Medicare spends more than $900 million annually on echocardiography.1 Despite the development of appropriate use criteria for echocardiography to limit inappropriate testing, at least 5% to 20% of studies may remain inappropriate.2-5 One overlooked mechanism of reducing costs is to improve test efficiency. For simple indications, a brief echocardiogram with minimal views and measurements may answer the diagnostic question.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Sandhu AT, Parizo J, Moradi-Ragheb N, Heidenreich PA. Association Between Offering Limited Left Ventricular Ejection Fraction Echocardiograms and Overall Use of Echocardiography. JAMA Intern Med. 2018;178(9):1270–1272. doi:10.1001/jamainternmed.2018.3317
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: