Yoda, Tomohiro Sakamoto, Hiroshi Ito, Junya Shite, Hiromasa Otake, Nobuhiro Tanaka, Mitsuyasu Terashima, Kazushige Kadota, Manesh R. Patel, Koen Nieman, Campbell Rogers, Bjarne Linde Nørgaard, Jeroen J. Bax, Kavitha M. Chinnaiyan, Daniel S. Berman, Timothy Fairbairn, Lynne Koweek, Jonathon Leipsic, Takashi Akasaka

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Abstract

Background:Coronary computed tomography angiography (CCTA)-derived fractional flow reserve (FFRCT) is an established tool for identifying lesion-specific ischemia that is now approved for use by the Japanese insurance system. However, current clinical reimbursement is strictly limited to institutions with designated appropriate use criteria (AUC). This study assessed differences in physicians’ behavior (e.g., use and interpretation of FFRCT, final management) according to Japanese AUC and non-AUC site designation.

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Background:Coronary computed tomography angiography (CCTA)-derived fractional flow reserve (FFRCT) is an established tool for identifying lesion-specific ischemia that is now approved for use by the Japanese insurance system. However, current clinical reimbursement is strictly limited to institutions with designated appropriate use criteria (AUC). This study assessed differences in physicians’ behavior (e.g., use and interpretation of FFRCT, final management) according to Japanese AUC and non-AUC site designation.

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Available abstract

Background:Coronary computed tomography angiography (CCTA)-derived fractional flow reserve (FFRCT) is an established tool for identifying lesion-specific ischemia that is now approved for use by the Japanese insurance system. However, current clinical reimbursement is strictly limited to institutions with designated appropriate use criteria (AUC). This study assessed differences in physicians’ behavior (e.g., use and interpretation of FFRCT, final management) according to Japanese AUC and non-AUC site designation.

Key concepts: Fractional flow reserve, Reimbursement, Computed tomography, Angiography, Computed tomography angiography, Coronary angiography, Medicine, Medical physics

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Effect of Coronary Computed Tomography Angiography-Derived Fractional Flow Reserve on Physicians’ Clinical Behavior ― Differences Between Sites With and Without Appropriate Use Criteria as Designated by the Japanese Reimbursement System ― — Research Paper | ScholarLens