Open Access Echocardiography will reduce costs of cardiac care and will improve diagnostics and therapy in primary care
ID
Bron
Verkorte titel
Aandoening
Open Access Echo, Echocardiography, Heart Failure, Valvular Heart Disease, Hypertension, Health Economy
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
- Incidence of pathology, <br>
- Differences between age groups, <br>
- Diffrences between gender, <br>
- Cost-effectiveness
Achtergrond van het onderzoek
Cardiac disease is not easy to recognize in general practice. If patients have shortness of breath, frequently a normal electrocardiogram and a normal level of brain natriuretic peptide can exclude heart failure. Unfortunately the positive predictive value of both techniques is low. Imaging can then give the clue to the correct diagnosis. Additionally it gives information about left ventricular mass and diastolic (dys)function. Also correct diagnosis of cardiac murmurs is not easy in general practice. To improve first line care of cardiac patients, an open access echocardiographic service was established in the referral area our hospital. The project started to reduce waiting lists and have more appropriate referrals to the out-patient department of cardiology for these indications. According to the existing services in the United Kingdom general practicioners were able to ask for an echocardiogram without referring the patient to the cardiologist.
Doel van het onderzoek
Open Access Echocardiography will reduce costs of cardiac care and will improve diagnostics and therapy in primary care
Onderzoeksopzet
Inclusion 01-12-2002 to 01-01-2012
Data analysis: at 100 pts, 300 pts , 600 pts 1000 pts and 1500 pts
Onderzoeksproduct en/of interventie
Echocardiography
Publiek
Department of Cardiology
Henri Dunantstreet 5
L.H.B. Baur
Heerlen 6401CX
The Netherlands
+31 45 5766129
Wetenschappelijk
Department of Cardiology
Henri Dunantstreet 5
L.H.B. Baur
Heerlen 6401CX
The Netherlands
+31 45 5766129
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. Patients, in whom the general+ practitioner thinks, they need echocardiography, but do not need referral:
- Indications:
cardiac murmurs, dyspnea, hypertension, atrial fibrillation
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Patients who are controlled by a cardiologist
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL1186 |
| NTR-old | NTR1231 |
| Ander register | METC : 08-N-15 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd |
Samenvatting resultaten
- Open access echocardiography is feasible in the Netherlands
L.H.B. Baur, L. Veenstra , T. Lenderink, C.L.B. Lodewijks - van der Bolt, R.A.G. Winkens, F.L.M. Soomers, H.E.J.H. Stoffers. Netherlands Heart Journal 2006; 14: 361-365.<br>
- The Dutch experience of open access echocardiography. C. L. B. Lodewijks-vd Bolt, LHB Baur, T. Lenderink, F. Guldemond, J. Nijhof, R. Winkens, M. Hundscheid, J. Stoffers On behalf of the working group on open access echocardiography in the Parkstad Area. Netherlands Heart Journal 2007; 15: 342-347.<br>
- Vrij toegankelijke echocardiografie is nuttige ondersteuning voor de huisarts.
LHB Baur, CLB Lodewijks-vd Bolt, T. Lenderink, HEJH Stoffers, RAG Winkens. Medisch Contact 2007: 42: 1723-1726.