Low prevalence of relevant findings in inappropriate echocardiograms and discordant perceptions between cardiologists and patients

Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas
J R LopesL C L Correia

Abstract

Complementary examinations are "inadequate" whenever the likelihood of benefits from their indication is lower than the negative results. The low benefit is a result of poor performance in detecting relevant changes that lead to improved behavior. However, inadequate examinations are prevalent and little is known about patients' notions of the usefulness of such indications. The aim of this study was to describe relevant findings in inappropriate echocardiograms and to assess the level of agreement between patients and cardiologists regarding their usefulness. Adults without known cardiovascular disease who were referred for echocardiogram by inappropriate criteria according to the American College of Cardiology were selected. Relevant findings were defined by any change in the degree of moderate to severe, according to the American Society of Echocardiography. We tested the level of agreement between the patients who underwent echocardiographic examination and the physicians who requested the exam through a standard questionnaire. Five hundred patients were included, with average age of 52±17 years (47% males). Only 17 patients had any relevant changes (3.4%, 95%CI=2 to 5.4%). The most frequent alterations included valve chang...Continue Reading

References

Jun 15, 2007·Journal of the American College of Cardiology·Alan S PearlmanPamela S Douglas
Sep 4, 2008·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Pamela S Douglas
Jan 10, 2009·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·James N KirkpatrickSusan E Wiegers
Sep 22, 2009·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·R Parker WardUNKNOWN American Society of Echocardiography
Apr 13, 2013·JACC. Cardiovascular Imaging·Saul BleckerJack V Tu
Jul 24, 2013·JAMA Internal Medicine·Haakon LindekleivHenrik Schirmer
Jul 24, 2013·JAMA Internal Medicine·Susan A MatuleviciusSharon C Reimold
Jun 26, 2014·Cardiovascular Ultrasound·Ricardo Fonseca, Thomas H Marwick
Aug 7, 2014·BMJ Quality & Safety·Carrie H CollaNancy E Morden
Aug 19, 2014·JACC. Cardiovascular Imaging·R Sacha BhatiaRory B Weiner
Jan 1, 2015·European Heart Journal Cardiovascular Imaging·Madalina GarbiUNKNOWN EACVI Imaging Task Force
Jan 7, 2015·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Roberto M LangJens-Uwe Voigt
Jan 24, 2015·The International Journal of Cardiovascular Imaging·Thomas P KoshySusan A Matulevicius
Jul 22, 2015·Circulation·Xiaoyan Huang, Meredith B Rosenthal
Dec 15, 2015·Expert Review of Cardiovascular Therapy·R Sacha BhatiaRory B Weiner
Aug 26, 2017·Journal of the American College of Cardiology·R Sacha BhatiaRory B Weiner

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Citations

Jan 14, 2021·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·A C C OliveiraL C L Correia

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Software Mentioned

Statistical Package for the Social Sciences ( SPSS

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