Navigation Links
Disparity in use of implantable devices to prevent sudden death in heart failure patients
Date:12/18/2009

tight evidence or clear consensus in the field that they should be done.

Study design

The study, known as IMPROVE-HF (Improve the Use of Evidence-Based Heart Failure Therapies in the Outpatient Setting), captured data from about six percent of the 40,000 cardiologists practicing in the U.S. For two years, beginning in 2005, researchers reviewed the medical records of 15,381 patients in 167 community-based and academic-affiliated outpatient cardiology practices geographically dispersed throughout the U.S. A representative sample of records was screened from each practice to yield an average of 90 patients per practice.

The data, which included patient demographics, medical history, heart function, laboratory results and treatments, was reviewed by a group of 34 chart review specialists. The investigators also evaluated the reasons that patients did not have ICD implantation, such as patient refusal and medical, economic or religious reasons.

Study findings

According to current guidelines, 7,532 patients in the study were eligible for ICD implantation; 311 of those had documented medical contraindications or other reasons for not receiving an ICD. Among the remaining 7,221 eligible patients, 3,659 (50.7 percent) had devices implanted.

Patients not offered the device despite the guidelines were most often older patients, blacks and those who did not have insurance. By contrast, men were more likely to receive a device than women. People whose hearts did not get enough blood and oxygen and those who had two types of heart rhythm disorders, atrial fibrillation and wide QRS, also were more likely to receive ICD therapy. The therapy also was more likely in patients treated with a variety of common heart disease medications, such as beta-blockers, statins and angiotensin-converting enzyme inhibitors.

Cardiology practices in the Northeast U.S. were more likely to adhere to guidelines, as were t
'/>"/>

Contact: BILL SEILER
bseiler@umm.edu
410-328-8919
University of Maryland Medical Center
Source:Eurekalert

Page: 1 2 3 4

Related medicine news :

