Appropriate use criteria for echocardiography in the Netherlands

Autor: J.P. van Melle, R. B. A. van den Brink, Constant L.A. Reichert, B.J. Bouma, A. J. Voogel, Richard L. Braam, B. Cernohorsky, J. Hrudova, R. Breedveld, R. Riezenbos, Steven A. J. Chamuleau, Menno Veldhorst, Otto Kamp, Wybren Jaarsma
Přispěvatelé: Amsterdam Cardiovascular Sciences, Cardiology, ACS - Heart failure & arrhythmias, ACS - Pulmonary hypertension & thrombosis, Cardiovascular Centre (CVC)
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Bouma, B J, Riezenbos, R, Voogel, A J, Veldhorst, M H, Jaarsma, W, Hrudova, J, Cernohorsky, B, Chamuleau, S, van den Brink, R B A, Breedveld, R, Reichert, C, Kamp, O, Braam, R & van Melle, J P 2017, ' Appropriate use criteria for echocardiography in the Netherlands ', Netherlands Heart Journal, vol. 25, no. 5, pp. 330-334 . https://doi.org/10.1007/s12471-017-0960-9
Netherlands heart journal, 25(5), 330-334. Bohn Stafleu van Loghum
Netherlands Heart Journal, 25(5), 330-334. Bohn Stafleu van Loghum
Netherlands Heart Journal, 25(5), 330-334. Bohn, Stafleu, Van Loghum
Netherlands Heart Journal
ISSN: 1568-5888
DOI: 10.1007/s12471-017-0960-9
Popis: Introduction Appropriate use criteria (AUC) for echocardiography based on clinical scenarios were previously published by an American Task Force. We determined whether members of the Dutch Working Group on Echocardiography (WGE) would rate these scenarios in a similar way. Methods All 32 members of the WGE were invited to judge clinical scenarios independently using a blanked version of the previously published American version of AUC for echocardiography. During a face-to-face meeting, consensus about the final rating was reached by open discussion for each indication. For reasons of simplicity, the scores were reduced from a 9-point scale to a 3-point scale (indicating an appropriate, uncertain or inappropriate echo indication, respectively). Results Nine cardiologist members of the WGE reported their judgment on the echo cases (n = 153). Seventy-one indications were rated as appropriate, 35 were rated as uncertain, and 47 were rated as inappropriate. In 5% of the cases the rating was opposite to that in the original (appropriate compared with inappropriate and vice versa), whereas in 20% judgements differed by 1 level of appropriateness. After the consensus meeting, the appropriateness of 7 (5%) cases was judged differently compared with the original paper. Conclusions Echocardiography was rated appropriate when it is applied for an initial diagnosis, a change in clinical status or a change in patient management. However, in about 5% of the listed clinical scenarios, members of the Dutch WGE rated the AUC for echocardiography differently as compared with their American counterparts. Further research is warranted to analyse this decreased external validity. Electronic supplementary material The online version of this article (doi: 10.1007/s12471-017-0960-9) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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