Self-reported differences between cardiologists and heart failure specialists in the management of chronic heart failure.
Background Heart failure (HF) is responsible for considerable mortality morbidity rates and resource utilization.
Recently, several studies have reported improved outcomes when patients are managed by special HF clinics, but it is uncertain whether this improvement reflects differences in physician practices or other aspects of the operation of these clinics.
Objectives This study was designed to identify differences in HF management practices between general cardiologists and cardiologists specializing in the treatment of patients with HF.
Methods A survey examining diagnostic and treatment practices in patients with HF was sent to a sample of cardiologists derived from the American Medical Association Masterfile and to HF specialists who were members of the Society of Transplant Cardiologists or principal investigators in HF trials.
Responses were examined in relation to guidelines issued by the Agency for Health care Policy and Research released 9 months previously.
Results In general both groups practice in conformity with published guidelines.
However, there were important differences between the practice patterns of general cardiologists and HF specialists.
For instance, in patients being evaluated for the first time, cardiologists reported using a chest radiograph to assist in the diagnosis more than did HF specialists (47% vs 12%), whereas HF specialists were more likely to use an echocardiogram (73% vs 48%). (...)
Mots-clés Pascal : Insuffisance cardiaque, Homme, Traitement, Pronostic, Pratique professionnelle, Etude comparative, Appareil circulatoire pathologie, Cardiopathie
Mots-clés Pascal anglais : Heart failure, Human, Treatment, Prognosis, Professional practice, Comparative study, Cardiovascular disease, Heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0416228
Code Inist : 002B12A01. Création : 22/03/2000.