1. Intervals between lung cancer diagnosis and treatment displays a health care disparity
2. Racial disparity studied in patients undergoing liver transplantation for hepatitis B
3. Prostate cancer: Racial disparity gap narrows, men diagnosed at younger age
4. LSUHSC contributes to revealing targets to reduce racial disparity in prostate cancer deaths
5. Racial Disparity Seen in Angioplasty Outcomes
6. Racial Disparity in Death Rate May Be Avoidable
7. The Merck Company Foundation Launches Five-Year Effort to Close Healthcare Disparity Gaps
8. Study Finds Gender Disparity in Community-Acquired Pneumonia
9. Gender disparity in community-acquired pneumonia
10. Implantable Cancer Vaccine Shows Promise
11. Implantable Defibrillators May Not Help Women With Heart Failure
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/14/2014)... treat children with uncomplicated acute appendicitis is a reasonable ... fewer missed school days, according to a pilot study. ... Hospital and published online April 12 in the ... the first prospective study on nonoperative management of acute ... , Researchers enrolled 77 patients age 7 to 17 ...
(Date:4/14/2014)... 2014, Perth, Australia. Drug discovery company Proteomics International ... of a companion diagnostic (CDx) test with the ... The research team authenticated the panel of biomarkers ... samples. Seven biomarkers were validated at high stringency ... The mass spectrometry data was then cross-validated using ...
(Date:4/14/2014)... 2014) When it comes to the cost and ... Patients get the best care when they are treated ... extensive experience in their current job, according to a ... and Columbia Business School. The study was published in ... Applied Economics . , The review of more ...
(Date:4/13/2014)... STANFORD, Calif. A low-cost empowerment program for ... and sexual harassment of these girls, who live ... and are frequently attacked, a large new study ... Stanford University School of Medicine, Lucile Packard Children,s ... No Worldwide, validated the program,s effectiveness in combating ...
(Date:4/11/2014)... the processes that control brain cell production could pave ... brain-related disorders. , Scientists have gained new understanding of ... how and when nerve and brain cells are formed ... and keeps it healthy. Their findings could help explain ... which is a fundamental characteristic of many diseases including ...
Breaking Medicine News(10 mins):Health News:Antibiotics alone are a successful treatment for uncomplicated acute appendicitis in kids 2Health News:Antibiotics alone are a successful treatment for uncomplicated acute appendicitis in kids 3Health News:Longer nurse tenure on hospital units leads to higher quality care 2Health News:Empowerment program greatly decreases incidence of rape, Stanford/Packard-led study finds 2Health News:Empowerment program greatly decreases incidence of rape, Stanford/Packard-led study finds 3Health News:Empowerment program greatly decreases incidence of rape, Stanford/Packard-led study finds 4
... INDIANAPOLIS An orphan drug originally used for HIV treatment ... additional sensitivity and pain from opioid use. The study by ... in the March 25, 2011 issue of Brain, Behavior ... in animal models may ultimately make morphine a safer and ...
... , THURSDAY, March 24 (HealthDay News) -- Children ... control more quickly and accurately than those without the ... characterized by repeated involuntary sounds and physical movements called ... or -- in rare adult cases -- blurting out ...
... is available in French and Spanish . ... of Granada , belonging to the Laboratorio de Ciencias de la ... night vision, and the tool required to implement it, which has ... Software Halo v1.0, and a computer where the mouse is used ...
... Nick Harvey of the MRC Lifecourse Epidemiology Unit, Southampton, ... of Lige, Lige, Belgium were presented with the ESCEO ... at a ceremony held during the European Congress on ... Spain. The Awards, valued at 2,500, recognize young ...
... China, investigated eye movements in Chinese and British people to ... how they compare between different human populations. They found ... British people, is much more common in Chinese people, suggesting ... different populations. Tests of eye movements can ...
... Even mild stress can cause long-term disability that prevents people ... been known that mental disorders can be a cause of ... forms of stress should be taken more seriously, according to ... Kingdom, and colleagues. The study included over 17,000 employed ...
Cached Medicine News:Health News:A safer, more effective morphine may be possible with Indiana University discovery 2Health News:Children With Tourette Syndrome Have Better Motor Control, Study Finds 2Health News:Researchers develop a halometer that tests alterations in night vision 2Health News:Researchers develop a halometer that tests alterations in night vision 3Health News:Eye movement differs in British and Chinese populations 2Health News:Even Mild Stress Can Lead to Disability, Study Says 2
(Date:1/15/2014)... , Jan. 15, 2014  Research and Markets ... the "Dental Consumables Market - Global Industry ... - 2018" report to their offering. ... ) Dental consumables are products which are ... impairments, for tooth restoration and in treatment of ...
(Date:1/15/2014)... , Jan. 15, 2014  Novation, the leading ... company, awarded several new IT value-added reseller (VAR) ... hospital organizations with IT goods and services at ... agreements, as well as value-added services such as ... New Novation agreements were awarded to ...
(Date:1/15/2014)... DUBLIN , January 15, 2014 ... that it has waived the Office of Fair Trading (OFT) ... the outstanding shares of ViroPharma Incorporated (NASDAQ: VPHM).   ... no longer conditional on OFT approval, and Shire expects to ... currently scheduled expiration time, subject to the satisfaction of all ...
Breaking Medicine Technology:Dental Consumables Market - Global Industry Analysis, Size, Share, Growth, Trends And Forecast, 2013 - 2018 2Dental Consumables Market - Global Industry Analysis, Size, Share, Growth, Trends And Forecast, 2013 - 2018 3New Novation Information Technology VAR Contracts Offer Significant Savings to Hospitals 2Shire Waives OFT Condition Relating to the Acquisition of ViroPharma Inc. 2Shire Waives OFT Condition Relating to the Acquisition of ViroPharma Inc. 3
... MTEC , the leading online Medical Transcription and ... of its NexGen Speech Recognition Editing and Medical Transcription ... documentation expertise, MTEC is moving their curriculum to the ... step in this important industry migration and is being ...
... 9, 2010 Biodel Inc. (Nasdaq: BIOD ) today ... September 30, 2010. Fourth Quarter and Fiscal Year ... the quarter ended September 30, 2010 of $8.1 million, or $0.31 ... $0.44 per share, for the quarter ended September 30, 2009. ...
Cached Medicine Technology:MTEC Announces Release of NexGen Speech Recognition Editing and Medical Transcription Training Program 2Biodel Reports Fourth Quarter and Fiscal Year 2010 Financial Results 2Biodel Reports Fourth Quarter and Fiscal Year 2010 Financial Results 3Biodel Reports Fourth Quarter and Fiscal Year 2010 Financial Results 4Biodel Reports Fourth Quarter and Fiscal Year 2010 Financial Results 5Biodel Reports Fourth Quarter and Fiscal Year 2010 Financial Results 6Biodel Reports Fourth Quarter and Fiscal Year 2010 Financial Results 7
... The Nightingale Monitoring System™ expands hospital-grade monitoring ... of subacute care and disease state management. ... ability to encompass a full range of ... patients inside the hospital, to periodic monitoring ...
... FlexNet adds wireless capability to ... This expands the Flexible Monitoring concept ... patient information from anywhere to anywhere. ... ambulatory wireless monitors and hardwired and ...
... Propaq CS makes the ... Propaq CS even more ... Symbol Technologies, the Wireless ... wireless ethernet Local Area ...
... Welch Allyn Vital Signs Monitor ... clinical areas that don't require ... to use, each monitor comes ... and optional features include Nellcor ...
Medicine Products: