{"id":"https://openalex.org/W4401567154","doi":"https://doi.org/10.61919/jhrr.v4i3.1365","title":"Precision in Practice: Assessing Concordance between Physician Visual Assessment and Quantitative Coronary Analysis for Stenosis Severity in CAD Patients at Shifa International Hospital","display_name":"Precision in Practice: Assessing Concordance between Physician Visual Assessment and Quantitative Coronary Analysis for Stenosis Severity in CAD Patients at Shifa International Hospital","publication_year":2024,"publication_date":"2024-08-13","ids":{"openalex":"https://openalex.org/W4401567154","doi":"https://doi.org/10.61919/jhrr.v4i3.1365"},"language":"en","primary_location":{"id":"doi:10.61919/jhrr.v4i3.1365","doi":"https://doi.org/10.61919/jhrr.v4i3.1365","is_oa":true,"landing_page_url":"http://dx.doi.org/10.61919/jhrr.v4i3.1365","pdf_url":"https://jhrlmc.com/index.php/home/article/download/1365/1244","source":{"id":"https://openalex.org/S4390296682","display_name":"Journal of Health and Rehabilitation Research","issn_l":"2791-156X","issn":["2791-156X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health and Rehabilitation Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://jhrlmc.com/index.php/home/article/download/1365/1244","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002753099","display_name":"Muhammad Irfan","orcid":"https://orcid.org/0000-0003-4161-6875","observed_orcids":["https://orcid.org/0000-0003-4161-6875"]},"institutions":[{"id":"https://openalex.org/I4405283323","display_name":"Peshawar Institute of Cardiology - MTI","ror":"https://ror.org/01eckkc24","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I4405283323"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Muhammad Irfan","raw_affiliation_strings":["Peshawar Institute of Cardiology, Peshawar, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Peshawar Institute of Cardiology, Peshawar, Pakistan","institution_ids":["https://openalex.org/I4405283323"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016212841","display_name":"Atta Ul Wadood","orcid":"https://orcid.org/0009-0008-2800-7585","observed_orcids":["https://orcid.org/0009-0008-2800-7585"]},"institutions":[{"id":"https://openalex.org/I4405283323","display_name":"Peshawar Institute of Cardiology - MTI","ror":"https://ror.org/01eckkc24","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I4405283323"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Atta Ul Wadood","raw_affiliation_strings":["Peshawar Institute of Cardiology, Peshawar, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Peshawar Institute of Cardiology, Peshawar, Pakistan","institution_ids":["https://openalex.org/I4405283323"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Sajjad Ur Rahman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405283323","display_name":"Peshawar Institute of Cardiology - MTI","ror":"https://ror.org/01eckkc24","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I4405283323"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Sajjad Ur Rahman","raw_affiliation_strings":["Peshawar Institute of Cardiology, Peshawar, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Peshawar Institute of Cardiology, Peshawar, Pakistan","institution_ids":["https://openalex.org/I4405283323"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113889224","display_name":"Ejaz Ali Khan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ejaz Ali Khan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5111318421","display_name":"Shahab Afridi","orcid":"https://orcid.org/0009-0005-1217-7625","observed_orcids":["https://orcid.org/0009-0005-1217-7625"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shahab Afridi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"4","issue":"3","first_page":"1","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.9843999743461609,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.9843999743461609,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10372","display_name":"Cardiac Imaging and Diagnostics","score":0.014499999582767487,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/coronary-stenosis-severity","display_name":"coronary