Clinical Utility of Guideline-Based Echocardiography: A Prospective Study of Outpatient Referral Patterns at a Tertiary Care Center

Journal of the American Society of Echocardiography

Volumn 21, Issue 9, 2008, Pages 1010-1015

  Barbier, Paolo ^a   Alimento, Marina ^a   Berna, Giovanni ^a  

^a CENTRO CARDIOLOGICO MONZINO   (Italy)

Author keywords

Clinical utility; Echocardiography; Guidelines; Indications

Indexed keywords

ARTICLE; CONTROLLED STUDY; ECHOCARDIOGRAPHY; FEMALE; FOLLOW UP; GENERAL PRACTITIONER; HEALTH CARE QUALITY; HEART PALPITATION; HUMAN; HYPERTENSION; ISCHEMIC HEART DISEASE; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; MITRAL VALVE PROSTHESIS; OUTPATIENT CARE; PATIENT COMPLIANCE; PATIENT REFERRAL; PRACTICE GUIDELINE; PROSPECTIVE STUDY; STATISTICAL SIGNIFICANCE; TERTIARY HEALTH CARE; THORAX PAIN; VALVULAR HEART DISEASE;

AMBULATORY CARE; ECHOCARDIOGRAPHY; GUIDELINE ADHERENCE; HUMANS; INDUSTRY; ITALY; OUTPATIENTS; PRACTICE GUIDELINES AS TOPIC; QUALITY ASSURANCE, HEALTH CARE; REFERRAL AND CONSULTATION;

EID: 50249152184     PISSN: 08947317     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.echo.2008.06.006     Document Type: Article

References (14)

1. Cheitlin M.D., Armstrong W.F., Aurigemma G.P., et al. ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE committee to update the 1997 Guidelines for the Clinical Application of Echocardiography). J Am Coll Cardiol 42 (2003) 954-970
2. Weiss J.P., Gruver C., Kaul S., Harrell F.E., Sklenar J., and Dent J.M. Ordering an echocardiogram for evaluation of left ventricular function: level of expertise necessary for efficient use. J Am Soc Echocardiogr 13 (2000) 124-130
3. Vaghari B.A., and Goldman M.E. A comparison of cardiologist and noncardiologist use of echocardiograms: implications for containing health care costs. Mt Sinai J Med 73 (2006) 802-805
4. Orsini E., Lorenzoni R., Becherini F., et al. L'appropriatezza dei test cardiologici non invasivi. Studio osservazionale sull'appropriatezza della prescrizione del test da sforzo, dell'ecocardiogramma, dell'ECG dinamico e dell'ecografia vascolare. G Ital Cardiol 8 (2007) 359-366
5. Calenda P., Jain P., and Smith L.G. Utilization of echocardiography by internists and cardiologists: a comparative study. Am J Med 101 (1996) 584-591
6. Lattanzi F., Magnani M., Cortigiani L., Mandorla S., Zuppiroli A., and Lorenzoni R. The evaluation of the prescription appropriateness of the echocardiogram. Ital Heart J Suppl 3 (2002) 613-618
7. Bertoli D., Badano L., Carratino L., et al., Gruppo Ligure della Società Italiana di Ecografia Cardiovascolare. Use of echocardiography in outpatients. Role played by cardiologists for a more appropriate use of the test. Cardiologia 41 (1996) 267-273
8. McDonald I.G., Daly J., Jelinek V.M., Panetta F., and Gutman J.M. Opening Pandora's box: the unpredictability of reassurance by a normal test result. BMJ 313 (1996) 329-332
9. Hanlon J.T., Combs T., Lowe R.I., and Bean B. The contribution of echocardiography to the community practice of cardiology. A prospective study. Chest 85 (1984) 244-247
10. Krumholz H.M., Douglas P.S., Goldman L., and Waksmonski C. Clinical utility of transthoracic two-dimensional and Doppler echocardiography. J Am Coll Cardiol 24 (1994) 124-131
11. Vukanovic-Criley J.M., Criley S., Warde C.M., et al. Competency in cardiac examination skills in medical students, trainees, physicians, and faculty: a multicenter study. Arch Intern Med 166 (2006) 610-616
12. Tam J.W., Nichol J., MacDiarmid A.L., Lazarow N., and Wolfe K. What is the real clinical utility of echocardiography?. A prospective observational study. J Am Soc Echocardiogr 12 (1999) 689-697
13. Grimshaw J.M., and Russell I.T. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet 342 (1993) 1317-1322
14. Douglas P.S., Khandheria B., Stainback R.F., et al., American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group; American Society of Echocardiography; American College of Emergency Physicians; American Society of Nuclear Cardiology; Society for Cardiovascular Angiography and Interventions; Society of Cardiovascular Computed Tomography; Society for Cardiovascular Magnetic Resonance; American College of Chest Physicians; Society of Critical Care Medicine. ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 appropriateness criteria for transthoracic and transesophageal echocardiography: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American Society of Echocardiography, American College of Emergency Physicians, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and the Society for Cardiovascular Magnetic Resonance endorsed by the American College of Chest Physicians and the Society of Critical Care Medicine. J Am Coll Cardiol 50 (2007) 187-204