Outpatient echocardiography in the evaluation of innocent murmurs in children: utilisation benchmarking
| Autor: | Patricio A. Frias, Patricia A. Daley, Matthew E. Oster, Jeffrey R. Boris |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Adolescent 030204 cardiovascular system & hematology Appropriate use Appropriate Use Criteria 03 medical and health sciences 0302 clinical medicine Patient age Outpatients medicine Humans 030212 general & internal medicine Innocent murmurs Child Intensive care medicine Referral and Consultation Retrospective Studies Philadelphia Heart Murmurs business.industry Infant Newborn Infant Retrospective cohort study General Medicine Benchmarking Hospitals Pediatric Paediatric cardiology Echocardiography Child Preschool Pediatrics Perinatology and Child Health Emergency medicine Heart murmur Female medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiology in the Young. 26:499-505 |
| ISSN: | 1467-1107 1047-9511 |
| DOI: | 10.1017/s1047951115000517 |
| Popis: | ObjectivesWe sought to benchmark the utilisation of echocardiography in the outpatient evaluation of heart murmurs by evaluating two large paediatric cardiology centres.BackgroundAlthough criteria exist for appropriate use of echocardiography, there are no benchmarking data demonstrating its utilisation.MethodsWe performed a retrospective cohort study of outpatients aged between 0 and 18 years at the Sibley Heart Center Cardiology and the Children’s Hospital of Philadelphia Division of Cardiology, given a sole diagnosis of “innocent murmur” from 1 July, 2007 to 31 October, 2010. Using internal claims data, we compared the utilisation of echocardiography according to centre, patient age, and physician years of service.ResultsOf 23,114 eligible patients (Sibley Heart Center Cardiology: 12,815, Children’s Hospital of Philadelphia Division of Cardiology: 10,299), 43.1% (Sibley Heart Center Cardiology: 45.2%, Children’s Hospital of Philadelphia Division of Cardiology: 40.4%; p1–5 years had the lowest utilisation (32.7%).ConclusionsIn two large paediatric cardiology practices, the overall utilisation of echocardiography by physicians with a sole diagnosis of innocent murmur was similar. There was significant and similar variability in utilisation by provider at both centres. Although these data serve as initial benchmarking, the variability in utilisation highlights the importance of appropriate use criteria. |
| Databáze: | OpenAIRE |
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