stenosis severity","score":0.8799999952316284},{"id":"https://openalex.org/keywords/quantitative-coronary-analysis","display_name":"quantitative coronary analysis","score":0.7689999938011169},{"id":"https://openalex.org/keywords/interobserver-agreement","display_name":"interobserver agreement","score":0.7360000014305115},{"id":"https://openalex.org/keywords/coronary-angiography","display_name":"coronary angiography","score":0.9079999923706055},{"id":"https://openalex.org/keywords/percutaneous-coronary-intervention","display_name":"percutaneous coronary intervention","score":0.9879999756813049},{"id":"https://openalex.org/keywords/stenosis-quantification","display_name":"stenosis quantification","score":0.597000002861023},{"id":"https://openalex.org/keywords/diagnostic-accuracy-comparison","display_name":"diagnostic accuracy comparison","score":0.4909999966621399},{"id":"https://openalex.org/keywords/south-asia","display_name":"South Asia","score":0.4020000100135803},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.49000000953674316},{"id":"https://openalex.org/keywords/coronary-artery-bypass-grafting","display_name":"coronary artery bypass grafting","score":0.3529999852180481}],"concepts":[{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.838690996170044},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8362215161323547},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.7399629950523376},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.7122480273246765},{"id":"https://openalex.org/C2777385415","wikidata":"https://www.wikidata.org/wiki/Q1615191","display_name":"Cardiac catheterization","level":2,"score":0.6086755990982056},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5729332566261292},{"id":"https://openalex.org/C3019004856","wikidata":"https://www.wikidata.org/wiki/Q42297149","display_name":"Coronary angiography","level":3,"score":0.5366154909133911},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.40742504596710205},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.0649939775466919}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.61919/jhrr.v4i3.1365","doi":"https://doi.org/10.61919/jhrr.v4i3.1365","is_oa":true,"landing_page_url":"http://dx.doi.org/10.61919/jhrr.v4i3.1365","pdf_url":"https://jhrlmc.com/index.php/home/article/download/1365/1244","source":{"id":"https://openalex.org/S4390296682","display_name":"Journal of Health and Rehabilitation Research","issn_l":"2791-156X","issn":["2791-156X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health and Rehabilitation Research","raw_type":"journal-article"},{"id":"pmh:oai:ojs2.jhrlmc.com:article/1365","doi":null,"is_oa":true,"landing_page_url":"https://jhrlmc.com/index.php/home/article/view/1365","pdf_url":null,"source":{"id":"https://openalex.org/S4390296682","display_name":"Journal of Health and Rehabilitation Research","issn_l":"2791-156X","issn":["2791-156X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2791-156X","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.61919/jhrr.v4i3.1365","doi":"https://doi.org/10.61919/jhrr.v4i3.1365","is_oa":true,"landing_page_url":"http://dx.doi.org/10.61919/jhrr.v4i3.1365","pdf_url":"https://jhrlmc.com/index.php/home/article/download/1365/1244","source":{"id":"https://openalex.org/S4390296682","display_name":"Journal of Health and Rehabilitation Research","issn_l":"2791-156X","issn":["2791-156X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health and Rehabilitation Research","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4401567154.pdf","grobid_xml":"https://content.openalex.org/works/W4401567154.