An International Physician Survey of Pulmonary Arterial Hypertension Management
Autor: | Ioana R. Preston, David P. Jenkins, Irene Lang, Sabina Heinz, Nick H. Kim, Henning Gall, Barbara Hinzmann |
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Rok vydání: | 2016 |
Předmět: |
Pulmonary and Respiratory Medicine
Right heart catheterization medicine.medical_specialty Pediatrics business.industry Hypertension management Computer-assisted web interviewing 030204 cardiovascular system & hematology medicine.disease Patient record Pulmonary hypertension New york heart association 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Physician survey Emergency medicine medicine Geographic regions business Original Research |
Zdroj: | Pulmonary Circulation. 6:338-346 |
ISSN: | 2045-8940 |
DOI: | 10.1086/688058 |
Popis: | We conducted an international study to evaluate practices in the diagnosis and management of pulmonary arterial hypertension (PAH) globally across different geographic regions. Between July and October 2012, PAH-treating physicians completed a 15-minute online questionnaire and provided patient record data for their 3 or 5 most recent patients with PAH. Overall, 560 physicians (Europe: 278; United States: 160; Argentina: 53; Japan: 69) completed the questionnaire and provided data for 2,618 patients. The proportion of physicians who described themselves as working in or affiliated with a specialized pulmonary hypertension center ranged from 13% in Argentina to 74% in the United States. At the time of diagnosis, patients’ New York Heart Association functional class differed significantly between regions. At the time of last assessment, functional class had improved overall, and differences between regions had largely disappeared. A large proportion of patients did not undergo right heart catheterization for the diagnosis of PAH (Europe: 7%–21%; United States: 21%; Japan: 19%; Argentina: 51%). Variations in management included greater use of phosphodiesterase 5 inhibitors in the United States than in Europe and Japan and greater use of triple or greater combination therapy in Japan than in other regions. Results from this study, which includes a global aspect of PAH care, demonstrate that there are significant differences in PAH management between regions and low adherence to guidelines recommending right heart catheterization for the diagnosis of PAH. |
Databáze: | OpenAIRE |
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