Clinical Decision-Making
Group decision dynamics may impact who receives advanced HF therapies
Better group dynamics among a team of HF specialists are significantly associated with greater likelihood of allocating advanced HF therapies to women, irrespective of patient race and ethnic group, researchers reported.
Canagliflozin remains effective for men, women of varying ages with type 2 diabetes, CKD
Among patients with type 2 diabetes and albuminuric chronic kidney disease, canagliflozin reduced kidney and cardiovascular events independent of age or sex, according to data published in the American Journal of Kidney Diseases.
Return-to-play protocol ‘essential’ for elite athletes at risk for sudden cardiac death
NEW ORLEANS — Elite athletes with genetic risk for sudden cardiac death can safely return to play with a shared decision-making model that includes careful evaluation, risk stratification and tailoring of genetic heart disease therapy.
ACC issues decision pathway for diagnosis of acute chest pain in ED
The American College of Cardiology Solution Set Oversight Committee has issued an expert consensus decision pathway for the diagnosis and acute chest pain in the ED.
Clinical decision support reduces risk of AKI development with coronary procedures
Patients undergoing coronary procedures who received care from a cardiologist using clinical decision support with audit and feedback were less likely to develop AKI compared with patients who received usual care, according to researchers.
Intensive surveillance following esophageal cancer may improve outcomes
Most patients with bipolar disorder support self-binding involuntary treatment directives
Most patients with bipolar disorder endorsed involuntary treatment via self-binding directives on the basis of impaired decision-making abilities, according to study results published in The Lancet Psychiatry.
Features of suicide risk flags detected via machine learning greatly influence clinical decision-making
Most clinicians reported that suicide risk flags in electronic medical records influenced their clinical decision-making, with their decision tied significantly to which features were highlighted rather than the risk flag presence alone, according to study results published in Journal of Clinical Psychiatry.
Home dialysis options can assist in clinical decision-making
With the prevalence of kidney disease expected to increase sharply in the next decade, the U.S. health care system is facing a significant challenge in how to care for these patients without further stressing an already beleaguered system. One idea that has gained traction is the prospect of shifting appropriately selected patients to home-based dialysis, either home hemodialysis or peritoneal dialysis.