title: Normal coronary angiograms: financial victory from the brink of clinical defeat?
abstract: OBJECTIVE
  To examine the hypothesis that, in patients undergoing coronary angiography for suspected ischaemic heart disease, a normal angiographic result is associated with a fall in consumption of health care resources following the angiogram.
  
  
  METHODS
  Retrospective cost-benefit analysis comparing the 12 month periods before and after coronary angiography.
  
  
  METHODS
  Tertiary cardiac referral centre.
  
  
  METHODS
  69 consecutive patients investigated in the financial year 1991-92 whose angiograms were normal.
  
  
  METHODS
  Drug and hospital admission costs in the 12 month periods before and after angiography; urgent and elective consultations with general practitioner in that time.
  
  
  RESULTS
  The mean cost of care per patient in the year before investigation was 656.89 pounds. A highly significant fall in all indices of resource consumption was observed in the year following investigation, the mean resulting difference in the cost of care being 35.15 pounds per month. The cost of coronary angiography would, if this fall were maintained, be recouped in a mean time of 18 months.
  
  
  CONCLUSIONS
  Patients suspected on clinical grounds to have coronary atherosclerosis who are found at angiography to have normal coronary arteries are heavy consumers of health care resources. Early investigation for these patients is safe and has beneficial resource consequences in the medium term.
authors.affiliation: Department of Cardiology, Glenfield General Hospital, Leicester, United Kingdom.
authors.forename: B
authors.initials: B
authors.lastname: Keavney
authors.forename: Y M
authors.initials: YM
authors.lastname: Haider
authors.forename: A J
authors.initials: AJ
authors.lastname: McCance
authors.forename: J D
authors.initials: JD
authors.lastname: Skehan
mesh_terms: D017023:Coronary Angiography / Q000191:economics*; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D003362:Cost-Benefit Analysis; D006301:Health Services Needs and Demand / Q000191:economics; D006801:Humans; D008485:Medical Audit; D010342:Patient Acceptance of Health Care; D012189:Retrospective Studies