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van CCT (UK)

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Open Access Echocardiography in the Netherlands

- candidate number3091
- NTR NumberNTR1231
- ISRCTNISRCTN wordt niet meer aangevraagd
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR20-mrt-2008
- Secondary IDs08-N-15 METC
- Public TitleOpen Access Echocardiography in the Netherlands
- Scientific TitleThe Impact of Open Access Echocardiography on Dutch Health Care
- hypothesisOpen Access Echocardiography will reduce costs of cardiac care and will improve diagnostics and therapy in primary care
- Healt Condition(s) or Problem(s) studiedHypertension, Heart failure, Echocardiography, Open Access Echo, Valvular heart disease, Health care costs
- Inclusion criteria1. Patients, in whom the general+ practitioner thinks, they need echocardiography, but do not need referral:
- Indications:
cardiac murmurs, dyspnea, hypertension, atrial fibrillation
- Exclusion criteria1. Patients who are controlled by a cardiologist
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupParallel
- Type2 or more arms, non-randomized
- Studytypeintervention
- planned startdate 1-dec-2002
- planned closingdate1-jan-2012
- Target number of participants1500
- InterventionsEchocardiography
- Primary outcome- Incidence of pathology,
- Differences between age groups,
- Diffrences between gender,
- Cost-effectiveness
- Secondary outcome- Health care costs,
- Incidence of cardial pathology (heart failure, valvular heart disease) at the general practitioner.
- TimepointsInclusion 01-12-2002 to 01-01-2012
Data analysis: at 100 pts, 300 pts , 600 pts 1000 pts and 1500 pts
- Trial web siteN/A
- statusopen: patient inclusion
- Sponsor/Initiator Atrium Medisch Centrum Parkstad
- Funding
(Source(s) of Monetary or Material Support)
- Publications- Easy access echocardiography for the general practitioner: results from the Parkstad Area in the Netherlands. LHB Baur, T. Lenderink, C. Lodewijks, L. Veenstra, R. Winkens. Int. J. Cardiac. Imaging. 2006: 22: 19-25.
- 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.
- 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.
- 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.
- Brief summaryCardiac 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.
- Main changes (audit trail)
- RECORD28-feb-2008 - 3-apr-2008

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