| Prospective evaluation of the clinical application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Criteria for transthoracic echocardiography. | |
| | |
MedLine Citation:
|
PMID: 19356497 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We sought to prospectively evaluate the clinical application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Criteria (AC) for transthoracic echocardiography in a single-center university hospital. Indications for transthoracic echocardiograms (TTE) were prospectively determined for consecutive studies by 2 reviewers and categorized, according to the AC for TTE, as appropriate (A) or inappropriate (I). The overall level of agreement in characterizing appropriateness between reviewers was high (kappa = 0.83). Among the 1,553 studies for which a primary indication was determined, 89% were covered in the AC for TTE. Of these studies, 89% were A, and 11% were I. New important TTE abnormalities were more common on A compared with I studies (40% vs. 17%, p < 0.001), and noncardiac specialists more frequently ordered I studies (13% vs. 9%, p = 0.04). In conclusion, the AC for TTE encompasses the majority of clinical indications for TTE and appears to reasonably stratify TTE ordering. However, revisions will be needed to fully capture and stratify appropriate clinical practice. |
| | |
Authors:
|
R Parker Ward; Ibrahim N Mansour; Nicole Lemieux; Nitin Gera; Rupa Mehta; Roberto M Lang |
Related Documents
:
|
6976847 - Pharmacology of 8-aminoquinolines. 13867397 - An international collaborative study of the assay of the potency of poliomyelitis sera. 6756217 - Further studies of the airborne fungi and pollens of the washington, d.c. metropolitan ... 19624297 - Virtual study groups: internet-based collaborative revision for the franzcr examinations. 20390977 - Assessing the tares as an ethical model for antismoking ads. 11195667 - The romantic sexology of john addington symonds. |
Publication Detail:
|
Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: JACC. Cardiovascular imaging Volume: 1 ISSN: 1876-7591 ISO Abbreviation: JACC Cardiovasc Imaging Publication Date: 2008 Sep |
Date Detail:
|
Created Date: 2009-04-09 Completed Date: 2009-04-23 Revised Date: 2009-05-21 |
Medline Journal Info:
|
Nlm Unique ID: 101467978 Medline TA: JACC Cardiovasc Imaging Country: United States |
Other Details:
|
Languages: eng Pagination: 663-71 Citation Subset: IM |
Affiliation:
|
Department of Medicine, University of Chicago, Chicago, Illinois 60637, USA. pward@medicine.bsd.uchicago.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Echocardiography / standards, utilization Feasibility Studies Female Guideline Adherence* Heart Diseases / ultrasonography* Hospitals, University / standards Humans Illinois Male Middle Aged Patient Selection* Physician's Practice Patterns / standards Practice Guidelines as Topic* Prospective Studies Quality of Health Care / standards* Referral and Consultation / standards Societies, Medical Unnecessary Procedures Utilization Review |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Tissue characterization of acute myocardial infarction and myocarditis by cardiac magnetic resonance...
Next Document: Three-dimensional color Doppler echocardiography for direct measurement of vena contracta area in mi...