Knowledge on primary prevention ICD use found lacking

September 7, 2017

(HealthDay)—Referring physicians have limited knowledge regarding indications for primary prevention implantable defibrillator (ICD) use, according to a study published online Aug. 25 in the Journal of Cardiovascular Electrophysiology.

Rochelle Bernier, from the University of Alberta in Canada, and colleagues invited referring physicians to participate in a web-based survey consisting of case scenarios regarding primary prevention ICD indications and a list of barriers for referral. The survey was completed by 109 physicians: 55 percent internists, 32 percent cardiologists, and 13 percent cardiology residents.

The researchers found that 34 percent of physicians provided complete guideline-concordant answers. Predictors of complete guideline concordance included being a cardiologist or a cardiology resident (odds ratios, 5.9 and 6.7, respectively). For internists, the most common barrier for referral was lack of confidence in knowledge of , while cardiologists and cardiology residents reported concerns relating to cost-effectiveness and inappropriate shocks, respectively.

"Knowledge regarding indications for ICD is limited and varies significantly among referring physicians," the authors write. "The barriers for referral differ among groups and addressing these identified barriers may help to improve appropriate ICD utilization."

Several authors disclosed financial ties to medical device companies.

Explore further: Statin use among nursing home residents varies significantly

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Statin use among nursing home residents varies significantly

August 14, 2017
(HealthDay)—Statin prescribing is considerable among nursing home residents, with significant variation in prescribing seen across physicians, according to a study published online Aug. 9 in the Journal of the American ...

Adding defibrillator to CRT no benefit in dilated cardiomyopathy

April 3, 2017
(HealthDay)—For patients with heart failure with indications for cardiac resynchronization therapy (CRT), those with ischemic cardiomyopathy (ICM), but not those with nonischemic dilated cardiomyopathy (DCM), benefit from ...

Mapping IDs geographic access barriers for diabetic retinopathy

May 25, 2017
(HealthDay)—Geographic information systems mapping can visualize geographic access barriers to eye care among patients with diabetes, while telescreening can increase the rate of diabetes retinopathy evaluation, according ...

Diabetes practice patterns, knowledge gaps identified

February 13, 2013
(HealthDay)—Practice patterns and knowledge gaps vary for health care providers (HCPs) who manage patients with type 2 diabetes, although most patients receive evidence-based care, according to research published in the ...

Rural physicians report significant barriers in treating opioid use disorder

July 11, 2017
More than half of rural counties in the United States lack a physician trained and waivered by the Drug Enforcement Agency to treat opioid use disorder using Buprenorphine Maintenance Treatment. Furthermore, many physicians ...

Physicians hit barriers in making cancer referrals

January 20, 2015
(HealthDay)—Many physicians report encountering barriers when referring cancer patients to specialty care, according to research published in the Jan. 1 issue of Cancer.

Recommended for you

The molecules that energize babies' hearts

June 14, 2018
A metabolic process that provides heart muscle with energy fails to mature in newborns with thickened heart walls, according to a Japan–Canada research team.

Tobacco aside, e-cigarette flavorings may harm blood vessels

June 14, 2018
Flavor additives used in electronic cigarettes and related tobacco products could impair blood vessel function and may be an early indicator of heart damage, according to new laboratory research in Arteriosclerosis, Thrombosis ...

Scientists identify enzyme responsible for vascular damage caused by aircraft noise

June 14, 2018
In a recent study, scientists at Johannes Gutenberg University Mainz (JGU) have identified an enzyme responsible for aircraft-related vascular damage. The researchers were also able to show that nighttime noise has a particularly ...

World-first test could predict risk of heart attack in coronary artery disease patients

June 14, 2018
Researchers have developed a world-first blood test which improves the prediction of the long-term risk of heart attack or death in those with severe coronary artery disease.

Surgical blood transfusions tied to clot risk

June 13, 2018
(HealthDay)—Blood transfusions around the time of surgery may raise your risk for dangerous blood clots, researchers say.

Massive study sheds light on the genetic roots of atrial fibrillation

June 12, 2018
Patients with atrial fibrillation (AF), a condition causing a rapid, irregular heart rate that can increase the risk of stroke, could use some new treatment options. Despite how common the condition is, the current treatment ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.