PMID: 9191705Jun 1, 1997Paper

Physicians' judgments of the risks of cardiac procedures. Differences between cardiologists and other internists

Medical Care
R M PosesR M Centor

Abstract

The authors compared judgments of the population risks of invasive cardiac procedures made by cardiologists and other internal medicine physicians. Our main hypotheses were that cardiologists' judgments would differ from those made by the other physicians and that cardiologists' judgments would be more accurate than those of other physicians. This was a cross-sectional survey of senior staff and physician-trainees at two teaching hospitals affiliated with a US medical school, Emergency Department physicians at a community hospital in the same metropolitan area, and senior staff and trainees at two teaching hospitals affiliated with a UK school. Judgments of the risks of severe morbidity and death due to Swan-Ganz catheterization, cardiac catheterization, percutaneous coronary angioplasty, and coronary artery bypass grafting were assessed. Nineteen cardiologists judged the risks of severe morbidity due to all procedures and the risks of death due to all procedures except coronary artery bypass grafting to be significantly lower than did the 78 other internists. Cardiologists more frequently made accurate judgments of the rates of morbidity and death due to cardiac catheterization than did the other internists; other internists m...Continue Reading

References

Jul 1, 1991·Annals of Internal Medicine·J J Popma, E J Topol
Jul 1, 1991·Medical Decision Making : an International Journal of the Society for Medical Decision Making·R M Poses, M Anthony
Dec 1, 1991·Critical Care Medicine·R M PosesJ N Morley
Apr 1, 1985·Annals of Internal Medicine·J M Eisenberg
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Citations

Jan 30, 2002·Clinical Therapeutics·D W RaischP J Fudala
Mar 20, 2008·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Carmen L LewisMichael P Pignone
Feb 14, 2006·BMC Family Practice·Christine E KistlerLea C Watson
Jul 23, 2011·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Jennifer FrankeChristian Zugck
May 10, 2000·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·P M Aupperle, A C Coyne
Jul 29, 1999·Medical Decision Making : an International Journal of the Society for Medical Decision Making·S WoloshinH G Welch
May 5, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M Johannesson, B J O'Brien
Sep 26, 2003·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Pulmonary Artery Catheterization
Dec 25, 2009·Circulation. Cardiovascular Quality and Outcomes·Thomas Grebel, Julia Schumm
May 5, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·R M PosesR M Centor
Jan 3, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·B R HemmelgarnM L Knudtson
Sep 11, 1999·The Joint Commission Journal on Quality Improvement·R M Poses

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