Follow-up of patients with new cardiovascular implantable electronic devices: are experts' recommendations implemented in routine clinical practice?

Published

Journal Article

A 2008 expert consensus statement outlined the minimum frequency of follow-up of patients with cardiovascular implantable electronic devices (CIEDs).We studied 38 055 Medicare beneficiaries who received a new CIED between January 1, 2005, and June 30, 2009. The main outcome measure was variation of follow-up by patient factors and year of device implantation. We determined the number of patients who were eligible for and attended an in-person CIED follow-up visit within 2 to 12 weeks, 0 to 16 weeks, and 1 year after implantation. Among eligible patients, 42.4% had an initial in-person visit within 2 to 12 weeks. This visit was significantly more common among white patients than black patients and patients of other races (43.0% versus 36.8% versus 40.5%; P<0.001). Follow-up within 2 to 12 weeks improved from 40.3% in 2005 to 55.1% in 2009 (P<0.001 for trend). The rate of follow-up within 0 to 16 weeks was 65.1% and improved considerably from 2005 to 2009 (62.3%-79.6%; P<0.001 for trend). Within 1 year, 78.0% of the overall population had at least 1 in-person CIED follow-up visit.Although most Medicare beneficiaries who received a new CIED between 2005 and 2009 did not have an initial in-person CIED follow-up visit within 2 to 12 weeks after device implantation, the rate of initial follow-up improved appreciably over time. This CIED follow-up visit was significantly more common in white patients than in patients of other races.

Full Text

Duke Authors

Cited Authors

  • Al-Khatib, SM; Mi, X; Wilkoff, BL; Qualls, LG; Frazier-Mills, C; Setoguchi, S; Hess, PL; Curtis, LH

Published Date

  • February 2013

Published In

Volume / Issue

  • 6 / 1

Start / End Page

  • 108 - 116

PubMed ID

  • 23264436

Pubmed Central ID

  • 23264436

Electronic International Standard Serial Number (EISSN)

  • 1941-3084

International Standard Serial Number (ISSN)

  • 1941-3149

Digital Object Identifier (DOI)

  • 10.1161/CIRCEP.112.974337

Language

  • eng