Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2011-2-22
pubmed:abstractText
The American College of Cardiology Foundation (ACCF), in partnership with the American Society of Echocardiography (ASE) and along with key specialty and subspecialty societies, conducted a review of common clinical scenarios where echocardiography is frequently considered. This document combines and updates the original transthoracic and transesophageal echocardiography appropriateness criteria published in 2007 (1) and the original stress echocardiography appropriateness criteria published in 2008 (2). This revision reflects new clinical data, reflects changes in test utilization patterns,and clarifies echocardiography use where omissions or lack of clarity existed in the original criteria.The indications (clinical scenarios)were derived from common applications or anticipated uses, as well as from current clinical practice guidelines and results of studies examining the implementation of the original appropriate use criteria (AUC).The 202 indications in this document were developed by a diverse writing group and scored by a separate independent technical panel on a scale of 1 to 9,to designate appropriate use(median 7 to 9), uncertain use(median 4 to 6), and inappropriate use (median 1 to 3). Ninety-seven indications were rated as appropriate, 34 were rated as uncertain, and 71 were rated as inappropriate. In general,the use of echocardiography for initial diagnosis when there is a change in clinical status or when the results of the echocardiogram are anticipated to change patient management were rated appropriate. Routine testing when there was no change in clinical status or when results of testing were unlikely to modify management were more likely to be inappropriate than appropriate/uncertain.The AUC for echocardiography have the potential to impact physician decision making,healthcare delivery, and reimbursement policy. Furthermore,recognition of uncertain clinical scenarios facilitates identification of areas that would benefit from future research.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1097-6795
pubmed:author
pubmed-author:American College of Cardiology Foundation Appropriate Use Criteria Task..., pubmed-author:American College of Chest Physicians, pubmed-author:American Heart Association, pubmed-author:American Society of Echocardiography, pubmed-author:American Society of Nuclear Cardiology, pubmed-author:DouglasPamela SPS, pubmed-author:GarciaMario JMJ, pubmed-author:HainesDavid EDE, pubmed-author:Heart Failure Society of America, pubmed-author:Heart Rhythm Society, pubmed-author:LaiWyman WWW, pubmed-author:ManningWarren JWJ, pubmed-author:Parker WardRR, pubmed-author:PatelAyan RAR, pubmed-author:PicardMichael HMH, pubmed-author:PolkDonna MDM, pubmed-author:RagostaMichaelM, pubmed-author:Society for Cardiovascular Angiography and Interventions, pubmed-author:Society for Cardiovascular Magnetic Resonance, pubmed-author:Society of Cardiovascular Computed Tomography, pubmed-author:Society of Critical Care Medicine, pubmed-author:WeinerRory BRB
pubmed:issnType
Electronic
pubmed:volume
24
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
229-67
pubmed:dateRevised
2011-6-27
pubmed:meshHeading
pubmed:year
2011
pubmed:articleTitle
ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 Appropriate Use Criteria for Echocardiography. A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Society of Echocardiography, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance American College of Chest Physicians.
pubmed:publicationType
Journal Article, Practice Guideline