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- W2810104838 abstract "Echocardiography is an important tool in the diagnosis and management of cardiovascular disease. However, there has been concern in recent years regarding the rapid growth of echocardiography utilization. The American College of Cardiology Foundation (ACCF), along with other subspecialty societies, developed Appropriate Use Criteria (AUC) in an effort to promote more effective utilization of diagnostic testing and procedures in cardiovascular medicine, and echocardiography has been a focus of the AUC. AUC are distinct from clinical practice guidelines, as AUC delineate clinical scenarios in which ordering a test or procedure may be considered appropriate or less appropriate. Revised and updated AUC for adult echocardiography were published in 2011. One of the first uses of the AUC for echocardiography was to characterize practice patterns and determine appropriateness rates in clinical practice. Moving beyond a description of ordering patterns in clinical practice, educational intervention studies have been designed which incorporate AUC into the process of educating ordering clinicians. Several studies indicate that it is feasible to teach clinicians about appropriate use and that providing feedback about ordering behavior may improve utilization. The importance and role of feedback in AUC-based educational efforts is supported by the results of these studies. The optimal approach to incorporate AUC into patient selection remains to be determined, and it should be emphasized that clinical judgment remains important and is not to be replaced by criteria. Adherence to AUC and the subsequent impact on clinical outcomes, although difficult to study, is a critical area in need of further investigation." @default.
- W2810104838 created "2018-07-10" @default.
- W2810104838 creator A5053818781 @default.
- W2810104838 date "2019-01-01" @default.
- W2810104838 modified "2023-10-17" @default.
- W2810104838 title "Appropriate Use of Echocardiography" @default.
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- W2810104838 doi "https://doi.org/10.1016/b978-0-323-39226-6.00047-3" @default.
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