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W1987298094","https://openalex.org/W2022727599","https://openalex.org/W2061668701","https://openalex.org/W2409167768","https://openalex.org/W2409609410","https://openalex.org/W2416253530","https://openalex.org/W2551431664","https://openalex.org/W2782780325","https://openalex.org/W2809691788","https://openalex.org/W2898826523","https://openalex.org/W4400066335"],"related_works":["https://openalex.org/W2782780325","https://openalex.org/W4405456507","https://openalex.org/W3216041476","https://openalex.org/W2898826523","https://openalex.org/W2152332877","https://openalex.org/W1663878777","https://openalex.org/W2056105074","https://openalex.org/W2466088399","https://openalex.org/W2319747489","https://openalex.org/W4210821992"],"abstract_inverted_index":{"Background:":[0],"Coronary":[1,40,86],"Artery":[2],"Disease":[3],"(CAD)":[4],"is":[5,26],"a":[6,44,118,174],"leading":[7],"cause":[8],"of":[9,15,77,93,113,123,196,232,291],"mortality":[10],"globally,":[11],"necessitating":[12],"accurate":[13,323],"assessment":[14,316],"stenosis":[16,50,63,96,219,230,256,311],"severity":[17,64,92,155],"for":[18,48,237,244,263,270,322,343],"optimal":[19],"clinical":[20],"management.":[21],"Physician":[22,80],"Visual":[23,81],"Assessment":[24,82],"(PVA)":[25,83],"commonly":[27],"used":[28],"in":[29,61,89,97,250,276,306,325],"practice,":[30],"but":[31],"its":[32],"subjective":[33],"nature":[34],"raises":[35],"concerns":[36],"about":[37],"accuracy.":[38],"Quantitative":[39,85],"Analysis":[41,87],"(QCA)":[42,88],"offers":[43],"more":[45],"objective":[46],"method":[47],"evaluating":[49],"severity.":[51],"This":[52,102],"study":[53,105,202,298],"investigates":[54],"the":[55,75,91,109,191,211,251,254,277,282,307],"concordance":[56,78,301],"between":[57,79,163,214,224,302],"PVA":[58,135,164,225,238,264,303,333],"and":[59,84,139,160,165,178,207,226,239,265,279,293,304,309,338],"QCA":[60,143,166,245,271,305,328],"determining":[62],"among":[65],"CAD":[66,125],"patients":[67,98,126],"at":[68,108],"Shifa":[69,114,197],"International":[70,115,198],"Hospital.":[71,199],"Objective:":[72],"To":[73],"evaluate":[74],"level":[76],"assessing":[90],"coronary":[94,137],"artery":[95],"with":[99,173,210,228,289],"CAD.":[100],"Methods:":[101],"retrospective":[103],"cross-sectional":[104],"was":[106,167,188],"conducted":[107],"Cardiac":[110],"Catheterization":[111],"Department":[112],"Hospital":[116],"over":[117],"two-month":[119],"period.":[120],"A":[121],"total":[122],"105":[124],"undergoing":[127],"PCI":[128],"were":[129,132,151,180,258,285],"included.":[130],"Lesions":[131],"evaluated":[133],"by":[134,142],"during":[136],"angiography":[138],"subsequently":[140],"assessed":[141],"using":[144,169,182],"Siemens":[145],"Artis":[146],"Zee":[147],"software.":[148],"The":[149,201,217,297],"lesions":[150],"categorized":[152],"into":[153],"four":[154],"groups:":[156],"<50%,":[157],"50-69%,":[158],"70-89%,":[159],"90-99%.":[161],"Concordance":[162],"analyzed":[168],"independent":[170],"sample":[171],"t-tests":[172],"95%":[175],"confidence":[176],"level,":[177],"results":[179],"processed":[181],"SPSS":[183],"version":[184],"25.":[185],"Ethical":[186],"approval":[187],"obtained":[189],"from":[190],"Institutional":[192],"Review":[193],"Board":[194],"(IRB)":[195],"Results:":[200],"population":[203],"comprised":[204],"77%":[205],"males":[206],"23%":[208],"females,":[209],"majority":[212],"aged":[213],"51-70":[215],"years.":[216],"<50%":[218,308],"category":[220],"showed":[221],"significant":[222],"differences":[223,284],"QCA,":[227],"mean":[229,255,283],"values":[231,257],"34.66%":[233],"(SD":[234,241,260,267],"=":[235,242,261,268],"6.7)":[236],"42.22%":[240],"7.3)":[243],"(p":[246,272],"<":[247,273],"0.001).":[248,274],"Similarly,":[249],"50-69%":[252,310],"category,":[253],"56.83%":[259],"6.2)":[262],"63.79%":[266],"4.5)":[269],"However,":[275],"70-89%":[278],"90-99%":[280],"categories,":[281,312],"not":[286,319],"statistically":[287],"significant,":[288],"p-values":[290],"0.36":[292],"0.21,":[294],"respectively.":[295],"Conclusion:":[296],"revealed":[299],"low":[300],"suggesting":[313],"that":[314],"visual":[315],"alone":[317],"may":[318],"be":[320,330],"sufficient":[321],"evaluation":[324],"these":[326],"cases.":[327],"should":[329],"utilized":[331],"alongside":[332],"to":[334,345],"enhance":[335],"diagnostic":[336],"accuracy":[337],"improve":[339],"treatment":[340],"decisions,":[341],"particularly":[342],"mild":[344],"moderate":[346],"stenosis.":[347]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2024-08-15T00:00:00"}