Evidence-based guidelines fail to curb inappropriate imaging orders in Ireland

Jaw x-ray

Four years ago the U.K.’s Royal College of Radiologists released its evidence-based “iRefer” guidelines to help referring physicians in Ireland order the right imaging at the right time for the right indication. Now researchers on the Emerald Isle have compared the appropriateness of imaging ordered before and after the release, with an eye on economic costs as well as radiation doses.

Early AVR bests ‘watchful waiting’ in asymptomatic patients

A heart team working together during a TAVR procedure at Emory. The success of the heart team approach has has made it a model for care collaborations across cardiovascular care.

A heart team working together during a TAVR procedure at Emory. The success of the heart team approach has has made it a model for care collaborations across cardiovascular care.

Patients with severe but asymptomatic aortic stenosis have better survival two and three years later if an aortic valve replacement (AVR) is initially recommended instead of a “watchful waiting” approach, according to a single-center study published in The Annals of Thoracic Surgery.